What are the NCCN guidelines MRI in breast cancer screening?

Updated: Apr 10, 2019
  • Author: Erin V Newton, MD; Chief Editor: Marie Catherine Lee, MD, FACS  more...
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Answer

Answer

The National Comprehensive Cancer Network (NCCN) guidelines on MRI screening differ from those of the ACS as follows [8] :

  • Annual MRI screening recommended in first-degree relatives of a BRCA carrier, but untested (encourage genetic testing before MRI)

  • Annual MRI screening is recommended for women with lifetime risk 20% or greater, as defined by models that are largely dependent on family history. Encourage genetic testing for first-degree relatives. If testing declined, recommend MRI.

  • Annual MRI screening is recommended for women who received radiation therapy to the chest when aged 10-30 years.

  • Annual MRI screening may be considered for women with a history of LCIS and ALH/ADH whose lifetime risk is ≥20%.


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