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Congress: ECR25
Poster Number: C-16137
Type: Poster: EPOS Radiologist (scientific)
Authorblock: J. Aleem, R. Rai, S. Sattar; Birmingham/UK
Disclosures:
Javaria Aleem: Nothing to disclose
Rupinder Rai: Nothing to disclose
Sandeela Sattar: Nothing to disclose
Keywords: Artificial Intelligence, Breast, Contrast agents, Mammography, MR, Ultrasound, Biopsy, Radiation effects, Teleradiology, Abscess, Cancer, Cysts
Purpose To optimise the recall rate of Very High-Risk (VHR)  Breast screening assessments in a Single NHS Breast Cancer Screening Service (Sandwell and West Birmingham NHS Trust ).
Read more Methods and materials The audit reviewed the factors causing the high VHR screening recall rate in our centre. The recall rate in our department is 12.8%, which should be at least the expected standard rate of 10% and, ideally, the achievable rate of 7%. VHR screening Includes patients with genetically proven genes that increase the risk of breast cancer and those who have had radiotherapy to the chest. A 10-year risk assessment is done, and if the risk is>8%, then screening begins at...
Read more Results Of 18 patients, over half were below age 40 and had MRI breast only [fig1]. MRI reports of all cases demonstrated that the majority had a unifocal abnormality. One case had a bilateral abnormality. All cases had an MRI score of 3 except one who had bilateral breast abnormality ( Right MRI 4, Left MRI 3) [fig2]. The appearance of benign and malignant lesions in the MRI are shown below [fig3]. Most patients who had mammograms scored M1 & M2,...
Read more Conclusion The very high-risk breast cancer screening recall rate in our screening service is higher than the standard NHS screening rate. There is a low recall threshold in very high-risk breast screening MRI reporting due to multiple factors. The high percentage of benign biopsies in our data is reassuring and provides convincing evidence to dismiss biopsies of benign-appearing lesions on the MRI. This will help reduce the recall rate and the emotional burden on the patients.Recommendations: Improve the quality of MRI Breast...
Read more References https://www.gov.uk/government/publications/breast-screening-screening-of-higher-risk-women/breast-screening-guidance-for-organising-a-very-high-risk-vhr-screening-programme. Macura KJ, Ouwerkerk R, Jacobs MA, Bluemke DA. Patterns of enhancement on breast MR images: interpretation and imaging pitfalls. Radiographics. 2006 Nov;26(6):1719-34. Marino MA, Avendano D, Zapata P, Riedl CC, Pinker K. Lymph node imaging in patients with primary breast cancer: concurrent diagnostic tools. The oncologist. 2020 Feb 1;25(2):e231-42.
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