What Are The New American Cancer Society (ACS) Guidelines For Breast MRI?
The ACS recommends an annual Breast MRI for women who meet at least one of the following conditions: • BRCA1 or BRCA2 gene mutation OR first-degree relative with BRCA 1/2 (even if patient not yet tested) • Lifetime risk of breast cancer scored at 2025% or greater (generally corresponds to two 1o relatives with breast cancer) • Radiation to the chest between the ages of 10 and 30 • Li-Fraumeni/Cowden/Bannayan-Riley-Ruvalcaba syndromes, or patient may have one syndrome based on history in 1o relative Annual screening Breast MRI may be beneficial but is not currently routinely recommended for women who have: • Lifetime risk of breast cancer scored at 1520% • Lobular carcinoma in situ (LCIS) or atypical lobular hyperplasia (ALH) • Atypical ductal hyperplasia (ADH) • Very dense or unevenly dense breasts (on mammogram) • Already had breast cancer, including ductal carcinoma in situ (DCIS) For more information, please consult with your physician.
