Risks and Benefits of Supplemental Breast MRI vs. Screening Mammography

MRI screening resulted in more breast biopsies and lower cancer yield than mammography regardless of breast cancer history.

Guidelines recommend supplemental breast MRI in addition to screening mammography for women with >20% excess lifetime risk for breast cancer. However, for women with personal histories of breast cancer (PHBC), only annual mammography is recommended, and evidence is sparse regarding appropriate use of MRI for breast cancer surveillance; still, many breast cancer survivors undergo this imaging. Investigators performed an observational study of >2 million imaging episodes using data from six Breast Cancer Surveillance Consortium registries to evaluate biopsy intensity (fine-needle aspiration, core needle, or surgical excision) and pathology yield (benign, high-risk benign, ductal carcinoma in situ [DCIS], or invasive) after screening mammograp…

Reviewing Author

Laila Samiian, MD

Disclosures

Leadership Positions in Professional SocietiesAssociation of Women Surgeons (Member, Publications Committee)

Laila Samiian, MD

Disclosures

Leadership Positions in Professional SocietiesAssociation of Women Surgeons (Member, Publications Committee)

Risks and Benefits of Supplemental Breast MRI vs. Screening Mammography

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Reviewing Author