Selin Carkaci MD, Presenter: Nothing to Disclose

Barbaros Selnur Erdal DDS, PhD, Abstract Co-Author: Nothing to Disclose

Beatriz E. Adrada MD, Abstract Co-Author: Nothing to Disclose

Richard D. White MD, Abstract Co-Author: Nothing to Disclose

Breast cancer screening and surveillance should ideally be tailored to an individual’s cancer risk and breast density. DSSBCS can assist radiologist and referring physician in making the most appropriate imaging decision for supplemental breast cancer screening.

There is increasing awareness of certain subpopulations of women for whom mammography alone has reduced performance, particularly those with dense parenchyma or with high risk of developing breast cancer. Integrating risk assessment into the daily practice of breast imaging, answering patients` questions and making appropriate imaging recommendations for screening remains challenging. Many practitioners are not intimately familiar with the various risk assessment models or with the ACR Appropriateness Criteria. A cost-effective, efficient, and reliable clinical decision tool to assist referring physicians in making the most appropriate imaging decision for breast cancer screening could prove to be useful in everyday practice.

Decision Support System for Breast Cancer Screening (DSSBCS) can be run as an independent standalone web application or as applications within Google Android, Apple iOS or Microsoft-based mobile platforms. Users of this system simply enter specific patient information into a user friendly tool which in return calculates the life-time risk for breast cancer, the age to start screening, and the most appropriate supplemental screening tool.

Clinical decision support (CDS) systems are cost-effective, efficient and reliable methods for adjudicating the clinical indications of imaging studies by comparing those indications to evidence-based scores, and allowing physicians to recommend the most appropriate imaging for the patient. Several CDS systems are currently commercially available and use of such systems is being widely considered by health care systems, payers, and regulators. DSSBCS is a dedicated system designed to guide the radiologist and referring physician to the identification of women who may benefit from supplemental screening and to help to recommend when and which techniques to use for this additional screening.

Carkaci, S, Erdal, B, Adrada, B, White, R, Decision Support System for Breast Cancer Screening.  Radiological Society of North America 2013 Scientific Assembly and Annual Meeting, December 1 - December 6, 2013 ,Chicago IL. http://archive.rsna.org/2013/13015257.html