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Algorithm for Breast Cancer Screening using MRI in High Risk Patients

Algorithm for Breast Cancer Screening using MRI in High Risk Patients - Clinical Hub, UW Health Clinical Tool Search, UW Health Clinical Tool Search, Clinical Practice Guidelines, Oncology, Related


Patient
presentation
Does the patient have at-risk
breast tissue
(did not have bilateral
mastectomies)?
MRI screening not
recommended.
No
Is the patient willing/able to
undergo MRI and biopsy?
Yes
Without considering personal
history of breast cancer, at
least 10 years of life
expectancy?
Yes
BRCA mutation carrier?
Yes
Chest radiation between age
10 and 30 years, or
Li-Fraumeni or other
hereditary syndrome?
No
Personal history of breast
cancer?
No
Using accepted model(s), is
calculated lifetime risk
> 20%?
No
MRI screening not
recommended.
No
Consider MRI screening
after discussion of pros
and cons.
Yes
Consider MRI screening
after discussion of pros
and cons.
Yes
Refer to Screening in
Patients with Personal
History Algorithm.
Yes
Consider MRI screening
after discussion of pros
and cons.
Yes
MRI screening not
recommend.
No
MRI screening not
recommended.
No
Algorithm for Breast Cancer Screening using MRI in High Risk Patients
Note: Acceptable risk models include BRCAPro, Tyrer-Cusick, and Claus.
Reference: MRI Screening in Patients at Increased Risk of Breast Cancer – Adult – Ambulatory Guideline
Copyright © 201� University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised: 08/2016CCKM@uwhealth.org