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Table 2 Recommendations on onset, frequency, intermediate frequency alteration and termination of breast imaging surveillance

From: Breast imaging surveillance after curative treatment for primary non-metastasised breast cancer in non-high-risk women: a systematic review

Guideline Imaging onset Frequency Alteration of annual screening frequency Screening frequency after alteration Termination of imaging follow-up
ACR 6–12 months after RT Annual May be returned to routine screening at some point, dependent upon institutional protocol Return to routine breast cancer screening NS
ACS-ASCO NS Annual NS NS NS
ASCO ≥ 6 months after RT Every 6–12 months. Annual if stable mammographic findings NS NS NS
AHS 12 months after diagnosis or ≥ 6 months after RT Annual NS NS NS
BCMH-BCMA ≥ 6 months after RT Annual NS NS NS
CAR NS Annual NS NS NS
CCMB 12 months after diagnosis or ≥ 6 months after RT Annuala NS NS May be omitted, if life expectancy < 5 years
DKG-DGGG Dependent on type of RT and/or surgery Annual NS NS NS
ESMO NS Annual NS NS NS
GISMa-ICBR/SIRM 12 months after treatment NS, but mentions both annual and biannual NS NS Consider stop if > 74 years old and at least 10 years’ follow-up
HAS ≥ 12 months after diagnosis or ≥ 6 months after RT Annual NS NS Re-evaluate every 5 years
KCE NS Annual Annual at least 10 years NS NS
NABON ± 12 months after the last pre-operative mammography/MRI Annual After 5 years, if ≥ 60 years old at time of follow-up Mammography every 2 yearsb Consider stop if > 75 years oldb
NBOCC 12 months after diagnosis Annual NS NS NSc
NCCN 6–12 months after RT Annual NS NS NS
NICE NS Annual After 5 years, if ≥ NHSBSP/BTWSP screening age NS NS
NZGG 12 months after diagnosis or 6 months after RT Every 6–12 months. Annual if stable mammographic findings NS NS NS
RCR NS Annual Reconsider if 50 years old CL: mammography every 2–3 years
IL: mammography every 1–3 years
CL: 75 years old
IL: if co-morbidities make detection unhelpful
  1. NS not specified, NHSBSP/BTWS National Health Service Breast Screening Program/Breast Test Wales Screening Programme. For other abbreviations see Table 1
  2. aMore frequently if recommended by the radiologist
  3. bAfter mastectomy, coordinated by the national breast screening programme. After breast-conserving therapy, coordinated by general practitioner
  4. cThe duration of the follow-up should be determined in consultation between the physician and patient