Background: Practice guidelines recommend that imaging to detect metastatic disease not
be performed in the majority of patients with early-stage breast cancer who are …

Introduction: Despite the publication of multiple evidence-based guidelines recommending
against routine imaging for distant metastasis in patients with early-stage (I/II) breast cancer …

Background: In Ontario, there is no clearly defined standard of care for staging for distant
metastasis in women with newly diagnosed and biopsy-confirmed breast cancer whose …

Purpose: In 2012, the American Society of Clinical Oncology (ASCO) published its inaugural
Top Five recommendations for “choosing wisely” in oncology. One recommendation was to …

Rationale, aims and objectives Despite multiple guidelines advocating against routine
radiological evaluation for metastases in women with early stage breast cancer, imaging is …

Purpose The probability of detecting radiologically evident metastatic disease in
asymptomatic women with newly diagnosed operable breast cancer is low. Despite the …

Background: Approximately 4% of patients diagnosed with early breast cancer have occult
metastases at presentation. Current national and international guidelines lack consensus on …

While guidelines recommend against routine use of staging imaging to detect asymptomatic
distant metastases (DM) in newly diagnosed breast cancer (BC), modern imaging …

Background Guidelines for follow-up after locoregional breast cancer treatment recommend
imaging for distant metastases only in the presence of patient signs and/or symptoms …

Previous randomized trials, performed decades ago, showed no survival benefit of intensive
screening for distant metastasis in breast cancer. However, recent improvements in targeted …