The Radiology Business Journal (6/27, Walter) reports on a study published in Current Problems in Diagnostic Radiology finding that “management recommendations for high-risk lesions detected by a core needle biopsy of the breast are inconsistent.” The study was based on a survey of “breast imagers from 41 academic institutions throughout the United States” of “their own management recommendations when core needle biopsy of the breast detects a high-risk lesion.” Overall, “ninety-five percent of respondents recommended surgical excision for atypical ductal hyperplasia (ADH) and papilloma with associated atypia.” Surgical excision was also recommended by majorities for flat epithelial atypia (76%), radial scar/complex sclerosing lesion (73%), lobular carcinoma in-situ (71%), and atypical lobular hyperplasia (61%) while “39 percent recommended it for intraductal papilloma without atypia.” The researchers suggest that developing a consensus response to all of these diagnoses might improve patient care.