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Dense Breast Notification Letters: What Do Breast Radiologists Think?

Grayson L Baird¹, Elizabeth H Dibble¹, Martha B Mainiero¹

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

Journal of Breast Imaging

|March 1, 2024

Summary

This summary is machine-generated.

Breast radiologists largely agree that dense breast notification (DBN) letters should inform patients about masking, cancer risk, and screening benefits. Consensus exists on sending these letters to patients and physicians, written at a sixth- or eighth-grade reading level.

Keywords:

dense breast notification letters dense breasts standardized language

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Area of Science:

Radiology
Public Health Communication

Background:

The FDA is developing national standards for mammography dense breast notification (DBN) letters.
Standardized language is crucial for effective patient communication regarding breast density.

Purpose of the Study:

To survey breast radiologists' opinions on the content of DBN letters.
To inform the development of FDA national standards for DBN communication.

Main Methods:

An anonymous online survey was distributed to Society of Breast Imaging members.
The survey included 17 questions and 10 open-ended response fields.
Data analysis involved chi-square tests and generalized linear models.

Main Results:

A 25% response rate yielded 262 completed surveys.
91% of radiologists support sending DBN letters to patients.
Key recommendations include defining masking, noting cancer risk, discussing supplemental screening, and using a sixth- or eighth-grade reading level.

Conclusions:

Strong consensus exists for sending DBN letters to both patients and referring physicians.
DBN letters should address masking, increased cancer risk, and supplemental screening benefits.
Readability at a sixth- or eighth-grade level is a widely supported recommendation.