Debra Monticciolo, MD
New breast cancer screening guidelines from the American College of Radiology (ACR) and Society of Breast Imaging (SBI) advise all women to undergo risk assessment at age 30, followed by screening for those with a greater chance of cancer. The guidelines are the first to acknowledge that African American women are at high risk of the disease.
Table. Risk-Based Breast Cancer Screening Guidelines2
Risk Assessment Models
The guidelines recommend specific risk-assessment models, noting that all have benefits and drawbacks. The Gail model for assessing the probability that a woman is carrying a deleterious gene mutation takes into account the number of first-degree female relatives with breast cancer and the patient’s history of breast disease, age, ethnicity, and hormonal and reproductive history. This produces estimates of the risk of invasive breast cancer. However, the model requires further validation in Hispanic women, as well as other racial and ethnic groups.
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