Anoto Digital Pen & Paper technology has helped reduce waiting lists for breast cancer screening in France by significantly shortening the time it takes to analyse mammograms. Normal turnaround times of up to three hours were reduced to less than 30 minutes. This means that breast cancer screening centres using the digital pen will be ready for the second stage of France’s national ‘Plan Cancer’ programme, set to start early in 2008. As part of the ‘Plan Cancer’ programme, all French women between the age of 50 and 75 are offered mammography every two years. According to French law, the screening result has to be interpreted twice: once by the examining radiologist and then by a second expert. The expert reviews the examining radiologist’s notes and scrutinizes the mammogram, using the digital pen and special paper. The pen remembers what is written or drawn, and this data is transmitted back to a PC or back-end server where character recognition is performed on it. This procedure used to be performed by administrative staff without any medical training, and was prone to errors – a risk that has been virtually eliminated by the use of Digital Pen & Paper (DPP). A visual check of the digital forms is now only required in less than five per cent of cases, giving the DPP-based solution an accuracy of more than 95 per cent. Faster processing of the results means that screening centres can meet the legal requirement of sending out results within two weeks of the examination, and schedule new appointments more quickly. One of the health centres that has implemented DPP technology is in the French D

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