Breast SOGs

Mammography

Indications and Views

• <30 y/o or pregnant: ultrasound first, mammo only if needed
• <6 mo since last mammo: spot/mag CC, spot/mag MLO, ML
• >= 6 mo: as above but add routine CC, MLO
• 1 view findings: rolled CCs, ML, spot in view where seen
• No post-bx mammo required for age <30 and either no prior mammo, or clip clearly seen with ultrasound

ACR Practice Guideline for Mammography

Ultrasound

Breast Ultrasound Axillary Ultrasound

• Performed (ipsilateral) with breast u/s for BI-RADS 4c or 5 lesions AND lesion is >=2cm
• Performed (ipsilateral) for new diagnosis of invasive breast cancer and specifically requested
• If multiple abnormal nodes, number them from inferior to superior

Ultrasound Guided Biopsy

• Radiologist fills out specimen pathology sheet

MRI

• Diagnostic Breast MRI
• MRI Breast Biopsy

Other

• Outreach Policies
• Suboptimal Image Quality
• Patient Result Notification
• Scheduling Patients with Implants