Setting Up an Abbreviated Breast MRI Program: Our Two-year Implementation Experience

Area of Science:

• Radiology
• Oncology
• Medical Imaging

Background:

• Mammography is the standard for breast cancer screening.
• Breast MRI is highly sensitive but limited by cost and time for widespread screening.
• Abbreviated breast MRI (AB-MRI) presents a solution for broader screening applications.

Purpose of the Study:

• To outline practical considerations for implementing an Abbreviated Breast MRI (AB-MRI) screening program.
• To share insights from a two-year experience in establishing an AB-MRI program.
• To guide institutions in adopting AB-MRI for average or slightly elevated risk patients.

Main Methods:

• Developing and implementing a non-standardized AB-MRI protocol.
• Establishing a self-pay charge due to the absence of a specific CPT code.
• Modifying MRI scheduling to incorporate the 10-minute AB-MRI examination.
• Facilitating communication and education within the breast team and among referring physicians.
• Auditing screening outcomes post-implementation to ensure program success.

Main Results:

• Successful integration of AB-MRI into clinical practice requires a multi-faceted approach.
• Clear protocols, financial structures, and logistical adjustments are crucial.
• Effective communication and education are vital for program adoption and awareness.

Conclusions:

• Abbreviated breast MRI (AB-MRI) is a viable and efficient screening tool for a wider patient population.
• Successful implementation hinges on addressing practical challenges including protocol standardization, cost, scheduling, and stakeholder education.
• Ongoing auditing is essential for sustained program effectiveness and continuous improvement in breast cancer screening.