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ACR Appropriateness Criteria® Female Breast Cancer Screening: 2023 Update.

, Bethany L Niell1, Maxine S Jochelson2

  • 1Panel Chair, H. Lee Moffitt Cancer Center and Research Institute, Tampa, Florida.

Journal of the American College of Radiology : JACR
|June 1, 2024
PubMed
Summary
This summary is machine-generated.

Early breast cancer detection through screening significantly lowers mortality. Recommendations for mammography, digital breast tomosynthesis, and MRI vary based on individual breast cancer risk categories.

Keywords:
AUCAppropriateness Criteriaappropriate use criteriabreast MRIbreast cancerbreast cancer screeningdigital breast tomosynthesisfemale breast cancer screeningmammography

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Area of Science:

  • Radiology
  • Oncology
  • Medical Imaging

Background:

  • Early breast cancer detection via screening reduces mortality and morbidity.
  • Screening guidelines are tailored to individual breast cancer risk levels (average, intermediate, high).
  • Multiple imaging modalities exist for breast cancer screening.

Purpose of the Study:

  • To outline current breast cancer screening recommendations based on risk stratification.
  • To detail the recommended imaging modalities for different risk categories.
  • To describe the evidence-based methodology used for guideline development.

Main Methods:

  • Review of American College of Radiology Appropriateness Criteria.
  • Systematic analysis of peer-reviewed medical literature.
  • Application of evidence-grading methodologies (e.g., GRADE) and expert consensus (RAND/UCLA Appropriateness Method).

Main Results:

  • Mammography and digital breast tomosynthesis are recommended for all risk categories.
  • Breast MRI is additionally recommended for high-risk individuals.
  • Guidelines are established through rigorous review and expert consensus.

Conclusions:

  • Screening protocols are risk-stratified to optimize early breast cancer detection.
  • Evidence-based guidelines ensure appropriate use of imaging modalities.
  • Guidelines are regularly updated by multidisciplinary expert panels.