Impact of Breast Density Legislation on Breast Cancer Risk Assessment and Supplemental Screening: A Survey of 110 Radiology Facilities

被引：19

作者：

Nayak, Lina ^{[1
]}

Miyake, Kanae K. ^{[1
]}

Leung, Jessica W. T. ^{[2
]}

Price, Elissa R. ^{[3
]}

Liu, Yueyi I. ^{[1
]}

Joe, Bonnie N. ^{[3
]}

Sickles, Edward A. ^{[3
]}

Thomas, William R. ^{[1
]}

Lipson, Jafi A. ^{[1
]}

Daniel, Bruce L. ^{[1
]}

Hargreaves, Jonathan ^{[4
]}

Brenner, R. James ^{[5
,6
]}

Bassett, Lawrence W. ^{[7
]}

Ojeda-Fournier, Haydee ^{[6
]}

Lindfors, Karen K. ^{[4
]}

Feig, Stephen A. ^{[8
]}

Ikeda, Debra M. ^{[1
]}

机构：

[1] Stanford Univ, Stanford, CA 94305 USA

[2] Calif Pacific Med Ctr, San Francisco, CA USA

[3] Univ Calif San Francisco, San Francisco, CA 94143 USA

[4] Univ Calif Davis, Davis, CA 95616 USA

[5] Alta Bates Summit Med Ctr, Berkeley, CA USA

[6] Univ Calif San Diego, San Diego, CA USA

[7] Univ Calif Los Angeles, Los Angeles, CA USA

[8] Univ Calif Irvine, Irvine, CA USA

来源：

BREAST JOURNAL | 2016年 / 22卷 / 05期

关键词：

breast cancer screening; breast density legislation; breast density notification laws; ULTRASOUND; MAMMOGRAPHY; WOMEN;

D O I：

10.1111/tbj.12624

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

Breast density notification laws, passed in 19 states as of October 2014, mandate that patients be informed of their breast density. The purpose of this study is to assess the impact of this legislation on radiology practices, including performance of breast cancer risk assessment and supplemental screening studies. A 20-question anonymous web-based survey was emailed to radiologists in the Society of Breast Imaging between August 2013 and March 2014. Statistical analysis was performed using Fisher's exact test. Around 121 radiologists from 110 facilities in 34 USA states and 1 Canadian site responded. About 50% (55/110) of facilities had breast density legislation, 36% of facilities (39/109) performed breast cancer risk assessment (one facility did not respond). Risk assessment was performed as a new task in response to density legislation in 40% (6/15) of facilities in states with notification laws. However, there was no significant difference in performing risk assessment between facilities in states with a law and those without (p<0.831). In anticipation of breast density legislation, 33% (16/48), 6% (3/48), and 6% (3/48) of facilities in states with laws implemented handheld whole breast ultrasound (WBUS), automated WBUS, and tomosynthesis, respectively. The ratio of facilities offering handheld WBUS was significantly higher in states with a law than in states without (p<0.001). In response to breast density legislation, more than 33% of facilities are offering supplemental screening with WBUS and tomosynthesis, and many are performing formal risk assessment for determining patient management.

引用

页码：493 / 500

页数：8

共 14 条

[1] Detection of Breast Cancer With Addition of Annual Screening Ultrasound or a Single Screening MRI to Mammography in Women With Elevated Breast Cancer Risk [J].