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The American Cancer Society has published the following new guidelines for breast screening with contrast-enhanced magnetic resonance imaging as an adjunct to mammography:
-- Annual MRI screening is recommended for patients with BRCA mutations and for patients whose lifetime risk for breast cancer is at least 20%, according to predictive models based on family history; this recommendation is based on nonrandomized screening studies.
-- Annual MRI screening is recommended for patients who received chest radiation (e.g., for Hodgkin disease) between ages 10 and 30 and for patients with several unusual genetic syndromes; this recommendation is based on expert opinion.
-- The evidence is insufficient to recommend for or against MRI screening for w…