ACR Appropriateness Criteria® stage I breast carcinoma.
Publication/Presentation Date
7-1-2012
Abstract
Stage I breast carcinoma is classified when an invasive breast carcinoma is ≤2 cm in diameter (T1), with no regional (axillary) lymph node metastases (N0) and no distant metastases (M0). The most common sites for metastases from breast cancer are the skeleton, lung, liver, and brain. In general, women and health care professionals prefer intensive screening and surveillance after a diagnosis of breast cancer. Screening protocols include conventional imaging such as chest radiography, bone scan, ultrasound of the liver, and MRI of brain. It is uncertain whether PET/CT will serve as a replacement for current imaging technologies. However, there are no survival or quality-of-life differences for women who undergo intensive screening and surveillance after a diagnosis of stage I breast carcinoma compared with those who do not. The ACR Appropriateness Criteria(®) are evidence-based guidelines for specific clinical conditions that are reviewed every 2 years by a multidisciplinary expert panel. The guideline development and review include an extensive analysis of current medical literature from peer-reviewed journals and the application of a well-established consensus methodology (modified Delphi) to rate the appropriateness of imaging and treatment procedures by the panel. In those instances in which evidence is lacking or not definitive, expert opinion may be used to recommend imaging or treatment.
Volume
9
Issue
7
First Page
463
Last Page
467
ISSN
1558-349X
Published In/Presented At
Huynh, P. T., Lemeshko, S. V., Mahoney, M. C., Newell, M. S., Bailey, L., Barke, L. D., D'Orsi, C., Harvey, J. A., Hayes, M. K., Jokich, P. M., Lee, S. J., Lehman, C. D., Mainiero, M. B., Mankoff, D. A., Patel, S. B., Reynolds, H. E., Sutherland, M. L., Haffty, B. G., & American Congress of Radiologists (2012). ACR Appropriateness Criteria® stage I breast carcinoma. Journal of the American College of Radiology : JACR, 9(7), 463–467. https://doi.org/10.1016/j.jacr.2012.03.011
Disciplines
Diagnosis | Medicine and Health Sciences | Other Analytical, Diagnostic and Therapeutic Techniques and Equipment | Radiology
PubMedID
22748785
Department(s)
Department of Radiology and Diagnostic Medical Imaging
Document Type
Article