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Vol. 54. Issue 6.
Pages 490-502 (November - December 2012)
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Vol. 54. Issue 6.
Pages 490-502 (November - December 2012)
Update in radiology
Breast cancer screening in high risk populations
Abordaje en el cribado de cáncer mamario en grupos poblacionales de riesgo elevado
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S. Alonso Rocaa,
Corresponding author
salonso@fhalcorcon.es

Corresponding author.
, S. Jiménez Arranza, A.B. Delgado Lagunaa, V. Quintana Checaa, E. Grifol Clarb
a Sección de mama, Servicio de Diagnóstico por Imagen, Hospital Universitario Fundación Alcorcón, Madrid, Spain
b Servicio de Biblioteca Médica, Hospital Universitario Fundación Alcorcón, Madrid, Spain
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Tables (4)
Table 1. Main risk factors for breast cancer.
Table 2. Criteria for increased risk based on family history.
Table 3. Recommendations for breast MRI as an adjunct to mammographic screening in patients with ≥20–25% risk.*
Table 4. Patients undergoing earlier screening.
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Abstract

We aim to define which patients make up the populations with high and intermediate risk of developing breast cancer, to review the studies of screening with magnetic resonance imaging in addition to mammography in high risk patients (describing the imaging characteristics of the cancers in this group), to review the studies of screening with magnetic resonance imaging in patients with intermediate risk, and to update the guidelines for screening in patients with high or intermediate risk (based on the recent recommendations of the main scientific societies/American and European guidelines).

Keywords:
Screening
High risk
Intermediate risk
Magnetic resonance imaging
Breast cancer
Resumen

El objetivo de este trabajo es definir qué pacientes integran los grupos de riesgo alto e intermedio de padecer cáncer mamario, hacer una revisión de los estudios de cribado con resonancia magnética añadida a mamografía en pacientes de alto riesgo (y describir las características de imagen de los cánceres en este grupo), y también revisar los estudios con resonancia magnética realizados en subgrupos de riesgo intermedio, y realizar una actualización en recomendaciones en el cribado en pacientes con riesgo alto e intermedio (basada en las recomendaciones recientes de las principales sociedades/guías americanas y europeas).

Palabras clave:
Cribado
Alto riesgo
Riesgo intermedio
Resonancia magnética
Cáncer de mama

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