Screening US in patients with mammographically dense breasts: initial experience with Connecticut Public Act 09-41.

@article{Hooley2012ScreeningUI,
  title={Screening US in patients with mammographically dense breasts: initial experience with Connecticut Public Act 09-41.},
  author={Regina Hooley and Kathryn L. Greenberg and Rebecca Stackhouse and Jaime L Geisel and Reni Butler and Liane E Philpotts},
  journal={Radiology},
  year={2012},
  volume={265 1},
  pages={
          59-69
        }
}
PURPOSE To determine performance and utilization of screening breast ultrasonography (US) in women with dense breast tissue who underwent additional screening breast US in the 1st year since implementation of Connecticut Public Act 09-41 requiring radiologists to inform patients with heterogeneous or extremely dense breasts at mammography that they may benefit from such examination. MATERIALS AND METHODS Informed consent was waived for this institutional review board-approved, HIPAA-compliant… 
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336 Citations
Highly Influential Citations
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Background Citations
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Methods Citations
7
Results Citations
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336 Citations

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Citation Type

Assessing improvement in detection of breast cancer with three-dimensional automated breast US in women with dense breast tissue: the SomoInsight Study.
TLDR
Addition of AB US to screening mammography in a generalizable cohort of women with dense breasts increased the cancer detection yield of clinically important cancers, but it also increased the number of false-positive results.
A Prospective Study of Automated Breast Ultrasound Screening of Women with Dense Breasts in a Digital Breast Tomosynthesis-based Practice
TLDR
To assess prospectively the interpretative performance of automated breast ultrasound (ABUS) as a supplemental screening after digital breast tomosynthesis (DBT) or as a standalone screening of women with dense breast tissue, and to report results for 1111 screening examinations, under an IRB-approved protocol.
Utility of supplemental screening with breast ultrasound in asymptomatic women with dense breast tissue who are not at high risk for breast cancer
TLDR
The data support the reported occurrence of a relatively high number of false positives at supplemental screening with breast ultrasound following a negative screening mammogram in asymptomatic women with dense breast tissue, who are not at a high risk of developing breast cancer, and suggests that caution is necessary in establishing wide implementation of this type of supplemental screening for all women without considering other risk factors for breast cancer.
The Connecticut Experiments Second Year: Ultrasound in the Screening of Women with Dense Breasts
TLDR
Based on the data collected from sites throughout Connecticut, screening breast ultrasound in women with dense breast parenchyma detects mammographically occult malignancy and high‐risk lesions.
Contrast-Enhanced Spectral Mammography in Women With Intermediate Breast Cancer Risk and Dense Breasts.
TLDR
CESM was significantly more sensitive than standard digital mammography for detecting breast cancer in this screening population and may be a valuable supplemental screening modality for women at intermediate risk who have dense breasts.
Application of the downgrade criteria to supplemental screening ultrasound for women with negative mammography but dense breasts
TLDR
It is suggested that the downgrade criteria can be used to reduce the false positive rate in the supplemental screening US and further large-scale, multicenter, prospective studies are needed to validate the effectiveness of the downgrade criterion.
Abbreviated Breast Magnetic Resonance Imaging for Supplemental Screening of Women With Dense Breasts and Average Risk.
TLDR
The prevalent cancer detection rate (CDR) from the first clinical implementation of abbreviated breast magnetic resonance imaging (AB-MR) as a supplemental screening test in women with dense breasts and the positive predictive value of AB-MR examinations after negative/benign digital breast tomosynthesis (DBT) is reported.
Radiologist-performed hand-held ultrasound screening at average risk of breast cancer: results from a single health screening center
TLDR
The radiologist-performed screening US offered to women with an average risk and dense breasts can detect additional mammographically occult breast cancers.
Supplemental Screening Breast US in Women with Negative Mammographic Findings: Effect of Routine Axillary Scanning.
TLDR
Routine axillary scanning during screening breast US had no effect on additional cancer detection, but rather increased the number of false-positive results.
Evaluation of Adjunctive Sonography Results in Screening of Women with Mammographically Dense Breasts for Early Diagnosis of Breast Cancer
TLDR
The values of sonography screening in detecting early stage of breast cancer in mammograms with BIRADS category 0 lesions in women with dense breasts are revealed.
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