Skip to main content
Journal cover image

Are we choosing wisely? Drivers of preoperative MRI use in breast cancer patients.

Publication ,  Journal Article
Chagpar, AB; Dupont, E; Chiba, A; Levine, EA; Gass, JS; Lum, S; Brown, E; Fenton, A; Solomon, NL; Ollila, DW; Murray, M; Gallagher, K ...
Published in: Am J Surg
July 2022

INTRODUCTION: Factors contributing to the use of preoperative MRI remain poorly understood. METHODS: Data from a randomized controlled trial of stage 0-3 breast cancer patients undergoing breast conserving surgery between 2016 and 2018 were analyzed. RESULTS: Of the 396 patients in this trial, 32.6% had a preoperative MRI. Patient age, race, ethnicity, tumor histology, and use of neoadjuvant therapy were significant predictors of MRI use. On multivariate analysis, younger patients with invasive lobular tumors were more likely to have a preoperative MRI. Rates also varied significantly by individual surgeon (p < 0.001); in particular, female surgeons (39.9% vs. 24.0% for male surgeons, p = 0.001) and those in community practice (58.9% vs. 14.2% for academic, p < 0.001) were more likely to order preoperative MRI. Rates declined over the two years of the study, particularly among female surgeons. CONCLUSIONS: Preoperative MRI varies with patient age and tumor histology; however, there remains variability by individual surgeon.

Duke Scholars

Altmetric Attention Stats
Dimensions Citation Stats

Published In

Am J Surg

DOI

EISSN

1879-1883

Publication Date

July 2022

Volume

224

Issue

1 Pt A

Start / End Page

8 / 11

Location

United States

Related Subject Headings

  • Surgery
  • Preoperative Care
  • Neoadjuvant Therapy
  • Mastectomy, Segmental
  • Male
  • Magnetic Resonance Imaging
  • Humans
  • Female
  • Breast Neoplasms
  • Breast
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Chagpar, A. B., Dupont, E., Chiba, A., Levine, E. A., Gass, J. S., Lum, S., … SHAVE2 authors, . (2022). Are we choosing wisely? Drivers of preoperative MRI use in breast cancer patients. Am J Surg, 224(1 Pt A), 8–11. https://doi.org/10.1016/j.amjsurg.2021.10.028
Chagpar, Anees B., Elisabeth Dupont, Akiko Chiba, Edward A. Levine, Jennifer S. Gass, Sharon Lum, Eric Brown, et al. “Are we choosing wisely? Drivers of preoperative MRI use in breast cancer patients.Am J Surg 224, no. 1 Pt A (July 2022): 8–11. https://doi.org/10.1016/j.amjsurg.2021.10.028.
Chagpar AB, Dupont E, Chiba A, Levine EA, Gass JS, Lum S, et al. Are we choosing wisely? Drivers of preoperative MRI use in breast cancer patients. Am J Surg. 2022 Jul;224(1 Pt A):8–11.
Chagpar, Anees B., et al. “Are we choosing wisely? Drivers of preoperative MRI use in breast cancer patients.Am J Surg, vol. 224, no. 1 Pt A, July 2022, pp. 8–11. Pubmed, doi:10.1016/j.amjsurg.2021.10.028.
Chagpar AB, Dupont E, Chiba A, Levine EA, Gass JS, Lum S, Brown E, Fenton A, Solomon NL, Ollila DW, Murray M, Gallagher K, Howard-McNatt M, Lazar M, Garcia-Cantu C, Walters L, Pandya S, Mendiola A, Namm JP, SHAVE2 authors. Are we choosing wisely? Drivers of preoperative MRI use in breast cancer patients. Am J Surg. 2022 Jul;224(1 Pt A):8–11.
Journal cover image

Published In

Am J Surg

DOI

EISSN

1879-1883

Publication Date

July 2022

Volume

224

Issue

1 Pt A

Start / End Page

8 / 11

Location

United States

Related Subject Headings

  • Surgery
  • Preoperative Care
  • Neoadjuvant Therapy
  • Mastectomy, Segmental
  • Male
  • Magnetic Resonance Imaging
  • Humans
  • Female
  • Breast Neoplasms
  • Breast