Breast cancer is the most frequent cause of cancer-related deaths in women in Europe, and demographic trends indicate a continuing increase in this substantial public health problem. Systematic early detection through screening, effective diagnostic pathways and optimal treatment have the ability to substantially lower current breast cancer mortality rates and reduce the burden of this disease in the population. This is the fourth edition of these guidelines which contains information on recommended standards and procedures for breast cancer screening and diagnostic services, including chapters on multi-disciplinary aspects of quality assurance, data collection and monitoring, effective communication of information, requirements of a specialist unit, and a certification protocol.

The benefits of a screening programme for breast cancer are early detection and the subsequent reduction of mortality. The potential disadvantages are unnecessary anxiety, inappropriate economic cost and the use of ionising radiation. To ensure that the benefits outweigh the disadvantages the whole screening system needs to be completely quality assured. These European guidelines are based on the experience gained through national screening programmes. It contains information that can be applied at all levels and improvements can be achieved by following the technical advice. This third edition has been revised in the light of further experience over the past four years.

Recoge: 1. Epidemiological guidelines for quality assurance in cervical cancer screening - 2. Methods for screening and diagnosis - 3. Laboratory guidelines and quality assurance practices for cytology - 4. Techniques and quality assurance guidelines for histopathology - 5. Management of abnormal cervical cytology - 6. Key performance indicators - 7. Annexes.

This manual provides a harmonized approach to quality assurance (QA) in the emerging area of digital mammography. It outlines the principles of, and specific instructions that can be used for, a QA programme for the optimal detection of early stage breast cancer within a digital environment. Intended for use by Member States that are now using digital mammography or that are assessing the implications of using digital mammography, it addresses major areas such as considerations concerning the transition from screen film to digital mammography, basic principles of QA, clinical image quality, quality control tests for radiographers, and quality control tests for medical physicists, including dosimetry assessment. Instructional materials to supplement the knowledge of professionals already working in the field of diagnostic radiology, as well as quality control worksheets, are also provided.

Bogen er en grundlæggende lærebog om digital mammografi, hvori digital mammografi og traditionel mammografi også sammenlignes i forhold til screening, diagnoser og radiografisk billedteknik. Der er en komplet billedsamling af cases indenfor digital mammografi.

Recoge: 1. Introduction -- 2. Organisation -- Guiding principles for organising a colorectal cancer screening programme -- 3. Evaluation and interpretation of screening outcomes -- 4. Faecal occult blood testing -- 5. Quality assurance in endoscopy in colorectal cancer screening and diagnosis -- 6. Professional requirements and training -- 7. Quality assurance in pathology in colorectal cancer screening and diagnosis -- 8. Management of lesions detected in colorectal cancer screening -- 9. Colonoscopic surveillance following adenoma removal --10. Communication -- Appendices.