Advertisement

What Is the Best Imaging Modality for Breast Cancer Detection in Women with a Personal History?

      Should breast cancer surveillance in women with a personal history of breast cancer be any different than in women without? Women with previously treated breast cancer have an elevated risk for cancer in both the treated and contralateral breasts, compared with the average risk unaffected population, 15-20% versus 12.5%, respectively (
      • Kriege M
      • et al.
      Efficacy of MRI and mammograpy for breast-cancer screening in women with a familial or genetic predisposition.
      ). Historically, the recommendation for screening in patients with a personal history of breast cancer has consisted of yearly imaging by mammography, and the National Comprehensive Cancer Network (NCCN) and the American Cancer Society (ACS) support this (

      American Cancer Society Recommendations for the Early Detection of Breast Cancer. American Cancer Society. [Online] 2022. [Cited: April 10, 2022.] Available at: https://www.cancer.org/cancer/breast-cancer/screening-tests-and-early-detection/american-cancer-society-recommendations-for-the-early-detection-of-breast-cancer.html.

      ). Houssami et al. demonstrated that compared with women without a personal history of breast cancer, mammography in this patient population demonstrated lower sensitivity and a higher rate of interval cancer, even though these patients underwent greater surveillance and have a higher rate of underlying cancer (
      Accuracy and outcomes of screening mammography in women with a personal history of early-stage breast cancer.
      ). This may relate to the presence of post-treatment change masking subtle early findings of malignancy.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Academic Radiology
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Kriege M
        • et al.
        Efficacy of MRI and mammograpy for breast-cancer screening in women with a familial or genetic predisposition.
        N Engl J Med. 2004; 351: 427-437
      1. American Cancer Society Recommendations for the Early Detection of Breast Cancer. American Cancer Society. [Online] 2022. [Cited: April 10, 2022.] Available at: https://www.cancer.org/cancer/breast-cancer/screening-tests-and-early-detection/american-cancer-society-recommendations-for-the-early-detection-of-breast-cancer.html.

      2. Accuracy and outcomes of screening mammography in women with a personal history of early-stage breast cancer.
        JAMA. 2011; 305: 8
      3. Comparing diagnostic performance of digital breast tomosynthesis and full-field digital mammography in a hybrid screening environment.
        AJR. 2017; 209: 929-934
        • Friedewald SM
        • Rafferty EA
        • Rose SL
        • et al.
        Breast cancer sreening using tomosynthesis in combination with digital mammography.
        JAMA. 2014; 311: 2499-2507
        • Chikarmane SA
        • et al.
        Screening mammography performance metrics of 2D digital mammography versus digital breast tomosynthesis in women with a personal history of breast cancer.
        AJR. 2021; 217: 587-594
        • Mann RM
        • Cho N
        • Moy L.
        Breast MRI: state of the art.
        Radiology. 2019; 292: 520-536
        • Kuhl CK
        • et al.
        Supplemental breast MR imaging screening of women with average risk of breast cancer.
        Radiology. 2007; 283: 361-370
        • Weidner N
        • et al.
        Tumor angiogenesis and metastasis–correlation in invasive breast carcinoma.
        N Engl J Med. 1991; 324: 1-8
        • Sung JS
        • Stamler S
        • et al.
        Breast cancers detected at screening MR imaging and mammography in patients at high risk: method of detection reflects tumor histopathologic results.
        Radiology. 2016; 280: 716-722
        • Mann RM
        • Kuhl CK
        • Moy L.
        Contrast-enhanced MRI for breast cancer screening.
        J Magn Reson Imaging. 2019; 50: 377-390
        • Weinstock C
        • et al.
        Breast magnetic resonance imaging (MRI) surveillance in breast cancer survivors.
        SpringerPlus. 2015; 4: 459
      4. NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines): Breast Cancer. National Comprehensive Cancer Network. [Online] 2021. [Cited: April 10, 2022.] Available at: https://www.nccn.org/professionals/physician_gls/pdf/breast.pdf.

        • Monticciolo DL
        • Newell MS
        • Moy L
        • et al.
        Breast cancer screening in women at higher-than-average risk: recommendations from the ACR.
        J Am Coll Radiol. 2018; 15 (Available at:) (Read More:. 2018): 408-414
        • Kuhl CK
        • et al.
        Mammography, breast ultrasound and magnetic resonance imaging for surveillance of women at high familial risk of breast cancer.
        J Clin Oncol. 2005; 23: 8469-8476
        • Kulh C
        • et al.
        Prospective multicenter cohort study to refine management recommendations for women at elevated familial risk of breast cancer: the EVA trial.
        J Clin Oncol. 2010; 28: 1450-1457
        • Kuhl Christiane
        Abbreviated magnetic resonance imaging (MRI) for breast cancer screening: rationale, concept, and transfer to clinical practice.
        Annu Rev Med. 2019; 70: 501-519
        • Kuhl CK
        Abbreviated magnetic resonance imaging (MRI) for breast cancer screening: rationale, concept, and transfer to clinical practice.
        Annu Rev Med. 2019; 70: 501-519
        • Kuhl CK
        • Schradin S
        • Strobel K
        • et al.
        Abbreviated breast magnetic resonance imaging (MRI): first postcontrast subtracted images and maximum-intensity projection-a novel approach to breast cancer screening with MRI.
        J Clin Oncol. 2014; 32: 2304-2310
        • Kwon MR
        • et al.
        Breast cancer screening with abbreviated breast MRI: 3-year outcome analysis.
        Radiology. 2021; 299: 733-783
        • Young MY
        • et al.
        Comparison of abbreviated breast MRI vs digital breast tomosynthesis for breast cancer detection in women with a history of breast cancer.
        Acad Radiol. 2022; (Online ahead of print)
        • Comstock C
        • et al.
        Comparison of abbreviated breast MRI vs digital breast tomosynthesis for breast cancer detection among women with dense breasts undergoing screening.
        JAMA. 2020;
      5. Breast imaging frequently asked questions update 2021.
        Am Coll Radiol. 2021; (Accessed April 14, 2022 Available at:)