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Re: MRI for patients at risk for breast cancerFrom: ainsron (ainsron@sbcglobal.net)Tue Apr 3 15:37:03 2007
This is what I found in the recently published ACS guidelines: The new guidelines from the American Cancer Society[2] were prompted by several recent studies of MRI screening of women at high risk of breast cancer. While these studies found that the addition of MRI to mammography increased the frequency of false-positive test results compared to mammography alone, it also produced important improvements in breast cancer detection. Based on these findings, the American Cancer Society recommends yearly screening with breast MRI in addition to mammography for the following high-risk groups of women: Women with a BRCA1 or BRCA2 mutation Women who have a first-degree relative (parent, sibling, child) with a BRCA1 or BRCA2 mutation, even if they have yet to be tested themselves Women who have a 20-25% or greater risk of breast cancer based on risk assessment tools Women who had radiation to the chest between the ages of 10 and 30 years Women who have Li-Fraumeni syndrome, Cowden syndrome, or Bannayan-Riley-Ruvalcaba syndrome, or may have one of these syndromes based on a history in a first-degree relative Ronald E. Ainsworth, MD, FACOG -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Garry E. Siegel, M.D. Sent: Tuesday, April 03, 2007 1:13 PM To: Multiple recipients of list OB-GYN-L Subject: Gyn: MRI for patients at risk for breast cancer Regarding the recently published article about this, a reference is made to a BRCAPRO model, which I assume is somewhat like the Gail Model. The Gail Model is available in many places; how does one use this model/obtain it/etc.? Or, do I refer patients out for this assessment? Any help is welcome; I am googling and not getting anywhere fast. Thanks, Garry
-- Garry E. Siegel, M.D. Private Practice Roswell, GA
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