Determination of recall rates for assessment in high-risk women undergoing annual surveillance breast MRI
Autor: | Sylvia O'Keeffe, N.A. Healy |
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Rok vydání: | 2016 |
Předmět: |
Risk
medicine.medical_specialty Biopsy Breast Neoplasms 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine Breast cancer Prevalence medicine Humans Breast MRI Mammography Radiology Nuclear Medicine and imaging Breast Early Detection of Cancer Retrospective Studies medicine.diagnostic_test business.industry Incidence Incidence (epidemiology) Magnetic resonance imaging Retrospective cohort study General Medicine Guideline medicine.disease Magnetic Resonance Imaging 030220 oncology & carcinogenesis Female Radiology business Ireland |
Zdroj: | Clinical Radiology. 71:1143-1147 |
ISSN: | 0009-9260 |
DOI: | 10.1016/j.crad.2016.07.011 |
Popis: | To review all surveillance breast magnetic resonance imaging (MRI) examinations performed over a 6-year period at an Irish national centre to determine the recall rate, biopsy rate, and cancer-detection rates.All breast MRI examinations performed for surveillance purposes in women at high risk of developing breast cancer between January 2009 and December 2014 were reviewed. The Breast Imaging-Reporting and Data System (BI-RADS) score for each MRI examination was determined, the type of additional imaging performed, and the method of biopsy, if performed, was recorded. Histology of the biopsy specimens was reviewed.Data for 715 women undergoing 1445 surveillance MRI examinations were identified. Of the examinations, 10.9% (157/1445) had MRI BI-RADS scores that required recall for further imaging and 6.3% (91/1445) required a biopsy. Recall rates were 14.2% (86/607) and 8.5% (71/838) in the prevalent and incident rounds, respectively. The overall cancer detection rate was 17 per 1000.The current UK guideline was not achieved and no studies to date have achieved the target of7%. Aiming for this target could risk lowering the cancer-detection rate. The authors would suggest a target rate of15% and10% for the prevalent round and incident rounds, respectively. |
Databáze: | OpenAIRE |
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