Navigation Links
MRI may be unnecessary prior to treatment in most newly diagnosed breast cancer patients

CHICAGO (August 14, 2009)New research findings published in the August issue of the Journal of the American College of Surgeons challenge the routine use of magnetic resonance imaging (MRI) as a means to improve surgical outcomes in newly diagnosed breast cancer patients. Researchers found that women diagnosed with breast cancer who received an MRI were more likely to undergo a mastectomy than breast conserving therapy (BCT), and may face delays in treatment. BCT is the removal of a tumor with a safe margin of normal tissue.

Although there is sufficient evidence that MRI is a beneficial screening tool in women with a high risk of developing breast cancer, prospective data demonstrating the benefits of MRI in the evaluation of newly diagnosed patients are lacking.

"Our study does not support the routine use of MRI to evaluate breast cancer, yet we found that more and more women with newly diagnosed breast cancer are getting these scans," said Richard J. Bleicher, MD, FACS, surgical oncologist and attending surgeon at Fox Chase Cancer Center in Philadelphia. "Although MRI can be of benefit in the detection of cancer because of its sensitivity, it has a well-documented false-positive rate that may be misleading women to choose mastectomies when instead they could have breast conserving therapy."

Records of patients diagnosed with breast cancer before referral to Fox Chase Cancer Center from July 2004 to December 2006 were retrospectively reviewed and evaluated by a multidisciplinary team including radiologists, surgeons, radiation oncologists, and medical oncologists. Of the 577 patients reviewed, 130 patients (22.5 percent) had MRIs prior to treatment. When performed, MRIs were obtained before referral in 94.6 percent of patients.

The study showed that MRI scans in women with newly diagnosed breast cancer increased from 13 percent in 2004 to 27 percent in 2006. Most notably, researchers observed that patients who received an MRI were significantly more likely to undergo mastectomy as the initial surgery compared to BCT. Furthermore, women who received an MRI experienced an average delay of 22.4 daysfrom the initial symptom or abnormal imaging studyjn receiving treatment evaluation (p=0.011). There was no statistically significant difference between groups in either the ability to achieve complete removal of malignant cells with a single excision or the rate of unplanned mastectomy after BCT.


Contact: Sally Garneski
Weber Shandwick Worldwide

Related medicine news :

1. New MR technique may help save women from unnecessary breast biopsies
2. Image-guided treatment helping women with tubo-ovarian abscesses avoid unnecessary surgery
3. Heart screening unnecessary in type 2 diabetes patients with no symptoms
4. Breast-Specific Gamma Imaging (BSGI) Can Reduce the Number of Unnecessary Breast Biopsies When Compared to MRI
5. Prostate specific antigen testing may be unnecessary for some older men
6. Unnecessary Spinal Surgery Will Waste Billions of Dollars in 2009 and Patients Will Continue to Suffer Unless the Primary Cause of Most Back Pain is Treated, Says Pain Specialist Norman Marcus, M.D.
7. Rate of Unnecessary C-Sections Far Lower Than Thought
8. MRI can eliminate unnecessary surgery for children with suspected musculosketal infections
9. Teamwork cuts out unnecessary biopsies, researchers find
10. From Jet Engines to Search Engines, ORBIS-FedEx-Indiana University Join Forces to Fight Unnecessary Childhood Blindness
11. Research Study Shows That Pharmaceutical Field Sales Reps Productivity Inhibited by Unnecessary Internal Communication
Post Your Comments:
(Date:6/25/2016)... ... ... Conventional wisdom preaches the benefits of moderation, whether it’s a matter of indulgence ... high can result in disappointment, perhaps even self-loathing. However, those who set the bar ... from reveals that behind the tendency to set low expectations is ...
(Date:6/24/2016)... ... June 24, 2016 , ... Marcy was in a crisis. Her son James, eight, was ... his family verbally and physically. , “When something upset him, he couldn’t control his emotions,” ... He would throw rocks at my other children and say he was going to kill ...
(Date:6/24/2016)... ... June 24, 2016 , ... Comfort Keepers® of San Diego, CA is ... Road To Recovery® program to drive cancer patients to and from their cancer treatments. ... the highest quality of life and ongoing independence. Getting to and from medical ...
(Date:6/24/2016)... ... June 24, 2016 , ... The Haute Beauty Network, ... M. Weintraub as a prominent plastic surgeon and the network’s newest partner. ... the most handsome men, look naturally attractive. Plastic surgery should be invisible.” He ...
(Date:6/24/2016)... ... 2016 , ... Venture Construction Group (VCG) sponsors Luke’s Wings ... at the Woodmont Country Club at 1201 Rockville Pike, Rockville, Maryland, 20852. The ... members that have been wounded in battle and their families. Venture Construction Group is ...
Breaking Medicine News(10 mins):
(Date:6/26/2016)... 2016 Jazz Pharmaceuticals plc (Nasdaq: ... Hart-Scott-Rodino Antitrust Improvements Act of 1976, as amended ("HSR"), ... Inc. ("Celator"; Nasdaq: CPXX ) expired effective ... As previously announced on May 31, 2016, ... agreement under which Jazz Pharmaceuticals has commenced a tender ...
(Date:6/24/2016)... , June 24, 2016  Collagen Matrix, ... design, development and manufacturing of collagen and mineral ... announced today that Bill Messer has ... Marketing to further leverage the growing portfolio of ... devices. Bill joins the Collagen Matrix ...
(Date:6/24/2016)... , June 24, 2016 ... of the "Structural Electronics 2015-2025: Applications, Technologies, ... In-Mold Electronics, Smart Skin, ... Photovoltaics Structural electronics involves electronic ... load-bearing, protective structures, replacing dumb structures such as ...
Breaking Medicine Technology: