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Sir Mike Richards conducted a review of diagnostic services as part of the NHS Long Term Plan and this was one of his recommendations. There were 40 centres included in the first wave. £2.3 billion was committed to the programme. [1] MRI scanners, ultrasound, X-ray, breast screening, phlebotomy and bone density scans are available services.
The UK's NHS Breast Screening Programme, the first of its kind in the world, began in 1988 and achieved national coverage in the mid-1990s. It provides free breast cancer screening mammography every three years for all women in the UK aged from 50 and up to their 71st birthday.
However, magnetic resonance imaging (MRI) scans are not associated with a radiation risk, and MRI scans are being evaluated for their use in cancer screening. [51] There is a significant risk of detecting incidentalomas - benign lesions that might be misinterpreted as cancer and put patients at potential risk by undergoing unnecessary follow-up ...
MRI of the breasts has the highest sensitivity to detect breast cancer when compared with other imaging modalities such as breast ultrasound or mammography. In the screening for breast cancer for high-risk women, sensitivity of MRI ranges from 83 to 94% while specificity (the confidence that a lesion is cancerous and not a false positive ...
I acknowledge that getting this scan is a major expense, and a privilege, as their scan prices start at $1,000. I should also note that not all experts think a full-body MRI scan is totally necessary.
Breast ultrasound is another technology employed in diagnosis and screening that can help differentiate between fluid filled and solid lesions, an important factor to determine if a lesion may be cancerous. [2] Breast MRI is a technology typically reserved for high-risk patients and patients recently diagnosed with breast cancer. [3]
MRI can be useful for the screening of high-risk patients, for further evaluation of questionable findings or symptoms, as well as for pre-surgical evaluation of patients with known breast cancer, in order to detect additional lesions that might change the surgical approach (for example, from breast-conserving lumpectomy to mastectomy).
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