Chakrabarthi, SumaPanwar, ShikhaSingh, TulikaLad, ShilpaSrikala, JwalaKhandelwal, NiranjanMisra, SanjeevThulkar, Sanjay2023-07-212023-07-212022-04Chakrabarthi, SumaPanwar, ShikhaSingh, TulikaLad, ShilpaSrikala, JwalaKhandelwal, NiranjanMisra, SanjeevThulkar, Sanjay. Best Practice Guidelines for Breast Imaging, Breast Imaging Society, India: Part—1. Annals of the National Academy of Medical Sciences. 2022 Apr; 58(2): 60-680379-038Xhttp://imsear.searo.who.int/handle/123456789/220177Breast imaging is one of the prerequisites for providing high quality breast health care. Choosing the appropriate investigation is central to diagnosing breast disease in women and men who present to health professionals for treatment. Patients with breast disease present to doctors of different subspecialties as well as general practitioners in our country. It is important therefore to provide uniform guidance to doctors in different health care setups of our country, urban and rural, government and private, for breast diseases to be diagnosed and treated optimally. 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. These guidelines 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 1 of these guidelines focuses on the best practice principles for mammography, breast ultrasound and breast magnetic resonance imaging. In the absence of a population-based screening program in India, the guidelines to be followed for those women who wish to be screened by mammography have been provided. The key points of these guidelines include the recommendations that mammography is the modality of choice for breast screening and investigation of symptomatic women aged over forty years. Screening is advised annually from the age of forty. Ultrasound is the investigation of choice for pregnant and lactating women and women less than thirty years of age. For women between thirty to thirty-nine years of age, ultrasound can be used initially followed by mammography in presence of clinical or sonographic suspicion of breast cancer. All women diagnosed with breast cancer should have ultrasound and mammography. Breast MRI is useful for assessment of disease extent, problem solving, evaluation of response to neo-adjuvant chemotherapy, identifying occult breast primary and evaluation of augmented breasts.Indian breast imaging guidelinesbest practice guidelines for breast imagingmammographybreast ultrasoundbreast MRIbreast symptomsJournal ArticleIndiaDepartment of Radiology and Imaging, Peerless Hospitex Hospital and Research Center Limited, Kolkata, West Bengal, IndiaDepartment of Radiology, Mahajan Imaging, Delhi, IndiaDepartment of Radiodiagnosis and Imaging, Postgraduate Institute of Medical Education and Research, Chandigarh, IndiaDepartment of Radiology, NM Medical, Mumbai, Maharashtra, IndiaDepartment of Radiology and Imaging, Krishna Institute of Medical Sciences, Secunderabad, Telangana, IndiaFormer Head, Department of Radiodiagnosis and Imaging, Postgraduate Institute of Medical Education and Research, Chandigarh, IndiaDepartment of Surgical Oncology, All India Institute of Medical Sciences, Jodhpur, Rajasthan, IndiaDepartment of Radiology, Dr. B.R. Ambedkar Institute Rotary Cancer Hospital, All India Institute of Medical Sciences, New Delhi, India