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Screening Breast MR - Average Risk Women

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Now we move on to women with average

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risk who get supplemental MR screening.

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This was another Christiana

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cool, very important study.

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Um, and she had, um, over 2,000 women

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who had multiple sequential screens

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and these were full protocol MR.

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She found 60 additional cancers.

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Good combination of DCIS

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and invasive cancers.

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There were 48 at that 1st

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round, 13 at the 2nd round.

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There was 1 cancer actually found by

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all 3 modalities in retrospect, but no

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cancer diagnosed only by mammography

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or only by ultrasound and not by MR.

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0 interval cancer rate and

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cancer detection rate by MR

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15.

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5 per 1,000.

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Good rate.

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And it wasn't about density.

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This was women of all densities.

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So here's the numbers.

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You can see the different density

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categories, A, B, C, and D.

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And you see the percent of women across the whole,

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all the women who had, um, cancer diagnosed.

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And so it shows you that even in those low

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density breasts, cancers were detected by MR only.

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And these MRs, uh, the MR detected

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cancers tended to be small, node negative,

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yet high grade, so aggressive cancers.

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Those are the ones we really want to find.

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Find them early.

Report

Faculty

Emily F. Conant, MD

Professor of Radiology, Chief of Breast Imaging, Vice Chair of Faculty Development

Department of Radiology, University of Pennsylvania

Tags

Screening

Neoplastic

MRI

Diagnosis & Staging

Breast

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