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<p>To enhance the quality of organized mammographic screening in Italy, in accordance with national legislation, a multidisciplinary panel of experts applied the Grading of Recommendations, Assessment, Development and Evaluation (GRADE)-ADOLOPMENT approach to adopt or adapt the European Commission Initiative on Breast Cancer (ECIBC) guidelines concerning the use of digital breast tomosynthesis (DBT). As prerequisite conditions for DBT adoption, the panel defines a full extension to women in the 45−74 age range, sufficient technical and professional resources, and an adequate monitoring system. The panel recommends the use of either DBT or digital mammography (DM) for asymptomatic women participating in organized screening programmes. However, it suggests prioritizing DBT in women with high mammographic breast density(classified as BI-RADS class <i>c</i> or <i>d</i>) when density has been previously assessed with DM. In the case of limited resources, priority in the implementation should be given to women with extremely dense breasts (BI-RADS class <i>d</i>). The use of DBT as an additional screening tool alongside DM is not recommended. These guidelines aim to provide a tailored approach for screening women with high mammographic breast density, improving detection while optimizing resource allocation in the context of organized screening. However, these recommendations also apply to the setting of spontaneous screening.</p>

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Italian guidelines for the use of digital breast tomosynthesis in breast cancer screening programmes: GRADE-ADOLOPMENT of the European guidelines

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2026年3月5日

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  • Francesco Venturelli,
  • Silvia Deandrea,
  • Paola Mantellini,
  • Eugenio Paci,
  • Marco Zappa,
  • Martina Rossi,
  • Massimo Calabrese,
  • Francesca Battisti,
  • Lauro Bucchi,
  • Priscilla Sassoli de’ Bianchi,
  • Francesca Caumo,
  • Carlo Senore,
  • Adriana Bonifacino,
  • Flori Degrassi,
  • Valeria Fava,
  • Elisa Betti,
  • Riccardo Vecchio,
  • Andrea Guida,
  • Gian Paolo Morgano,
  • Livia Giordano,
  • Paolo Giorgi Rossi,
  • Francesco Sardanelli,
  • Vittorio Cannatà,
  • Isabella Castellano,
  • Gabriella Dardanoni,
  • Giulio Francolini,
  • Stefania Gori,
  • Carlo Magliocca,
  • Stefania Montemezzi,
  • Stefano Pacifici,
  • Emanuele Torri,
  • Annalisa Trianni,
  • Antonella Pellegrini,
  • Daniela Ambrogetti,
  • Catia Angiolini,
  • Paola Bellardini,
  • Laura Bonvicini,
  • Beniamino Brancato,
  • Stefano Campa,
  • Matteo Capobussi,
  • Eva Carnesciali,
  • Leopoldo Costarelli,
  • Prassede Foxi,
  • Paola Golinelli,
  • Icro Meattini,
  • Marco Moschetta,
  • Paola Mosconi,
  • Loredana Pau,
  • Stella Pedilarco,
  • Francesca Pietribiasi,
  • Marco Rosselli del Turco,
  • Marzia Salgarello,
  • Alfredo Santinelli,
  • Gioele Santucci,
  • Roberto Satolli,
  • Cristian Scatena,
  • Margherita Serra,
  • Mario Taffurelli,
  • Alfonso Frigerio,
  • Luigi Bisanti

摘要

To enhance the quality of organized mammographic screening in Italy, in accordance with national legislation, a multidisciplinary panel of experts applied the Grading of Recommendations, Assessment, Development and Evaluation (GRADE)-ADOLOPMENT approach to adopt or adapt the European Commission Initiative on Breast Cancer (ECIBC) guidelines concerning the use of digital breast tomosynthesis (DBT). As prerequisite conditions for DBT adoption, the panel defines a full extension to women in the 45−74 age range, sufficient technical and professional resources, and an adequate monitoring system. The panel recommends the use of either DBT or digital mammography (DM) for asymptomatic women participating in organized screening programmes. However, it suggests prioritizing DBT in women with high mammographic breast density(classified as BI-RADS class c or d) when density has been previously assessed with DM. In the case of limited resources, priority in the implementation should be given to women with extremely dense breasts (BI-RADS class d). The use of DBT as an additional screening tool alongside DM is not recommended. These guidelines aim to provide a tailored approach for screening women with high mammographic breast density, improving detection while optimizing resource allocation in the context of organized screening. However, these recommendations also apply to the setting of spontaneous screening.