Utilization of Screening Breast MRI in Women with Extremely Dense Breasts

被引:1
|
作者
LoDuca, Thomas P. [1 ]
Strigel, Roberta M. [1 ,2 ,3 ]
Bozzuto, Laura M. [4 ,5 ]
机构
[1] Univ Wisconsin, Sch Med & Publ Hlth, Dept Radiol, 600 Highland Ave, Madison, WI 53792 USA
[2] Univ Wisconsin, Sch Med & Publ Hlth, Dept Med Phys, 1111 Highland Ave, Madison, WI USA
[3] Univ Wisconsin, Sch Med & Publ Hlth, Carbone Canc Ctr, 600 Highland Ave, Madison, WI 53792 USA
[4] Univ Wisconsin, Sch Med & Publ Hlth, Dept Surg, 600 Highland Ave, Madison, WI 53792 USA
[5] Univ Wisconsin, Sch Med & Publ Hlth, Dept Obstet & Gynecol, 600 Highland Ave, Madison, WI 53792 USA
关键词
Breast density; MRI; Screening; Breast cancer; Clinical practice guidelines; Mammogram; COST-EFFECTIVENESS; MUTATION CARRIERS; RISK WOMEN; CANCER; MAMMOGRAPHY; INSIGHTS; BRCA1; AGE;
D O I
10.1007/s12609-024-00525-6
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Purpose of reviewTo review the current evidence for the use of magnetic resonance imaging (MRI) as a supplemental breast cancer screening method for women with dense breast tissue and otherwise at average risk, and to answer whether the current evidence supports supplemental screening with breast MRI in this patient population.Recent findingsThe DENSE trial showed a statistically significant decrease in interval cancers with breast MRI screening vs. mammography alone and the EA1141 trial showed a statistically significant increase in cancer detection rate with abbreviated breast MRI compared to digital breast tomosynthesis (DBT). These trials provide evidence to support MRI as a supplemental breast cancer screening method in this population.SummaryMRI screening has a high detection rate for breast cancer in women with dense breasts with otherwise average risk and is recommended to be considered a supplemental screening method by multiple organizations in the USA and Europe.
引用
收藏
页码:53 / 60
页数:8
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