Table 4.
Women's use of breast MRI by breast cancer risk and number
Women undergoing breast MRI | Women undergoing breast MRI | By Clinical Indicationa | ||||||||
---|---|---|---|---|---|---|---|---|---|---|
Screening | Diagnostic | Staging/Treatment | Surveillance | |||||||
no. women | Col % | no. women | Col % | no. women | Col % | no. women | Col % | no. women | Col % | |
Total | 10518 | 100 | 3049 | 100 | 5330 | 100 | 2113 | 100 | 2116 | 100 |
Breast Cancer Riskb | ||||||||||
Personal history | 3167 | 30 | 0 | 0 | 1077 | 20.2 | 2113 | 100 | 2086 | 98.5 |
Genetic Mutation | 372 | 3.5 | 180 | 6 | 107 | 2.0 | 66 | 3.1 | 108 | 5.1 |
Family History | 5439 | 52 | 2501 | 82 | 2283 | 43 | 863 | 41 | 905 | 43 |
Number of MRIsc | ||||||||||
Only one breast MRI | 6810 | 65 | 1687 | 55 | 3204 | 61 | 1143 | 54 | 688 | 33 |
More than one breast MRI | 3708 | 35 | NA | NA | NA | NA | ||||
More than one breast MRI for same indication | 2937 | 28 | 846 | 28 | 1120 | 21 | 403 | 19 | 941 | 44 |
MRI = Magnetic resonance imaging; Col = Column; NA = not applicable
Sum across clinical indications is greater than total as women may have multiple MRIs, each with a different clinical indication.
Risk categories defined by presence of diagnostic or procedure code in HPHC claims data at least 45 days prior to the breast MRI for personal history of breast cancer and in the year prior or subsequent to breast MRI for the remaining. For staging/treatment breast MRI, no restriction on timing was used in defining personal history of breast cancer. Categories are not mutually exclusive. Personal history of breast cancer defined by presence of at least one ICD-9 codes: 174, 233.0, V10.3; Deleterious genetic mutation for breast cancer defined by ICD-9 code: V84.01; and family history of breast cancer defined by ICD-9 code: V16.3.
Categories are not mutually exclusive.