In the past, mammography was considered the imaging test of choice to identify DCIS. More recent studies clarified breast MRI is more sensitive than mammography to identify DCIS overall and higher grade DCIS specifically. Techniques to support Fast or Abbreviated MRI were developed to try to support greater access, lower costs, increased patient acceptance of breast MRI in both the screening and the diagnostic setting. In the future, contrast enhanced mammography may provide greater access to more patients to the benefits of vascular imaging of DCIS, benefits previously limited to contrast enhanced breast MRI. Deep learning models in the domain of Artificial Intelligence may support more accurate triage of DCIS lesions more and less likely to progress, supporting more effective triage of low risk DCIS lesions to surveillance.

Citation Format: Connie Lehman. Imaging tools for DCIS: Past, present and future [abstract]. In: Proceedings of the AACR Special Conference on Rethinking DCIS: An Opportunity for Prevention?; 2022 Sep 8-11; Philadelphia, PA. Philadelphia (PA): AACR; Can Prev Res 2022;15(12 Suppl_1): Abstract nr IA022.