Imagers seek clarity on pool of supplemental screening patients

February 6, 2008 Diagnostic Imaging. Imagers seek clarity on pool of supplemental screening patients Breast density presents important, independent, and common risk factor for cancer, but use of follow-up MRI or ultrasound remains controversial Emily Hayes -------------------------------------------------------------------------------- Imagine hundreds of thousands of women, informed by a list of potential risk factors for breast cancer, knocking on radiologists’ doors, demanding another imaging study to supplement mammography. Will radiology practices know how to respond to this scenario? Recent developments have generated much uncertainty in breast imaging when it comes to managing not only women at high risk but also the large number of women deemed to be at intermediate risk. Last year, the American Cancer Society recommended that high-risk women undergo breast MRI along with mammography in annual screening. The definition of high risk includes a lifetime likelihood of breast cancer of 20% or greater (see table), but some factors cited are hard to pin down.

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