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Related Experiment Video

Updated: Jul 1, 2025

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Supplemental Screening for Women with Dense Breasts: What Do Practicing Radiologists Recommend?

Tisha Singer1, Ana P Lourenco1, Grayson L Baird1

  • 1Rhode Island Hospital and Alpert Medical School of Brown University, Department of Diagnostic Imaging, Providence, RI.

Journal of Breast Imaging
|March 1, 2024
PubMed
Summary
This summary is machine-generated.

Radiologists recommend digital breast tomosynthesis (DBT) for women with dense breasts, but are less likely to recommend ultrasound (US). They are more likely to recommend supplemental screening for themselves than for patients or loved ones.

Keywords:
DBTbreast screeningmagnetic resonance imagingsurveytomosynthesisultrasound

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Area of Science:

  • Radiology
  • Breast Imaging
  • Oncology

Background:

  • Dense breast tissue is a significant risk factor for breast cancer.
  • Supplemental screening modalities are crucial for early detection in women with dense breasts.
  • Understanding radiologists' recommendations is key to optimizing screening protocols.

Purpose of the Study:

  • To assess radiologists' recommendations for supplemental breast cancer screening in women with dense breasts.
  • To evaluate differences in recommendations based on patient risk stratification (average, intermediate, high).
  • To compare radiologists' recommendations for patients, family/friends, and themselves.

Main Methods:

  • Anonymous survey distributed to Society of Breast Imaging (SBI) members.
  • Assessed knowledge of breast density as a risk factor.
  • Evaluated likelihood of recommending digital breast tomosynthesis (DBT), ultrasound (US), and magnetic resonance imaging (MRI) on a Likert scale.
  • Collected data on radiologists' demographics and practice focus.

Main Results:

  • 53-57% of radiologists correctly identified relative risk associated with dense breasts.
  • Ultrasound (US) was recommended at low rates (1.0-1.4) across all risk groups.
  • Digital breast tomosynthesis (DBT) received high recommendation rates (2.5-3.0) irrespective of risk.
  • Magnetic resonance imaging (MRI) was primarily recommended for high-risk individuals (3.6).
  • Radiologists were more inclined to recommend additional imaging for themselves compared to patients or loved ones.

Conclusions:

  • Radiologists are "somewhat likely" to recommend US and "likely" to "very likely" to recommend DBT for women with dense breasts, regardless of risk.
  • "Very likely" recommendation rates for MRI were observed for high-risk groups.
  • A discrepancy exists between radiologists' personal screening recommendations and those for their patients/loved ones.