Posttreatment Breast Imaging Considerations

Purpose of Review: Surveillance imaging improves survival in women with a personal history of breast cancer (PHBC); however, imaging strategies vary in this population. This review evaluated current literature and guidelines regarding imaging modalities and approaches in women with PHBC. Recent Findings: The consensus among major breast societies is that annual surveillance mammography is recommended in all women with PHBC. Noting limitations of mammography, supplemental imaging modalities have emerged and are increasingly utilized by practices, providing the benefit of incremental cancer detection at the expense of potential additional false-positive workups. Summary: Annual surveillance mammography is associated with improved outcomes among women with PHBC. Accurate risk assessment and careful patient selection are needed when considering supplemental imaging, in order to maximize benefits, limit false-positive workups, and appropriately utilize limited resources.