AI Article Synopsis
- - Patients with dense breast tissue often pursue additional screening methods due to the limitations of mammography's effectiveness in detecting cancer.
- - Abbreviated protocol (AP) breast MRI is considered a promising alternative because it has a higher cancer detection rate, requires less time, and is less expensive than traditional MRI.
- - There are significant safety and efficacy concerns surrounding AP MRI, including potential risks of gadolinium contrast agents, the need for standardized protocols, and the risk of overdiagnosis, making further research essential for its routine use in screening guidelines.
Article Abstract
Patients with dense breast tissue are seeking supplemental screening because of the limited sensitivity of mammography. Abbreviated protocol (AP) breast MRI is attractive because it offers a higher cancer detection rate, shorter scan time, and lower cost than full MRI. This article explores the issues of balancing the benefits of AP MRI with safety concerns about gadolinium-based contrast agents, lack of standardization of protocols and field strengths, potential decrease in performance metrics, and potential for overdiagnosis. Important questions need to be addressed before AP MRI can be used routinely for breast cancer screening. Evidence is lacking from well-designed prospective trials that can confirm the accuracy and efficacy of AP MRI are comparable with those of other breast imaging modalities. Determining which patients benefit most from AP MRI will help shape future screening guidelines.
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| http://dx.doi.org/10.2214/AJR.19.22292 | DOI Listing |
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