Preferences and Attitudes Regarding Adjunct Breast Cancer Screening Among Patients with Dense Breasts

Area of Science:

• Radiology
• Oncology
• Medical Imaging

Background:

• Dense breasts increase breast cancer risk and reduce mammogram sensitivity.
• Newer screening methods are needed for improved detection in women with dense breasts.

Purpose of the Study:

• To assess patient preferences and attitudes towards adjunct breast cancer screening modalities.
• To evaluate the acceptability of novel screening exams for women with dense breasts.

Main Methods:

• Prospective study involving 508 patients with dense breasts.
• Surveys collected data on perceived cancer risk, screening concerns (callbacks, radiation, IV contrast allergies), and deterrents to adjunct screening.
• Patients evaluated hypothetical screening modalities.

Main Results:

• 59.9% of patients believed cancer could be missed on mammograms; only 8.9% had prior adjunct screening.
• Primary deterrents included cost (66.9%), pain (34.1%), and fear of additional procedures (31.1%).
• Patients strongly preferred more sensitive exams, even with increased cost or IV contrast.

Conclusions:

• Patients with dense breasts favor screening exams that are both sensitive and affordable.
• Increased sensitivity is a key factor, potentially outweighing concerns about cost or IV contrast administration.