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Published byDaisy Flowers Modified over 6 years ago
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Abbreviated Protocols for Breast Cancer Screening
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Program Overview
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Introduction
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Breast Cancer Screening Is Not Perfect
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Mammography and Dense Breasts
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Mammography and Dense Breasts (cont)
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Mammography and Dense Breasts (cont)
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More Effective Screening Is Needed
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Supplemental Screening
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Efficacy of Breast Screening With MRI
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MRI Detects Aggressive Breast Tumors
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Interval Cancers
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ACS Guidelines for Screening With Breast MRI
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ACS Guidelines (cont)
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ACR Guidelines for Screening With MRI
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Most Women Who Have Screening Breast MRI Are Not High Risk
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Many High-Risk Women Do Not Receive Screening With Breast MRI
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Barriers to Breast Screening With MRI
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Limitations of Current Breast MRI Methods
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What Is Abbreviated Breast MRI?
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Advantages of Abbreviated Protocols
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Protocol Time Is Not the Only Time Factor
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Limitations of Abbreviated Protocols
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No Reimbursement Code Currently Exists
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Evaluation of an Abbreviated Protocol: Design
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Evaluation of an Abbreviated Protocol: Design (cont)
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Evaluation of an Abbreviated Protocol: Case Illustration
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Evaluation of an Abbreviated Protocol: Acquisition and Interpretation Time
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Evaluation of an Abbreviated Protocol: Results
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Review of Subsequent Studies of Abbreviated Protocols
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Prospective Study in Average-Risk Women: Design
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Prospective Study in Average-Risk Women: Results
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Prospective Study in Average-Risk Women: Case Illustration
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Prospective Study in Average-Risk Women: Results
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Breast MRI and High-Risk Lesions
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ECOG/ACRIN 1141 Trial
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Masking Effect of Dense Breast Tissue
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Candidates for Abbreviated MRI
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Step 1: Implementing Abbreviated Breast MRI Screening in Clinical Practice
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Step 2: Trim to Minimum Protocol
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Step 3: Improve Efficiency and Education
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Take-Home Messages
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Abbreviations
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