Reasons women at elevated risk of breast cancer refuse breast MR imaging screening

ACRIN 6666

Wendie A. Berg, Jeffrey D. Blume, Amanda M. Adams, Roberta A. Jong, Richard G. Barr, Daniel E. Lehrer, Etta D. Pisano, W. Phil Evans, Mary C. Mahoney, Linda Hovanessian Larsen, Glenna J. Gabrielli, Ellen B. Mendelson

Research output: Contribution to journalArticle

97 Citations (Scopus)

Abstract

Purpose: To determine reasons for nonparticipation in a trial of supplemental screening with magnetic resonance (MR) imaging after mammography and ultrasonography (US). Materials and Methods: Women ( n = 2809) at elevated risk of breast cancer were enrolled in the American College of Radiology Imaging Network 6666 US Screening Protocol at 21 institutions. Fourteen institutions met technical and experience requirements for this institutional review board-approved, HIPAA-compliant substudy of supplemental screening with MR imaging. Those women who had completed 0-, 12-, and 24-month screenings with mammography combined with US were considered for a single contrast material-enhanced MR examination within 8 weeks after completing the 24-month mammography-US screening. A total of 1593 women had complete MR substudy registration data: 378 of them were ineligible for the study, and 1215 had analyzable data. Reasons for nonparticipation were determined. Demographic data were compared between study participants and nonparticipants. Results: Of 1215 women with analyzable data, 703 (57.9%), with a mean age of 54.8 years, were enrolled in the MR substudy and 512 (42.1%) declined participation. Women with a 25% or greater lifetime risk of breast cancer were more likely to participate (odds ratio, 1.53;95% confidence interval: 1.10, 2.12). Of 512 nonparticipants, 130 (25.4%) refused owing to claustrophobia;93 (18.2%), owing to time constraints;62 (12.1%), owing to financial concerns;47 (9.2%), because their physician would not provide a referral and/or did not believe MR imaging was indicated;40 (7.8%), because they were not interested; 39 (7.6%), because they were medically intolerant to MR imaging;29 (5.7%), because they did not want to undergo intravenous injection;27 (5.3%), owing to additional biopsy or other procedures that might be required subsequently;21 (4.1%), owing to MR imaging scheduling constraints;11 (2.2%), because of the travel required; seven (1.4%), owing to gadolinium-related risks or allergies; and six (1.2%), for unknown reasons. Conclusion: Of 1215 women with elevated breast cancer risk who could, according to protocol guidelines, undergo breast MR imaging, only 57.9% agreed to participate.

Original languageEnglish (US)
Pages (from-to)79-87
Number of pages9
JournalRadiology
Volume254
Issue number1
DOIs
StatePublished - Jan 2010

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Magnetic Resonance Imaging
Breast Neoplasms
Ultrasonography
Mammography
Magnetic Resonance Spectroscopy
Health Insurance Portability and Accountability Act
Phobic Disorders
Research Ethics Committees
Gadolinium
Radiology
Intravenous Injections
Contrast Media
Hypersensitivity
Breast
Referral and Consultation
Odds Ratio
Demography
Guidelines
Confidence Intervals
Physicians

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

Cite this

Berg, W. A., Blume, J. D., Adams, A. M., Jong, R. A., Barr, R. G., Lehrer, D. E., ... Mendelson, E. B. (2010). Reasons women at elevated risk of breast cancer refuse breast MR imaging screening: ACRIN 6666. Radiology, 254(1), 79-87. https://doi.org/10.1148/radiol.2541090953

Reasons women at elevated risk of breast cancer refuse breast MR imaging screening : ACRIN 6666. / Berg, Wendie A.; Blume, Jeffrey D.; Adams, Amanda M.; Jong, Roberta A.; Barr, Richard G.; Lehrer, Daniel E.; Pisano, Etta D.; Evans, W. Phil; Mahoney, Mary C.; Larsen, Linda Hovanessian; Gabrielli, Glenna J.; Mendelson, Ellen B.

In: Radiology, Vol. 254, No. 1, 01.2010, p. 79-87.

Research output: Contribution to journalArticle

Berg, WA, Blume, JD, Adams, AM, Jong, RA, Barr, RG, Lehrer, DE, Pisano, ED, Evans, WP, Mahoney, MC, Larsen, LH, Gabrielli, GJ & Mendelson, EB 2010, 'Reasons women at elevated risk of breast cancer refuse breast MR imaging screening: ACRIN 6666', Radiology, vol. 254, no. 1, pp. 79-87. https://doi.org/10.1148/radiol.2541090953
Berg, Wendie A. ; Blume, Jeffrey D. ; Adams, Amanda M. ; Jong, Roberta A. ; Barr, Richard G. ; Lehrer, Daniel E. ; Pisano, Etta D. ; Evans, W. Phil ; Mahoney, Mary C. ; Larsen, Linda Hovanessian ; Gabrielli, Glenna J. ; Mendelson, Ellen B. / Reasons women at elevated risk of breast cancer refuse breast MR imaging screening : ACRIN 6666. In: Radiology. 2010 ; Vol. 254, No. 1. pp. 79-87.
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abstract = "Purpose: To determine reasons for nonparticipation in a trial of supplemental screening with magnetic resonance (MR) imaging after mammography and ultrasonography (US). Materials and Methods: Women ( n = 2809) at elevated risk of breast cancer were enrolled in the American College of Radiology Imaging Network 6666 US Screening Protocol at 21 institutions. Fourteen institutions met technical and experience requirements for this institutional review board-approved, HIPAA-compliant substudy of supplemental screening with MR imaging. Those women who had completed 0-, 12-, and 24-month screenings with mammography combined with US were considered for a single contrast material-enhanced MR examination within 8 weeks after completing the 24-month mammography-US screening. A total of 1593 women had complete MR substudy registration data: 378 of them were ineligible for the study, and 1215 had analyzable data. Reasons for nonparticipation were determined. Demographic data were compared between study participants and nonparticipants. Results: Of 1215 women with analyzable data, 703 (57.9{\%}), with a mean age of 54.8 years, were enrolled in the MR substudy and 512 (42.1{\%}) declined participation. Women with a 25{\%} or greater lifetime risk of breast cancer were more likely to participate (odds ratio, 1.53;95{\%} confidence interval: 1.10, 2.12). Of 512 nonparticipants, 130 (25.4{\%}) refused owing to claustrophobia;93 (18.2{\%}), owing to time constraints;62 (12.1{\%}), owing to financial concerns;47 (9.2{\%}), because their physician would not provide a referral and/or did not believe MR imaging was indicated;40 (7.8{\%}), because they were not interested; 39 (7.6{\%}), because they were medically intolerant to MR imaging;29 (5.7{\%}), because they did not want to undergo intravenous injection;27 (5.3{\%}), owing to additional biopsy or other procedures that might be required subsequently;21 (4.1{\%}), owing to MR imaging scheduling constraints;11 (2.2{\%}), because of the travel required; seven (1.4{\%}), owing to gadolinium-related risks or allergies; and six (1.2{\%}), for unknown reasons. Conclusion: Of 1215 women with elevated breast cancer risk who could, according to protocol guidelines, undergo breast MR imaging, only 57.9{\%} agreed to participate.",
author = "Berg, {Wendie A.} and Blume, {Jeffrey D.} and Adams, {Amanda M.} and Jong, {Roberta A.} and Barr, {Richard G.} and Lehrer, {Daniel E.} and Pisano, {Etta D.} and Evans, {W. Phil} and Mahoney, {Mary C.} and Larsen, {Linda Hovanessian} and Gabrielli, {Glenna J.} and Mendelson, {Ellen B.}",
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T1 - Reasons women at elevated risk of breast cancer refuse breast MR imaging screening

T2 - ACRIN 6666

AU - Berg, Wendie A.

AU - Blume, Jeffrey D.

AU - Adams, Amanda M.

AU - Jong, Roberta A.

AU - Barr, Richard G.

AU - Lehrer, Daniel E.

AU - Pisano, Etta D.

AU - Evans, W. Phil

AU - Mahoney, Mary C.

AU - Larsen, Linda Hovanessian

AU - Gabrielli, Glenna J.

AU - Mendelson, Ellen B.

PY - 2010/1

Y1 - 2010/1

N2 - Purpose: To determine reasons for nonparticipation in a trial of supplemental screening with magnetic resonance (MR) imaging after mammography and ultrasonography (US). Materials and Methods: Women ( n = 2809) at elevated risk of breast cancer were enrolled in the American College of Radiology Imaging Network 6666 US Screening Protocol at 21 institutions. Fourteen institutions met technical and experience requirements for this institutional review board-approved, HIPAA-compliant substudy of supplemental screening with MR imaging. Those women who had completed 0-, 12-, and 24-month screenings with mammography combined with US were considered for a single contrast material-enhanced MR examination within 8 weeks after completing the 24-month mammography-US screening. A total of 1593 women had complete MR substudy registration data: 378 of them were ineligible for the study, and 1215 had analyzable data. Reasons for nonparticipation were determined. Demographic data were compared between study participants and nonparticipants. Results: Of 1215 women with analyzable data, 703 (57.9%), with a mean age of 54.8 years, were enrolled in the MR substudy and 512 (42.1%) declined participation. Women with a 25% or greater lifetime risk of breast cancer were more likely to participate (odds ratio, 1.53;95% confidence interval: 1.10, 2.12). Of 512 nonparticipants, 130 (25.4%) refused owing to claustrophobia;93 (18.2%), owing to time constraints;62 (12.1%), owing to financial concerns;47 (9.2%), because their physician would not provide a referral and/or did not believe MR imaging was indicated;40 (7.8%), because they were not interested; 39 (7.6%), because they were medically intolerant to MR imaging;29 (5.7%), because they did not want to undergo intravenous injection;27 (5.3%), owing to additional biopsy or other procedures that might be required subsequently;21 (4.1%), owing to MR imaging scheduling constraints;11 (2.2%), because of the travel required; seven (1.4%), owing to gadolinium-related risks or allergies; and six (1.2%), for unknown reasons. Conclusion: Of 1215 women with elevated breast cancer risk who could, according to protocol guidelines, undergo breast MR imaging, only 57.9% agreed to participate.

AB - Purpose: To determine reasons for nonparticipation in a trial of supplemental screening with magnetic resonance (MR) imaging after mammography and ultrasonography (US). Materials and Methods: Women ( n = 2809) at elevated risk of breast cancer were enrolled in the American College of Radiology Imaging Network 6666 US Screening Protocol at 21 institutions. Fourteen institutions met technical and experience requirements for this institutional review board-approved, HIPAA-compliant substudy of supplemental screening with MR imaging. Those women who had completed 0-, 12-, and 24-month screenings with mammography combined with US were considered for a single contrast material-enhanced MR examination within 8 weeks after completing the 24-month mammography-US screening. A total of 1593 women had complete MR substudy registration data: 378 of them were ineligible for the study, and 1215 had analyzable data. Reasons for nonparticipation were determined. Demographic data were compared between study participants and nonparticipants. Results: Of 1215 women with analyzable data, 703 (57.9%), with a mean age of 54.8 years, were enrolled in the MR substudy and 512 (42.1%) declined participation. Women with a 25% or greater lifetime risk of breast cancer were more likely to participate (odds ratio, 1.53;95% confidence interval: 1.10, 2.12). Of 512 nonparticipants, 130 (25.4%) refused owing to claustrophobia;93 (18.2%), owing to time constraints;62 (12.1%), owing to financial concerns;47 (9.2%), because their physician would not provide a referral and/or did not believe MR imaging was indicated;40 (7.8%), because they were not interested; 39 (7.6%), because they were medically intolerant to MR imaging;29 (5.7%), because they did not want to undergo intravenous injection;27 (5.3%), owing to additional biopsy or other procedures that might be required subsequently;21 (4.1%), owing to MR imaging scheduling constraints;11 (2.2%), because of the travel required; seven (1.4%), owing to gadolinium-related risks or allergies; and six (1.2%), for unknown reasons. Conclusion: Of 1215 women with elevated breast cancer risk who could, according to protocol guidelines, undergo breast MR imaging, only 57.9% agreed to participate.

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