Study: Only Two Thirds Of N2/N3 Breast Cancer Patients Receive PMRT

Thursday, February 12, 2015
Radiation Therapy News (2/12, Semedo) reports on a study that found some may not follow guidelines from the National Comprehensive Cancer Network (NCCN) and the American Society of Clinical Oncology (ASCO) for post-mastectomy radiation therapy (PMRT), which is the standard of care for N2/N3 breast cancer treatment. The study, which examined records from a database carrying information on almost three million patients between 1998 and 2011, found that 82% of such patients were treated with chemotherapy, while only 65% were treated with PMRT. Lead author Quyen D. Chu, MD, MBA, FACS, said of the findings, “From this study, we could not tease out whether patients refuse treatment or there is a lack of awareness among women and physicians about the need for radiation therapy after mastectomy for locally advanced breast cancer.”

Molecular Imaging Techniques May Improve Cancer Detection Success Rates In Women With Mammographically Dense Breasts

Thursday, February 5, 2015
HealthImaging (2/5, Hocter) reports that research suggests that “cancer detection success rates in women with mammographically dense breasts can be significantly improved through molecular imaging techniques, even using a reduced radiation dose.” The findings were published in the American Journal of Roentgenology .

Forbes Contributor Looks Into Controversy Surrounding Mandatory Reporting Of Breast Density

Monday, February 2, 2015
Forbes (1/30) contributor Elaine Schattner, MD, wrote that so far, 21 states have “enact legislation on mandatory reporting of breast density found in breast cancer screening.” She wrote that last year, “Senators Dianne Feinstein (D-Calif.) and Kelly Ayotte (R-N.H.) introduced the Breast Density and Mammography Reporting Act.” Schattner wrote that “there does seem to be a consensus among radiologists that ultrasound aids breast cancer detection in women with dense breasts.” However, some physicians are not in favor of laws requiring breast density reporting, with some arguing, among other things, that patients told that they have dense breasts may not know what to do with that information. 

CMS to Delete DBT/CAD Edit

Friday, January 30, 2015
At the urging of the American College of Radiology (ACR) and others, the Centers for Medicare and Medicaid Services (CMS) will soon delete the edit for the code pair affecting the procedure-to-procedure edit for screening digital breast tomosynthesis (DBT) and computer-aided breast cancer detection (CAD).