[Second reading in breast cancer screening program: State of knowledge and future]

Abstract

Second reading is an important part of breast cancer organized screening program. Image quality control and detection of non-diagnosed cancer by first reader are the two goals of this process. In France, 6 % of all screening cancer are diagnosed by second reading, actually done on screen film. With the technologic evolution (Digital breast tomosynthesis, Artificial intelligence) and societal digitalization, this process need to evolve. After some report about organization and results for second reading in France and outside, current and future shortcomings, proposition from professionals involved in breast cancer screening are made to improve this public health program.

Keywords: Breast cancer; Cancer du sein; Dépistage organisé; Mammographie; Mammography; Screening program; Second reading; Seconde lecture.