The American Society of Breast Surgeons (ASBS) recently released a position statement on screening mammography. This follows on the heels of similar recommendations made by the American College of Physicians (ACP), and the rapid rebuttal made jointly by the American College of Radiology (ACR) and Society of Breast Imaging (SBI).
Per the paper, the goals of the statement are, “to summarize the data and to make clear recommendations regarding breast cancer screening for both women with average and higher risk, as well as to make surveillance imaging recommendations for women with a prior history of breast cancer.” The statement also cites supporting recommendations made by the ACR and SBI.
One of the biggest differences with the ASBS recommendations is the inclusion of assessing the patient’s risk score for patients over the age of 25. The specific recommendations are then broken out into individual categories based on average or higher-than-average risk, women with a prior history of breast cancer, and breast tissue density.
For instance, a woman with higher-than-average risk, hereditary susceptibility from pathogenic mutation, and a prior chest wall radiation between the ages of 10 and 30 would be recommended for annual MRI screening at age 25 and annual mammography (3D-preferred) at age 30. This is just one example of the new recommendations based on risk and prior history.
For more updates on this and other breast imaging recommendations, keep watching our blog for the latest news.