Breast magnetic resonance imaging as a problem solving tool in women recalled at biennial screening mammography: A population-based study in the Netherlands

Purpose: Problem solving magnetic resonance imaging (MRI) is used to exclude malignancy in women with equivocal findings on conventional imaging. However, recommendations on its use for women recalled after screening are lacking. This study evaluates the impact of problem solving MRI on diagnostic w...

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Autores principales:	Jessie JJ. Gommers, Adri C. Voogd, Mireille JM. Broeders, Vivian van Breest Smallenburg, Luc JA. Strobbe, Astrid B. Donkers - van Rossum, Hermen C. van Beek, Ritse M. Mann, Lucien EM. Duijm
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2021
Materias:	Breast neoplasms Early detection of cancer Magnetic resonance imaging Problem solving Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282
Acceso en línea:	https://doaj.org/article/95d07a680818474e850dceb3aa743900
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spelling	oai:doaj.org-article:95d07a680818474e850dceb3aa7439002021-11-24T04:27:00ZBreast magnetic resonance imaging as a problem solving tool in women recalled at biennial screening mammography: A population-based study in the Netherlands1532-308010.1016/j.breast.2021.11.014https://doaj.org/article/95d07a680818474e850dceb3aa7439002021-12-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S0960977621009966https://doaj.org/toc/1532-3080Purpose: Problem solving magnetic resonance imaging (MRI) is used to exclude malignancy in women with equivocal findings on conventional imaging. However, recommendations on its use for women recalled after screening are lacking. This study evaluates the impact of problem solving MRI on diagnostic workup among women recalled from the Dutch screening program, as well as time trends and inter-hospital variation in its use. Methods: Women who were recalled at screening mammography in the South of the Netherlands (2008–2017) were included. Two-year follow-up data were collected. Diagnostic-workup and accuracy of problem solving MRI were evaluated and time trends and inter-hospital variation in its use were examined. Results: In the study period 16,175 women were recalled, of whom 906 underwent problem solving MRI. Almost half of the women (45.4%) who underwent problem solving MRI were referred back to the screening program without further workup. The sensitivity, specificity, and positive and negative predictive values of problem solving MRI were 98.2%, 70.0%, 31.1%, and 99.6%, respectively. The percentage of recalled women receiving problem solving MRI fluctuated over time (4.7%–7.2%) and significantly varied among hospitals (2.2%–7.0%). Conclusion: The use of problem solving MRI may exclude malignancy in recalled women. The use of problem solving MRI varied over time and among hospitals, which indicates the need for guidelines on problem solving MRI.Jessie JJ. GommersAdri C. VoogdMireille JM. BroedersVivian van Breest SmallenburgLuc JA. StrobbeAstrid B. Donkers - van RossumHermen C. van BeekRitse M. MannLucien EM. DuijmElsevierarticleBreast neoplasmsEarly detection of cancerMagnetic resonance imagingProblem solvingNeoplasms. Tumors. Oncology. Including cancer and carcinogensRC254-282ENBreast, Vol 60, Iss , Pp 279-286 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Breast neoplasms Early detection of cancer Magnetic resonance imaging Problem solving Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282
spellingShingle	Breast neoplasms Early detection of cancer Magnetic resonance imaging Problem solving Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282 Jessie JJ. Gommers Adri C. Voogd Mireille JM. Broeders Vivian van Breest Smallenburg Luc JA. Strobbe Astrid B. Donkers - van Rossum Hermen C. van Beek Ritse M. Mann Lucien EM. Duijm Breast magnetic resonance imaging as a problem solving tool in women recalled at biennial screening mammography: A population-based study in the Netherlands
description	Purpose: Problem solving magnetic resonance imaging (MRI) is used to exclude malignancy in women with equivocal findings on conventional imaging. However, recommendations on its use for women recalled after screening are lacking. This study evaluates the impact of problem solving MRI on diagnostic workup among women recalled from the Dutch screening program, as well as time trends and inter-hospital variation in its use. Methods: Women who were recalled at screening mammography in the South of the Netherlands (2008–2017) were included. Two-year follow-up data were collected. Diagnostic-workup and accuracy of problem solving MRI were evaluated and time trends and inter-hospital variation in its use were examined. Results: In the study period 16,175 women were recalled, of whom 906 underwent problem solving MRI. Almost half of the women (45.4%) who underwent problem solving MRI were referred back to the screening program without further workup. The sensitivity, specificity, and positive and negative predictive values of problem solving MRI were 98.2%, 70.0%, 31.1%, and 99.6%, respectively. The percentage of recalled women receiving problem solving MRI fluctuated over time (4.7%–7.2%) and significantly varied among hospitals (2.2%–7.0%). Conclusion: The use of problem solving MRI may exclude malignancy in recalled women. The use of problem solving MRI varied over time and among hospitals, which indicates the need for guidelines on problem solving MRI.
format	article
author	Jessie JJ. Gommers Adri C. Voogd Mireille JM. Broeders Vivian van Breest Smallenburg Luc JA. Strobbe Astrid B. Donkers - van Rossum Hermen C. van Beek Ritse M. Mann Lucien EM. Duijm
author_facet	Jessie JJ. Gommers Adri C. Voogd Mireille JM. Broeders Vivian van Breest Smallenburg Luc JA. Strobbe Astrid B. Donkers - van Rossum Hermen C. van Beek Ritse M. Mann Lucien EM. Duijm
author_sort	Jessie JJ. Gommers
title	Breast magnetic resonance imaging as a problem solving tool in women recalled at biennial screening mammography: A population-based study in the Netherlands
title_short	Breast magnetic resonance imaging as a problem solving tool in women recalled at biennial screening mammography: A population-based study in the Netherlands
title_full	Breast magnetic resonance imaging as a problem solving tool in women recalled at biennial screening mammography: A population-based study in the Netherlands
title_fullStr	Breast magnetic resonance imaging as a problem solving tool in women recalled at biennial screening mammography: A population-based study in the Netherlands
title_full_unstemmed	Breast magnetic resonance imaging as a problem solving tool in women recalled at biennial screening mammography: A population-based study in the Netherlands
title_sort	breast magnetic resonance imaging as a problem solving tool in women recalled at biennial screening mammography: a population-based study in the netherlands
publisher	Elsevier
publishDate	2021
url	https://doaj.org/article/95d07a680818474e850dceb3aa743900
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Breast magnetic resonance imaging as a problem solving tool in women recalled at biennial screening mammography: A population-based study in the Netherlands

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