Women's response to state-mandated language in dense breast notification
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Updated: Sep 14, 2026

Ultrasonographic Evaluation of Breast Cancer-related Lymphedema
Published on: January 12, 2017
Lucy B Spalluto1,2, Christianne L Roumie2,3, Kemberlee R Bonnett4
1Department of Radiology and Radiological Sciences, Vanderbilt University Medical Center, Nashville, Tennessee.
Abstract:
Many states require radiologists to notify women of dense breast status. Our aim was to elicit women's response to state-mandated dense breast notification language. Of respondents, 82% report that current notification does not inform them of additional screening studies available, and 41% report notification does not inform them of next steps. Open-ended responses indicate three main areas of patient concern: Decisional Needs, Decision Quality, and Decision Support. We modified an existing Decision Support framework to capture additional themes specific to dense breast decisions. The developed framework can be used to revise and improve current breast density reporting methods.
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