Best Practice Guidelines for Breast Imaging, Breast Imaging Society, India: Part—2

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dc.contributor.authorChakrabarthi, Sumaen_US
dc.contributor.authorPanwar, Shikhaen_US
dc.contributor.authorSingh, Tulikaen_US
dc.contributor.authorLad, Shilpaen_US
dc.contributor.authorSrikala, Jwalaen_US
dc.contributor.authorKhandelwal, Niranjanen_US
dc.contributor.authorMisra, Sanjeeven_US
dc.contributor.authorThulkar, Sanjayen_US
dc.date.accessioned2023-07-21T11:27:55Z
dc.date.available2023-07-21T11:27:55Z
dc.date.issued2022-04
dc.description.abstractBreast imaging is a prerequisite for providing high quality breast health care. Choosing the appropriate investigation is central to diagnosing breast disease in patients who present to health professionals for treatment. These patients present to doctors of different subspecialties as well as to general practitioners in our country. It is important, therefore, to provide uniform guidance to doctors in different healthcare setups of our country, urban and rural, government and private, for optimal management of breast diseases. These guidelines framed by the task group set up by the Breast Imaging Society, India, have been formulated focusing primarily on the Indian patients and health care infrastructures. They aim to provide a framework for the referring doctors and practicing radiologists to enable them to choose the appropriate investigation for patients with breast symptoms and signs. The aim has been to keep this framework simple and practical so that it can guide not only subspecialists in breast care but also help doctors who do not routinely deal with breast diseases, so that breast cancer is not missed. Overall, the aim of this document is to provide a holistic approach to standardize breast care imaging services in India. Part 2 of these guidelines focuses on the best practice principles for breast interventions and provides algorithms for the investigation of specific common breast symptoms and signs. Ultrasound is the preferred imaging modality for image-guided breast interventions due to real-time needle visualization, easy availability, patient comfort and absence of radiation. Stereotactic mammography guided procedures are performed if the lesion is visualized on mammography but not visualized on ultrasound. 14-gauge automated core biopsy device is preferred for breast biopsies although vacuum assisted biopsy devices are useful for biopsy of certain abnormalities as well as for imaging guided excision of some pathologies. MRI guided biopsy is reserved for suspicious lesions seen only on MRI. Algorithms for investigation of patients presenting with mastalgia, breast lumps, suspicious nipple discharge, infections and inflammation of the breast have been provided. For early breast cancers routine use of investigations to detect occult distant metastasis is not advised. Metastatic work up for advanced breast cancer is required for selection of appropriate treatment options.en_US
dc.identifier.affiliationsDepartment of Radiology and Imaging, Peerless Hospitex Hospital and Research Center Limited, Kolkata, West Bengal, Indiaen_US
dc.identifier.affiliationsDepartment of Radiology, Mahajan Imaging, Delhi, Indiaen_US
dc.identifier.affiliationsDepartment of Radiodiagnosis and Imaging, Postgraduate Institute of Medical Education and Research, Chandigarh, Indiaen_US
dc.identifier.affiliationsDepartment of Radiology, NM Medical, Mumbai, Maharashtra, Indiaen_US
dc.identifier.affiliationsDepartment of Radiology and Imaging, Krishna Institute of Medical Sciences, Secunderabad, Indiaen_US
dc.identifier.affiliationsFormer Head, Department of Radiodiagnosis and Imaging, Postgraduate Institute of Medical Education and Research, Chandigarh, Indiaen_US
dc.identifier.affiliationsDepartment of Surgical Oncology, All India Institute of Medical Sciences, Jodhpur, Rajasthan, Indiaen_US
dc.identifier.affiliationsDepartment of Radiology, Dr BRA IRCH, All India Institute of Medical Sciences, New Delhi, Indiaen_US
dc.identifier.citationChakrabarthi, Sumaen_US
dc.identifier.citationPanwar, Shikhaen_US
dc.identifier.citationSingh, Tulikaen_US
dc.identifier.citationLad, Shilpaen_US
dc.identifier.citationSrikala, Jwalaen_US
dc.identifier.citationKhandelwal, Niranjanen_US
dc.identifier.citationMisra, Sanjeeven_US
dc.identifier.citationThulkar, Sanjay. Best Practice Guidelines for Breast Imaging, Breast Imaging Society, India: Part—2. Annals of the National Academy of Medical Sciences. 2022 Apr; 58(2): 69-77en_US
dc.identifier.issn0379-038X
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/220178
dc.languageenen_US
dc.publisherThieme Medical and Scientific Publishers Pvt. Ltden_US
dc.relation.issuenumber2en_US
dc.relation.volume58en_US
dc.source.urihttps://doi.org/10.1055/s-0042-1744392en_US
dc.subjectBreast Imaging Society, Indiaen_US
dc.subjectBest practice guidelines for breast imagingen_US
dc.subjectmammographyen_US
dc.subjectbreast ultrasounden_US
dc.subjectbreast magnetic resonance imagingen_US
dc.subjectcore biopsyen_US
dc.subjectvacuum-assisted breast biopsyen_US
dc.subjectstereotactic biopsyen_US
dc.subjectinvestigations for common breast symptomsen_US
dc.subjectimaging-guided breast biopsyen_US
dc.titleBest Practice Guidelines for Breast Imaging, Breast Imaging Society, India: Part—2en_US
dc.typeJournal Articleen_US
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