title: The Problem of Mammographic Breast Density - The Position of the DEGUM Working Group on Breast Ultrasound.
abstract: Mammographic breast density correlates with breast cancer risk and also with the number of false-negative calls. In the USA these facts lead to the "Breast Density and Mammography Reporting Act" of 2011. In the case of mammographically dense breasts, the Working Group on Breast Ultrasound in Germany recommends explaining the advantages of adjunct imaging to women, depending on the individual breast cancer risk. Due to the particular structure of German healthcare, quality-assured breast ultrasound would be the first choice. Possible overdiagnosis, costs, potentially increased emotional stress should be addressed. In high familial breast cancer risk, genetic counselling and an intensified early detection program should be performed.
authors.affiliation: Radiology, Neuroradiology and Nuclear Medicine, Frankfurt Höchst Hospital, Frankfurt am Main, Germany.
authors.forename: M P
authors.initials: MP
authors.lastname: Mueller-Schimpfle
authors.affiliation: Radiology, Diagnostic Breast Center Turmcarree, Frankfurt am Main, Germany.
authors.forename: V C
authors.initials: VC
authors.lastname: Brandenbusch
authors.affiliation: Gynecology, Franziskus Hospital, Bielefeld, Germany.
authors.forename: F
authors.initials: F
authors.lastname: Degenhardt
authors.affiliation: Gynecology, University of Marburg, Germany.
authors.forename: V
authors.initials: V
authors.lastname: Duda
authors.affiliation: Gynecology, DKD, Wiesbaden, Germany.
authors.forename: H
authors.initials: H
authors.lastname: Madjar
authors.affiliation: Breast Center, Marienhospital, Osnabrück, Germany.
authors.forename: A
authors.initials: A
authors.lastname: Mundinger
authors.affiliation: Radiology, Schwarzer Baer Practice, Hannover, Germany.
authors.forename: R
authors.initials: R
authors.lastname: Rathmann
authors.affiliation: Gynecology, University of Tübingen, Germany.
authors.forename: M
authors.initials: M
authors.lastname: Hahn
mesh_terms: D000071060:Breast Density; D001943:Breast Neoplasms / Q000000981:diagnostic imaging* / Q000235:genetics; D003937:Diagnosis, Differential; D042241:Early Diagnosis; D005188:False Negative Reactions; D005260:Female; D005817:Genetic Counseling; D020022:Genetic Predisposition to Disease / Q000235:genetics; D005858:Germany; D019983:Guideline Adherence; D006801:Humans; D011785:Quality Assurance, Health Care; D012307:Risk Factors; D012680:Sensitivity and Specificity; D013223:Statistics as Topic; D016217:Ultrasonography, Mammary / Q000379:methods*