title: ACR Appropriateness Criteria® stage I breast carcinoma.
abstract: Stage I breast carcinoma is classified when an invasive breast carcinoma is ≤2 cm in diameter (T1), with no regional (axillary) lymph node metastases (N0) and no distant metastases (M0). The most common sites for metastases from breast cancer are the skeleton, lung, liver, and brain. In general, women and health care professionals prefer intensive screening and surveillance after a diagnosis of breast cancer. Screening protocols include conventional imaging such as chest radiography, bone scan, ultrasound of the liver, and MRI of brain. It is uncertain whether PET/CT will serve as a replacement for current imaging technologies. However, there are no survival or quality-of-life differences for women who undergo intensive screening and surveillance after a diagnosis of stage I breast carcinoma compared with those who do not. The ACR Appropriateness Criteria(®) are evidence-based guidelines for specific clinical conditions that are reviewed every 2 years by a multidisciplinary expert panel. The guideline development and review include an extensive analysis of current medical literature from peer-reviewed journals and the application of a well-established consensus methodology (modified Delphi) to rate the appropriateness of imaging and treatment procedures by the panel. In those instances in which evidence is lacking or not definitive, expert opinion may be used to recommend imaging or treatment.
authors: St Luke's Episcopal Hospital, Houston, Texas, USA. phuynh1@sleh.org
authors: Phan Tuong
authors: PT
authors: Huynh
authors: Sergy V
authors: SV
authors: Lemeshko
authors: Mary C
authors: MC
authors: Mahoney
authors: Mary S
authors: MS
authors: Newell
authors: Lisa
authors: L
authors: Bailey
authors: Lora D
authors: LD
authors: Barke
authors: Carl
authors: C
authors: D'Orsi
authors: Jennifer A
authors: JA
authors: Harvey
authors: Mary K
authors: MK
authors: Hayes
authors: Peter M
authors: PM
authors: Jokich
authors: Su-Ju
authors: SJ
authors: Lee
authors: Constance D
authors: CD
authors: Lehman
authors: Martha B
authors: MB
authors: Mainiero
authors: David A
authors: DA
authors: Mankoff
authors: Samir B
authors: SB
authors: Patel
authors: Handel E
authors: HE
authors: Reynolds
authors: M Linda
authors: ML
authors: Sutherland
authors: Bruce G
authors: BG
authors: Haffty
mesh_terms: D001943:Breast Neoplasms / Q000473:pathology* / Q000556:secondary*; D003952:Diagnostic Imaging / Q000592:standards*; D005260:Female; D019983:Guideline Adherence / Q000592:standards*; D006801:Humans; D008403:Mass Screening / Q000592:standards*; D009367:Neoplasm Staging; D011871:Radiology / Q000592:standards*