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Improving Patient Care by Incorporation of Multidisciplinary Breast Radiology-Pathology Correlation Conference.

Seema Prakash1, Shambhavi Venkataraman2, Priscilla J Slanetz2

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Canadian Association of Radiologists Journal = Journal L'Association Canadienne Des Radiologistes
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A weekly breast radiology-pathology conference improved patient care by identifying discordant cases and optimizing management. This multidisciplinary approach enhances cancer detection and avoids unnecessary interventions.

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Area of Science:

  • Radiology
  • Pathology
  • Oncology

Background:

  • Radiologic-pathologic correlation is crucial for breast disease management.
  • Multidisciplinary conferences are standard in academic settings but not universal.
  • This study evaluates the impact of weekly conferences in community and academic practices.

Purpose of the Study:

  • To assess the impact of a weekly multidisciplinary conference on patient care.
  • To determine if all breast practices should adopt this approach.
  • To streamline and improve the quality of breast patient care.

Main Methods:

  • Reviewed percutaneous breast core biopsies from July 2008 to June 2012.
  • Categorized cases based on initial and final concordance between radiology and pathology.
  • Analyzed changes in concordance, diagnosis, and management during the conference.

Main Results:

  • Of 1387 cases, 5.3% had management changes during the conference.
  • 29.7% of changed cases shifted from discordant to concordant, avoiding surgery in 15.
  • 39.2% of changed cases remained concordant but had management altered, avoiding surgery in 14.

Conclusions:

  • Weekly breast radiology-pathology conferences impact patient management in 5.3% of cases.
  • Supports incorporating weekly multidisciplinary reviews into all breast care practices.
  • Conferences maximize cancer detection, identify discordant cases, decrease imaging, and avoid unnecessary surgery.