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Which risk model to use? Clinical implications of the ACS MRI screening guidelines
- Source :
- Cancer epidemiology, biomarkersprevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology. 22(1)
- Publication Year :
- 2012
-
Abstract
- The American Cancer Society (ACS) guidelines define the appropriate use of MRI as an adjunct to mammography for breast cancer screening. Three risk assessment models are recommended to determine if women are at sufficient risk to warrant the use of this expensive screening tool, however, the real-world application of these models has not been explored. We sought to understand how these models behave in a community setting for women undergoing mammography screening. We conducted a retrospective analysis of 5,894 women, who received mammography screening at a community hospital and assessed their eligibility for MRI according to the ACS guidelines. Of the 5,894 women, 342 (5.8%) were eligible for MRI, but we found significant differences in the number of eligible women identified by each model. Our results indicate that these models identify very different populations, implying that the ACS guidelines deserve further development and consideration. Cancer Epidemiol Biomarkers Prev; 22(1); 146–9. ©2012 AACR.
- Subjects :
- Adult
medicine.medical_specialty
Epidemiology
Breast Neoplasms
Mri screening
Appropriate use
Risk Assessment
Cohort Studies
Breast cancer screening
Risk model
medicine
Mammography
Humans
Genetic Predisposition to Disease
Intensive care medicine
Early Detection of Cancer
Aged
Retrospective Studies
Gynecology
American Cancer Society
Risk Management
Models, Statistical
medicine.diagnostic_test
business.industry
Patient Selection
Cancer
Middle Aged
medicine.disease
Magnetic Resonance Imaging
Community hospital
United States
Oncology
Practice Guidelines as Topic
Female
Guideline Adherence
Risk assessment
business
Needs Assessment
Subjects
Details
- ISSN :
- 15387755
- Volume :
- 22
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- Cancer epidemiology, biomarkersprevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology
- Accession number :
- edsair.doi.dedup.....70c3209b9d444ae7ecce2eae27a88c4a