Julie Bykowski MD, Abstract Co-Author: Nothing to Disclose

Christian Scott Welch MD, Presenter: Nothing to Disclose

Jade Quijano De Guzman MD, Abstract Co-Author: Nothing to Disclose

Haydee Ojeda-Fournier MD, Abstract Co-Author: Nothing to Disclose

Advocacy organizations have been successful in enacting legislation in 5 states and endorsed or proposed bills in 17 additional states requiring breast imagers to directly notify the patient if her breasts are dense. This exhibit will outline the variability in the state law requirements and implications for patient counseling regarding options for surveillance in an effort to reduce confusion and misinformation.

Review of BIRADS breast density categories, with image examples. Review of enacted and proposed state laws for breast density reporting, and variability of mandates for insurance coverage. Summary of possible benefits, pitfalls and costs of alternative or adjunct screening modalities. Review of Connecticut experience with whole breast ultrasound. Our institution's recommendations for patients and clinicians.  

The growing trend of state mandates for notification regarding breast density may result in confusion and misinformation. Review of current enacted and proposed laws, the reliability of breast density assessment, and adjunctive screening options is provided in an effort to accurately address these concerns with patients and referring providers.

Bykowski, J, Welch, C, Quijano De Guzman, J, Ojeda-Fournier, H, The Density Dilemma.  Radiological Society of North America 2013 Scientific Assembly and Annual Meeting, December 1 - December 6, 2013 ,Chicago IL. http://archive.rsna.org/2013/13013036.html