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Authors
Mehta, Tejas SLourenco, Ana P
Niell, Bethany L
Bennett, Debbie L
Brown, Ann
Chetlen, Alison
Freer, Phoebe
Ivansco, Lillian K
Jochelson, Maxine S
Klein, Katherine A
Malak, Sharp F
McCrary, Marion
Mullins, David
Neal, Colleen H
Newell, Mary S
Ulaner, Gary A
Moy, Linda
UMass Chan Affiliations
RadiologyDocument Type
Journal ArticlePublication Date
2022-11-01Keywords
AUCAppropriate Use Criteria
Appropriateness Criteria
Breast cancer
Breast imaging
Breast surgery
Breast surveillance
MRI
Mammography
Metadata
Show full item recordAbstract
Given that 20% to 40% of women who have percutaneous breast biopsy subsequently undergo breast surgery, knowledge of imaging women with a history of benign (including high-risk) disease or breast cancer is important. For women who had surgery for nonmalignant pathology, the surveillance recommendations are determined by their overall risk. Higher-than-average risk women with a history of benign surgery may require screening mammography starting at an earlier age before 40 and may benefit from screening MRI. For women with breast cancer who have undergone initial excision and have positive margins, imaging with diagnostic mammography or MRI can sometimes guide additional surgical planning. Women who have completed breast conservation therapy for cancer should get annual mammography and may benefit from the addition of MRI or ultrasound to their surveillance regimen. The ACR Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary expert panel. The guideline development and revision process support the systematic analysis of the medical literature from peer reviewed journals. Established methodology principles such as Grading of Recommendations Assessment, Development, and Evaluation or GRADE are adapted to evaluate the evidence. The RAND/UCLA Appropriateness Method User Manual provides the methodology to determine the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances in which peer reviewed literature is lacking or equivocal, experts may be the primary evidentiary source available to formulate a recommendation.Source
Expert Panel on Breast Imaging, Mehta TS, Lourenco AP, Niell BL, Bennett DL, Brown A, Chetlen A, Freer P, Ivansco LK, Jochelson MS, Klein KA, Malak SF, McCrary M, Mullins D, Neal CH, Newell MS, Ulaner GA, Moy L. ACR Appropriateness Criteria® Imaging After Breast Surgery. J Am Coll Radiol. 2022 Nov;19(11S):S341-S356. doi: 10.1016/j.jacr.2022.09.003. PMID: 36436961.DOI
10.1016/j.jacr.2022.09.003Permanent Link to this Item
http://hdl.handle.net/20.500.14038/51418PubMed ID
36436961Rights
Copyright © 2022 American College of Radiology. Published by Elsevier Inc. All rights reserved.ae974a485f413a2113503eed53cd6c53
10.1016/j.jacr.2022.09.003
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