Navigation Links
Women not following through with recommended breast screening MRI

A study of 64,659 women, recently published in the journal Academic Radiology, found that while 1,246 of these women were at high enough breast cancer risk to recommend additional screening with MRI, only 173 of these women returned to the clinic within a year for the additional screening.

"It's hard to tell where, exactly, is the disconnect," says Deborah Glueck, PhD, investigator at the University of Colorado Cancer Center and associate professor of biostatistics and informatics at the Colorado School of Public Health, the paper's senior author.

But no matter the disconnect, the result is clear: women who should be getting breast screening MRI are not.

Along with her PhD student, John Brinton, Glueck got interested in the data of MRI breast screening soon after the 2007 recommendation by the American Cancer Society that women at elevated lifetime risk for developing breast cancer be screened with MRI in addition to yearly mammograms. In fact, despite most major health insurances offering coverage, few clinics put the recommendation into practice.

An exception is Invision Sally Jobe Breast Centers, in the researchers' Denver, Colo. backyard.

"The Invision Sally Jobe Breast Centers and our collaborators, Dr. Lora Barke, Mary Freivogel and Stacy Jackson have been invaluable partners in our research," Glueck says.

At Invision Sally Jobe, clinicians were using the National Cancer Institute's Gail Model to identify a patient's lifetime risk of developing breast cancer. For women with greater than 20 percent lifetime risk, the clinic included in the mammography results that were sent to women's primary care physicians a note explaining the elevated risk and suggesting that the physician refer high-risk women for the recommended MRI.

"Did women never hear the recommendation from their physician? Did they choose not to follow through? Did they go elsewhere for an MRI? We don't know," Glueck says.

And so major questions remain in the assessment of the value, feasibility and implementation of breast MRI screening.

According to Glueck and Brinton, the most fundamental and overarching of these questions is whether the benefits of MRI screening for women at high risk for breast cancer, in fact, outweigh its high monetary, medical and psychological costs.

"For this to be true, first MRI has to catch breast cancer sooner than traditional mammography, it has to catch cancers that would otherwise kill, it has to catch cancers for which early treatment is more effective than later treatment, and the medical and psychological negatives in the process of screening and follow-up care for example the potential for increased biopsies have to be lower than the medical positives," Glueck says.

Follow-up studies will chip away at these questions, including a planned study in which the researchers will see if informing high-risk women directly about the breast screening MRI recommendation will improve screening adherence.

But significant hurdles remain between the theory that shows survival benefit for breast screening MRI in high-risk women and its practice.


Contact: Garth Sundem
University of Colorado Denver

Related medicine news :

1. Caffeine May Alter Womens Estrogen Levels
2. Oral HPV Infection Strikes Men More Than Women: Study
3. Women Can Take Steps to Prevent Cervical Cancer
4. Women with certain type of ovarian cancer and BRCA gene mutation have improved survival at 5 years
5. Abortion Safer for Women Than Childbirth, Study Claims
6. Pain Intensity Greater for Women Than Men, Study Finds
7. Quality of life for younger breast cancer patients more adversely affected than older women
8. Group settings can diminish expressions of intelligence, especially among women
9. U.S. Military Women Exposed to More Combat Than Ever Before
10. UGA College of Education finds exercise reduces anxiety symptoms in women
11. Some Women Can Go Longer Between Bone Checks: Study
Post Your Comments:
(Date:10/13/2017)... ... ... Yisrayl Hawkins, Pastor and Overseer at The House of Yahweh, has released a ... books in the Holy Scriptures, Revelation. The Book of Revelation paints a picture of ... have tossed it off as mere rubbish, but Yisrayl Hawkins says that is because ...
(Date:10/12/2017)... ... October 12, 2017 , ... First Healthcare ... program management, will showcase a range of technology and learning solutions at the ... Convention and Expo to be held October 14–18, 2017 at the Mandalay Bay ...
(Date:10/12/2017)... ... 12, 2017 , ... The American College of Medical Informatics (ACMI) will present ... the Opening Session of AMIA’s Annual Symposium in Washington, D.C. AMIA’s Annual Symposium ... Collen, a pioneer in the field of medical informatics, this prestigious award is presented ...
(Date:10/12/2017)... ... October 12, 2017 , ... Leading pediatric oncology experts at ... D.C., for the 49th Congress of the International Society of Paediatric Oncology ... the Center for Cancer and Blood Disorders at Children’s National, and Stephen ...
(Date:10/12/2017)... ... October 12, 2017 , ... Vohra ... care advancements to physician colleagues, skilled nursing facility medical directors and other clinicians ... Waters of Wound Care." , "At many of these conferences we get to ...
Breaking Medicine News(10 mins):
(Date:9/27/2017)... , Sept. 27, 2017  DarioHealth Corp. (NASDAQ: DRIO), a leading ... announced that its MyDario product is expected to appear on The Dr. ... The Dr. Oz Show airs in your area: ... The nine-time Emmy award-winning, The Dr. Oz Show ... The segment ...
(Date:9/23/2017)... Janssen Biotech, Inc. (Janssen) announced today that ... U.S. Food and Drug Administration (FDA) for the Biologics ... treatment of moderately to severely active rheumatoid arthritis (RA). ... needed to further evaluate the safety of sirukumab in ... "We are disappointed ...
(Date:9/19/2017)... , Sept. 19, 2017 HistoSonics, Inc., a venture-backed medical device company developing a ... targeted tissues, announced three leadership team developments today:   ... ... ... Veteran medical device executive Josh Stopek , ...
Breaking Medicine Technology: