Breast SOGs

From Clinical Guide Wiki
Revision as of 14:45, 31 October 2018 by Radadmin (talk | contribs)
Jump to navigation Jump to search


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


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


Diagnostic Breast MRI MRI Breast Biopsy


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