title: The development and implementation of a patient-centered radiology consultation service: a focus on breast density and additional screening options.
abstract: Increasingly, states are mandating notification to patients if they are found to have dense breast tissue. Information describes the increased risk of cancer and limitations of mammography for this patient group. Such notification often creates anxiety and results in uncertainty as no evidence-based guidelines for additional screening of dense breasts are available. Through an organized consultation service, patients and physicians were provided consultations with radiologists in order to ensure an appropriate screening plan based on individualized histories and preferences. This manuscript describes our dense breast consultation program, examines initial data, and provides lessons for practices interested in providing similar service.
authors: Weill Cornell Imaging Consultation and Radiologic Expertise (WiCare), Weill Cornell Medical College at NewYork-Presbysterian Hospital, 525 E. 68th Street Box 141, New York, NY 10065. Electronic address: cls2007@med.cornell.edu.
authors: Courtney L
authors: CL
authors: Sullivan
authors: Department of Healthcare Policy and Research, Weill Cornell Medical College, 425 East 61st., 3rd Floor, 319, New York, NY 10065. Electronic address: anpandya@hsph.harvard.edu.
authors: Ankur
authors: A
authors: Pandya
authors: Weill Cornell Medical College, NewYork-Presbyterian Hospital, 525 E. 68th Street Box 141, New York, NY 10065. Electronic address: rjm2002@med.cornell.edu.
authors: Robert J
authors: RJ
authors: Min
authors: Weill Cornell Medical College at NewYork-Presbysterian Hospital, 425 East 61 Street, 9th Floor, New York, NY 10065. Electronic address: mid2011@med.cornell.edu.
authors: Michele
authors: M
authors: Drotman
authors: Emergency/Musculoskeletal Imaging, Department of Radiology New-York Presbyterian Hospital, Weill Cornell Medical College, 525 E. 68th Street Box 141, New York, NY 10065. Electronic address: keh9003@med.cornell.edu.
authors: Keith
authors: K
authors: Hentel
mesh_terms: D001943:Breast Neoplasms / Q000000981:diagnostic imaging*; D055088:Early Detection of Cancer / Q000379:methods*; D005260:Female; D006801:Humans; D008327:Mammography / Q000379:methods*; D008403:Mass Screening / Q000379:methods*; D008875:Middle Aged; D018802:Patient-Centered Care / Q000379:methods*; D012017:Referral and Consultation
keywords: Breast density legislation; Dense breast tissue; Patient-centered care; Radiology consultation; Registered radiologist assistant