Journal of Breast Imaging, 2019, Vol. 1, Issue 4, 297–302 doi:10.1093/jbi/wbz062 Original Research Received: April 11, 2019; Editorial Acceptance: August 25, 2019 Published Online: October 18, 2019 297 © Society of Breast Imaging 2019. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com Original Research Patient-Awareness Survey: Do Breast Implants Affect the Acquisition and Accuracy of Screening Mammography? Kristin A. Robinson, MD,* Richard J. Gray, MD, Aneri Tanna, Heidi E. Kosiorek, MS, Richard J. Butterfeld, III, Jennifer M. Palmieri, RT, Mary Ann T. McDonough, RT, Alanna M. Rebecca, MD, Bhavika K. Patel, MD Mayo Clinic Hospital, Department of Radiology, Phoenix, AZ (K.A.R., B.K.P., A.T.); Mayo Clinic Hospital, Department of Surgical Oncology, Phoenix, AZ (R.J.G.); Mayo Clinic Hospital, Department of Research Biostatistics, Phoenix, AZ (H.E.K., R.J.B.); Mayo Clinic Hospital, Department of Breast Imaging, Phoenix, AZ (J.M.P., M.A.T.M.); Mayo Clinic Hospital, Department of Plastic Surgery, Phoenix, AZ (A.M.R.) *Address correspondence to K.A.R. (e-mail: Robinson.Kristin@mayo.edu) Abstract Objective: Breast implant augmentation is the most common cosmetic surgical procedure per- formed in the United States. The purpose of this study was to determine if patients with breast augmentation surgery are aware of the effect of breast implants on the mammographic detection of cancer. Methods: An institutional review board exempt patient awareness survey was distributed at a single breast imaging facility to women undergoing screening mammography. Comparative stat- istical analyses were performed between patients with and without breast implants. Results: The respondents were divided into three groups: no prior breast surgery (74%; 524/711), breast surgery with implants (21%; 152/711), and breast surgery without implants (5%; 35/711). Patients with breast implants were more aware that implants decrease the amount of breast tissue seen on a mammogram (75%; 105/141) and that implants result in the need for more mammogram views (70%; 103/147), as compared with patients with no surgery (46%; 221/484 and 31%; 147/478, respectively) (P < 0.001). More women with breast implants reported learning from breast imaging staff rather than from their surgeon that implants decrease the amount of breast tissue seen on a mammogram (46%; 49/106 vs. 38%; 40/106). Of 137 respondents, 35% (n = 48) reported that the effect of implants on their mammogram was discussed preoperatively. Of those who did not recall a preoperative discussion, 42% (16/38) indicated this knowledge would have factored into their decision to get breast implants. Conclusion: This study highlights an opportunity for providers to engage in more education and shared decision-making with patients considering breast augmentation surgery to ensure pre- operative counseling includes discussion of the effect of implants on mammography. Key words: screening mammography; breast augmentation; breast implants; patient survey. Downloaded from https://academic.oup.com/jbi/article/1/4/297/5593622 by guest on 14 November 2022