American Cancer Society guidelines for breast screening with MRI as an adjunct to mammography.
New evidence on breast Magnetic Resonance Imaging (MRI) screening has become available since the American Cancer Society (ACS) last issued guidelines for the early detection of breast cancer in 2003. A guideline panel has reviewed this evidence and developed new recommendations for women at different defined levels of risk. Screening MRI is recommended for women with an approximately 20-25% or greater lifetime risk of breast cancer, including women with a strong family history of breast or ovarian cancer and women who were treated for Hodgkin disease. There are several risk subgroups for which the available data are insufficient to recommend for or against screening, including women with a personal history of breast cancer, carcinoma in situ, atypical hyperplasia, and extremely dense breasts on mammography. Diagnostic uses of MRI were not considered to be within the scope of this review.
Saslow
Debbie
D
Cancer Control Science Department, American Cancer Society, Atlanta, GA, USA.
Boetes
Carla
C
Burke
Wylie
W
Harms
Steven
S
Leach
Martin O
MO
Lehman
Constance D
CD
Morris
Elizabeth
E
Pisano
Etta
E
Schnall
Mitchell
M
Sener
Stephen
S
Smith
Robert A
RA
Warner
Ellen
E
Yaffe
Martin
M
Andrews
Kimberly S
KS
Russell
Christy A
CA
D001943:Breast Neoplasms / Q000175:diagnosis* / Q000235:genetics; D005260:Female; D020022:Genetic Predisposition to Disease; D005820:Genetic Testing; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000009:adverse effects; D008327:Mammography; D012307:Risk Factors; D012680:Sensitivity and Specificity