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ACR Appropriateness Criteria® Supplemental Breast Cancer Screening Based on Breast Density
, Susan P Weinstein1, Priscilla J Slanetz2
1Department of Radiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
Journal of the American College of Radiology : JACR
|November 19, 2021
Summary
Supplemental screening beyond mammography may benefit women with dense breasts or those at higher risk. Options include MRI, ultrasound, or contrast-enhanced mammography, depending on individual risk and breast density.
Area of Science:
- Radiology
- Oncology
- Medical Imaging
Background:
- Mammography is the sole validated breast cancer screening tool but has limitations, particularly variable sensitivity in dense breasts.
- Breast density significantly impacts mammography's effectiveness, necessitating consideration of supplemental screening strategies.
- Patient risk stratification and breast density are key factors in determining the need for additional screening modalities.
Keywords:
AUAppropriate Use CriteriaAppropriateness CriteriaBreast MRIBreast MRI abbreviatedBreast ultrasoundDigital breast tomosynthesisMammography with IV contrast
