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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