Interval Cancer Audit Database (iCAD)

Description

An Interval Cancer refers to an identified breast cancer occuring within 3 years of a screening test with a negative result. Therefore the recording and audit of Interval Cancers provides clinicians with a measure of Breast screening effectiveness. iCraft's Interval Cancer Audit Database facilitates both the collection and reporting of such patient screening data.

History

2001: iCraft undertook a bespoke development for the East Midlands Quality Assurance Reference Centre (East Midlands QARC).
2002: An additional module was added to the ICAD system to allow cross-matching of pateints against external systems such as the Trent Cancer Registry or local Surgical lists etc. This module allows data management staff to ensure that all Interval Cancer patients are correctly reported within the system.
2003: iCraft upgraded the original application to run using the latest version of the Microsoft Net framework.
2004: The North West Breast Screening Quality Reference Centre (NWBSQARC) purchased the system to aid in the facilitation of Interval Cancer Audit within the region. Minor amendements to the East Midlands system were made in-order to cover extra data collection items, and different matching data sources.

Online Demonstration

An online demonstration version of iCAD is available by following the link iCAD Demonstration.

Data Collection

The iCAD system provides a simple to use web-based interface in-order to review, add and amend patient data collected either in-situ or on paper based-forms. These forms have been developed to best represent the NHS Breast Screening Programmes paper based forms.

Screens

The following screens/forms are used to manage patient data:

Patient Details:
National Screening Number NHS Number Screening Unit Hospital Surname Forename Date of Birth Breast Cancer Side Patient Taking Hormone Replacement Therapy Hormone Replacement Therapy Type General Comments Preview

Diagnostic Imaging Details:

This screen records Imaging data for both: Previous Screening date and Current Diagnostic Mammogram.

Date Last Screened
Age At Screen
Mammographic Findings
Radiological Interpretation
Visible On Ultrasound
Recall Indicated
View Showing Abnormality
Previously Assessed
Abnormal Previous Screens
Number Of Readers
Number Of Views
Background Pattern
Site

Preview

Diagnostic Details:
Date Malignant FNA (Fine Needle Aspiration Cytology) Date Malignant Core Biopsy Date Diagnosis Interval Classification Age At Diagnosis Preview

Treatment Details:
Operations Operation Date Operation Type Radiotherapy Site Of Radiotherapy Endocrine Chemotherapy Preview

Pathology Details:
Invasive Cancer Size Invasive Cancer Grade Total Nodes Number Positive Nodes Excision Margin Distance Non Invasive Grade Non Invasive Size Disease Extent Vascular Invasion Final Histology Micro Invasion NPI (Nottingham Prognostic Index) Preview

Data Analysis/Reporting

The ICAD system provides an ODBC database interface, so that analysis and reporting applications such as Microsoft Excel, SPSS and Microsoft Access can be used to analyse and report on data. iCraft also implement a number of fixed reports through Microsoft's Reporting Services application.

For More Information...

Please email enquiries@icraft.co.uk , use our online support form or telephone +44 (0)845 877 0010 if you are interested in finding out more about the Interval Cancer Audit Database System and how it could be used in your organisation. We are happy to answer your queries.