Clinical Report: Joint European Guidelines on Preoperative Imaging Techniques for Breast Cancer
Overview
This report outlines the consensus reached by European societies on preoperative imaging techniques for breast cancer, emphasizing the importance of various imaging modalities including MRI and contrast-enhanced mammography.
Background
Preoperative imaging for breast cancer varies significantly across Europe, impacting the accuracy of tumor staging and treatment decisions. Current guidelines recommend multiple imaging modalities, with breast MRI recognized as the most accurate method for assessing tumor extent.
Data Highlights
Panelists
Statements/Questions
Consensus Reached
13
123
44.7%
10
123
67.4%
Key Findings
Consensus reached that bilateral mammography or digital breast tomosynthesis should be performed before surgery (90%).
Breast MRI is the most accurate imaging method for tumor extent assessment.
Contrast-enhanced mammography is a valuable alternative when MRI is unavailable or contraindicated.
Indications for breast MRI include invasive lobular cancer and high-risk patients.
The modified Delphi process involved multiple rounds of discussion to reach consensus on imaging practices.
Clinical Implications
Healthcare professionals should adhere to the established guidelines for preoperative imaging.
Conclusion
The joint guidelines represent a step towards standardizing preoperative imaging practices for breast cancer across Europe.
by Julia Camps-Herrero, Roberto Lo Gullo, Alexandra Athanasiou, Michael Fuchsjaeger, Fiona J. Gilbert, Youlia Kirova, Christiane Kuhl, Ritse Mann, Francesco Meani, Federica Pediconi, Ruud Pijnappel, Cristina Saura, Tibor Tot, Katja Pinker
