ACR Appropriateness Criteria® Breast Pain

Expert Panel on Breast Imaging:

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Breast pain (or tenderness) is a common symptom, experienced by up to 80% of women at some point in their lives. Fortunately, it is rarely associated with breast cancer. However, breast pain remains a common cause of referral for diagnostic breast imaging evaluation. Appropriate workup depends on the nature and focality of the pain, as well as the age of the patient. Imaging evaluation is usually not indicated if the pain is cyclic or nonfocal. For focal, noncyclic pain, imaging may be appropriate, mainly for reassurance and to identify treatable causes. Ultrasound can be the initial examination used to evaluate women under 30 with focal, noncyclic breast pain; for women 30 and older, diagnostic mammography, digital breast tomosynthesis, and ultrasound may all serve as appropriate initial examinations. However, even in the setting of focal, noncyclic pain, cancer as an etiology is rare. The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary expert panel. The guideline development and revision include an extensive analysis of current medical literature from peer-reviewed journals and the application of well-established methodologies (RAND/UCLA Appropriateness Method and Grading of Recommendations Assessment, Development, and Evaluation or GRADE) to rate the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances where evidence is lacking or equivocal, expert opinion may supplement the available evidence to recommend imaging or treatment.

Original languageEnglish (US)
Pages (from-to)S25-S33
JournalJournal of the American College of Radiology
Volume14
Issue number5
DOIs
StatePublished - May 1 2017

Fingerprint

Mastodynia
Mammography
Pain
Guidelines
Expert Testimony
Diagnostic Imaging
Radiology
Breast
Referral and Consultation
Breast Neoplasms
Therapeutics

Keywords

  • Appropriate Use Criteria
  • Appropriateness Criteria
  • AUC
  • breast pain
  • breast tenderness
  • cyclic breast pain
  • diffuse breast pain
  • focal breast pain
  • mastalgia
  • mastodynia
  • noncyclic breast pain
  • nonfocal breast pain

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

Cite this

ACR Appropriateness Criteria® Breast Pain. / Expert Panel on Breast Imaging:.

In: Journal of the American College of Radiology, Vol. 14, No. 5, 01.05.2017, p. S25-S33.

Research output: Contribution to journalArticle

Expert Panel on Breast Imaging:. / ACR Appropriateness Criteria® Breast Pain. In: Journal of the American College of Radiology. 2017 ; Vol. 14, No. 5. pp. S25-S33.
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