MRI with digital mammogram tomosynthesis – pro
Screening MRI is recommended for women with an approximately 20-25% or greater lifetime risk of breast cancer, including women with a strong family history of breast or ovarian cancer and women who were treated for Hodgkin disease.ACR says that Breast MRI may be considered as a supplement to mammography to screen women at moderately elevated risk of breast cancer (15%-20%). This is the situation here.
For best tomosynthesis – Clinical data suggest that digital mammography with tomosynthesis produces a better image, improved accuracy, and lower recall rates compared with digital mammography alone.
Revised 2018 (Resolution 34)* ACR PRACTICE PARAMETER FOR THE PERFORMANCE OF CONTRASTENHANCED MAGNETIC RESONANCE IMAGING (MRI) OF THE BREAST
Debbie Saslow et al, American Cancer Society Guidelines for Breast Screening with MRI as an Adjunct to Mammography. Ca: A cancer jounrla for clnciians. Volume57, Issue2 March/April 2007
Pages 75-89
ACOG Digital Breast Tomosynthesis Technology Assessment TA
Number 9
June 2013