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ACR Appropriateness Criteria® Imaging After Breast Surgery
, Tejas S Mehta1, Ana P Lourenco2
1Director of Diversity, Equity Inclusion and Population Health in Radiology, UMass Memorial Medical Center, Worchester, Massachusetts.
Journal of the American College of Radiology : JACR
|November 27, 2022
Summary
Women with a history of benign breast disease or cancer often require surgery. Imaging guidelines help determine appropriate screening and surveillance after breast surgery, considering individual risk factors.
Area of Science:
- Radiology
- Oncology
- Women's Health
Background:
- Percutaneous breast biopsies lead to surgery in 20-40% of women.
- Understanding imaging needs for women with benign or malignant breast conditions post-biopsy is crucial.
Framework:
- Surveillance recommendations for nonmalignant pathology depend on overall patient risk.
- Higher-risk women may need earlier mammography (before 40) and MRI screening.
- Post-cancer surgery, imaging guides further surgical planning and surveillance.
Implementation:
- Annual mammography is recommended for women completing breast conservation therapy.
- MRI or ultrasound may supplement mammography in surveillance regimens.
- ACR Appropriateness Criteria provide evidence-based guidelines for clinical conditions.
Implications:
- Tailored imaging strategies improve patient outcomes and surgical planning.
- Systematic analysis of medical literature and expert consensus inform guidelines.
- Appropriateness methods ensure optimal use of diagnostic and treatment procedures.
Keywords:
AUCAppropriate Use CriteriaAppropriateness CriteriaBreast cancerBreast imagingBreast surgeryBreast surveillanceMRIMammographyMore Related Videos
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