Mammographic density and physical assessment of the breast

Swann, C A; Kopans, D. B.; McCarthy, Kathleen A.; White, G. Edward; Hall, DA

doi:10.2214/ajr.148.3.525

Cited by 33 publications

(11 citation statements)

References 2 publications

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“…Each practitioner was assigned a unique code to conceal their identity. Volumetric data (available from a previous research study [17]) were noted and breast density was assessed and recorded for each image using the four-point Breast Imaging Reporting and Data System (BI-RADS) scale [18][19][20].…”

Section: Methodsmentioning

confidence: 99%

Practitioner compression force variability in mammography: a preliminary study

Mercer¹,

Hogg²,

Lawson³

et al. 2013

BJR

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Section: Methodsmentioning

confidence: 99%

Practitioner compression force variability in mammography: a preliminary study

Mercer¹,

Hogg²,

Lawson³

et al. 2013

BJR

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“…Skin also appears radiopaque at mammography and accounts for some portion of tissue density. Density should not be confused with the clinical aspect of firmness at physical examination, which does not correlate with mammographic density (1,2). Different parenchymal density patterns were first described by Leborgne (3) in 1953 and were subsequently classified in 1976 by Wolfe (4) as possible risk factors for breast cancer.…”

Section: What Is Mammographic Density?mentioning

confidence: 99%

Mammographic Breast Density: Impact on Breast Cancer Risk and Implications for Screening

2015

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Mammographic breast density is rapidly becoming a hot topic in both the medical literature and the lay press. In the United States, recent legislative changes in 19 states now require radiologists to notify patients regarding breast density as well as the possible need for supplemental screening. Federal legislation regarding breast density notification has been introduced, and its passage is likely on the horizon. An understanding of the context, scientific evidence, and controversies surrounding the topic of breast density as a risk factor for breast cancer is critical for radiologists. The current state of evidence is presented regarding supplemental screening for women with dense breasts, including the use of digital breast tomosynthesis, whole-breast ultrasonography, and gadolinium-enhanced magnetic resonance imaging. A review of current practice guidelines and additional sources of information will improve radiologists' understanding of the relevant subject of breast density and enable them to respond appropriately to questions from patients, clinicians, and the media.

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“…This measure does not correlate with physical breast examination findings of breast firmness. 8 Additionally, mammographic breast density has been associated with both a masking effect on mammography, where dense tissue can obscure cancers, as well as an inherent, independent higher risk for the development of breast cancer. 3,4 …”

Section: Mammographic Breast Densitymentioning

confidence: 99%

Risk-based Breast Cancer Screening

Lee

Chen

Elmore

2017

Medical Clinics of North America

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Synopsis The approach to breast cancer screening has changed over time from a blanket approach to a more personalized, risk-based approach. Women with dense breasts, one of the most prevalent risk factors, are now being informed that they are at increased risk of developing breast cancer and to consider supplemental screening beyond mammography. This article reviews the current evidence regarding the impact of breast density relative to other known risk factors, the evidence regarding supplemental screening for women with dense breasts, a description of supplemental screening options, and recommendations for physicians having shared decision-making discussions with women who have dense breasts.

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Mammographic density and physical assessment of the breast

Cited by 33 publications

References 2 publications

Practitioner compression force variability in mammography: a preliminary study

Practitioner compression force variability in mammography: a preliminary study

Mammographic Breast Density: Impact on Breast Cancer Risk and Implications for Screening

Risk-based Breast Cancer Screening

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