VERMONT BREAST CANCER SURVEILLANCE SYSTEM

佛蒙特州乳腺癌监测系统（BVCSS）建议继续成为乳腺癌监测联盟（BCSC）的成员。 作为全国最农村的州，佛蒙特州非常适合补充目前在NCI联盟中代表的更多城市网站。 我们的目标是让我们佛蒙特州的多学科研究人员团队与其他BCSC站点的其他研究人员和NCI工作人员一起进行协作性乳腺癌监测研究。 我们的核心提案的目标是：a）维护和改善一个全面的，质量控制的，全州范围的监测系统，该系统可以访问现有的记录，并从乳房X光检查设施，病理实验室和基于人口的癌症登记处收集新的信息; B）继续和扩大基础科学研究人员之间的乳腺癌研究合作和互动，佛蒙特州和NCI乳腺癌监测联盟的临床研究人员和应用研究人员; c）、检查乳腺癌筛查和诊断的操作方面进行系统的研究，旨在评估筛查计划和诊断技术的有效性和效率，它们与诊断时的分期和乳腺癌死亡率的改善有关。 这两个特殊的研究项目的重点是使用额外的成像超出标准的四个视图筛选乳房X光检查。 在项目1中，我们将确定与标准的四视图乳房X线摄影相比，使用额外的乳房X线摄影视图和/或超声的诊断准确性。 在项目2中，我们将建立被召回进行额外成像的心理，社会和行为影响。

The Vermont Breast Cancer Surveillance System (BVCSS) proposes to continue membership in the Breast Cancer Surveillance Consortium (BCSC). As the most rural state in the nation, Vermont is well suited to complement more urban sites currently represented in the NCI Consortium. Our goal is to have our Vermont multi- disciplinary team of researchers join with other investigators at other BCSC sites and the NCI staff to conduct collaborative breast cancer surveillance research. Our aims for the core proposal are: a) to maintain and improve a comprehensive, quality controlled, statewide surveillance system that accesses existing records and collects new information from mammography facilities, pathology laboratories, and a population-based cancer registry; b) to continue and expand breast cancer research collaborations and interactions among basic science researchers, clinical researchers and applied researchers in Vermont and in the NCI Breast Cancer Surveillance Consortium; c) to examine the operational aspects of breast cancer screening and diagnosis by conducting systematic research designed to assess the effectiveness and efficiency of screening programs and diagnostic techniques as they relate to the improvement of stage at diagnosis and breast cancer mortality. The two special research projects are focused on the use of additional imaging beyond the standard four-view screening mammogram. In project 1 we will determine the diagnostic accuracy of using either additional mammographic views and/or ultrasound compared with the standard four-view mammogram. In project 2 we will establish the psychological, social and behavioral effects of being recalled for additional imaging.