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 28 years of age with an MRI breast only. From 40 years of age, ladies have a breast MRI and mammogram within 6 weeks of each other. From 50 years of age, a decision is made regarding mammogram screening alone or whether an MRI breast is still required¹.

A retrospective study included 18 clients who were recalled from January 2022 to June 2023 and underwent MRI breast and mammogram under a very high-risk screening program. Two experienced breast radiologists report MRI breast and mammogram. They were assessed under age, mass, non-mass enhancement only, mass and non-mass enhancement, MRI score, mammogram score, ultrasound assessment score, cancer gene positive, and histology outcome. Data were recorded from the hospital information system (NBSS) and presented in graphical format.