OB-GYN-L Messages for April, 2007: Re: MRI for patients at risk for breast cancer

Re: MRI for patients at risk for breast cancer

From: ainsron

ainsron@sbcglobal.net

Tue Apr 3 18:02:28 2007

http://astor.som.jhmi.edu/BayesMendel/brcapro.html

Go to this website. You need to download the users agreement, send it to the authors and they will send you the software.

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 3:20 PM To: Multiple recipients of list OB-GYN-L Subject: Re: MRI for patients at risk for breast cancer

Right--I have the article, and it refers to BRCAPRO as a program/risk assessment tool to figure out risk and see if they are candidates for MRI.

Garry

At Tue, 3 Apr 2007, ainsron wrote: >
>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
>

-- Garry E. Siegel, M.D. Private Practice Roswell, GA

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