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Imaging Surveillance After Primary Breast Cancer Treatment.
- Source :
-
AJR. American journal of roentgenology [AJR Am J Roentgenol] 2017 Mar; Vol. 208 (3), pp. 676-686. Date of Electronic Publication: 2017 Jan 11. - Publication Year :
- 2017
-
Abstract
- Objective: Current clinical guidelines are consistent in supporting annual mammography for women after treatment of primary breast cancer. Surveillance imaging beyond standard digital mammography, including digital breast tomosynthesis (DBT), breast ultrasound, and MRI, may improve outcomes. This article reviews the evidence on the performance and effectiveness of breast imaging modalities available for surveillance after treatment of sporadic unilateral primary breast cancer and identifies additional factors to be considered when selecting an imaging surveillance regimen.<br />Conclusion: Evidence review supports the use of mammography for surveillance after primary breast cancer treatment. Variability exists in guideline recommendations for surveillance initiation, interval, and cessation. DBT offers the most promise as a potential modality to replace standard digital mammography as a front-line surveillance test; a single published study to date has shown a significant decrease in recall rates compared with standard digital mammography alone. Most guidelines do not support the use of whole-breast ultrasound in breast cancer surveillance, and further studies are needed to define the characteristics of women who may benefit from MRI surveillance. The emerging evidence about surveillance imaging outcomes suggests that additional factors, including patient and imaging characteristics, tumor biology and gene expression profile, and choice of treatment, warrant consideration in selecting personalized posttreatment imaging surveillance regimens.
- Subjects :
- Evidence-Based Medicine
Female
Humans
Mammography methods
Prognosis
Reproducibility of Results
Sensitivity and Specificity
Treatment Outcome
Watchful Waiting methods
Breast Neoplasms diagnostic imaging
Breast Neoplasms therapy
Magnetic Resonance Imaging methods
Mammography standards
Watchful Waiting standards
Subjects
Details
- Language :
- English
- ISSN :
- 1546-3141
- Volume :
- 208
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- AJR. American journal of roentgenology
- Publication Type :
- Academic Journal
- Accession number :
- 28075622
- Full Text :
- https://doi.org/10.2214/AJR.16.16300