RX — Proceduri mamare (MCB)

BREAST PROCEDURE POLICIES

GENERAL COMMENTS  Patients undergoing breast procedures are not required to hold any blood thinners prior to procedure (unless she/he chooses to do so). This policy aligns with current Society of Interventional Radiology guidelines for low-risk procedures.  The performance of breast procedures on inpatients and ER patients is at the discretion of the biopsy radiologist.  Breast procedures and post clip placement mammography are not contraindicated in pregnant or breastfeeding patients. OUTSIDE BREAST IMAGING PRIOR TO PERFORMING PROCEDURE  Biopsy/Aspiration – Outside images and the report(s) that prompted the procedure are required. Earlier outside images (e.g. screening mammograms) are preferred as well.  Localization – Outside biopsy images (including post clip placement mammograms and specimen radiographs) and report, outside diagnostic mammography and/or ultrasound images and report(s) and the biopsy pathology report are required. Earlier outside images (e.g. screening mammograms) are preferred as well.  The Technologist should use the PowerShare Request sheet on Google Drive to obtain any outside examinations. PowerShare requests are often completed in 1-2 days compared to waiting for a disc with outside examinations to arrive. Most local institutions can share examinations via PowerShare. Contact a PACS administrator if you do not have access to the PowerShare Request sheet.  Alternatively the Technologist can have the patient complete a release authorization form and fax the form to the File Room.  If outside reports do not arrive with the outside images, contact the facility and have the reports faxed over. Scan the reports into the appropriate examination folders in PACS. REVIEW OF OUTSIDE BREAST MRI FOR CONSIDERATION OF MRI-GUIDED BIOPSY  MRI-guided breast biopsies are currently only performed at Riverside hospital.  Only radiologists who perform MRI-guided breast biopsies (Drs. Carter, Edwards and Rezaei) are allowed to review/approve these biopsies.
 MRI-guided breast biopsies cannot be scheduled until an invasive sheet has been signed by either Drs. Carter, Edwards and Rezaei.

BREAST05 – Breast Procedure Policies Pg 1 Updated 5/30/2025

 Breast MRIs from outside institutions will not be reviewed for MRI-guided biopsy unless the examination was performed at NAS Jacksonville. Breast MRIs from many outside institutions are often technically inadequate or suboptimally interpreted. These patients either need a repeat breast MRI at St Vincents or Optimal Imaging, have an existing breast MRI from NAS Jacksonville or have repeat diagnostic evaluation at St Vincents or Optimal Imaging. BREAST05 – Breast Procedure Policies Pg 2 Updated 5/30/2025