Independent double reading of mammograms plays a key role in improving the effectiveness of breast cancer screening by providing more accurate diagnosis. This diagnostic procedure should be carried out in a short time, but its performance is associated with the necessity of significant amount of time and human resources, that complicates its use within the existing regulatory standards. A simple and clear process model is necessary for effective organization of mammographic screening with double reading.

OBJECTIVE

To develop an optimal organizational and functional model of X-rays double reading in performing mammographic screening of breast cancer in women as a part of medical check-up.

MATERIALS AND METHODS

Content-analysis of current regulatory documents (orders of Ministry of Healthcare of the Russian Federation, methodological recommendations), in which the process of breast cancer screening organization as a part of medical check-ups is regulated, was carried out. Regulatory framework governing the organization of mammography offices’ work was the basis of content-analysis.

RESULTS

It has been found that the descriptions of X-rays double reading procedure are fragmented and controversial in regulatory documents. The model of mammography double reading organization in an outpatient clinic was proposed. Parallel double reading with automatic synchronization of results can facilitate procedure performing in established periods. It is necessary to improve regulatory documents in order to increase the effectiveness of mammography screening including the use of artificial intelligence technologies.

CONCLUSION

The importance of improving regulatory documents governing mammographic screening in outpatient clinic was justified. The proposed organizational and functional model provides the possibility of organizing double reading in the current conditions of regulatory framework. The development of digital technologies is crucial for widespread implementation of X-rays double reading in mammographic screening.