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Aetna considers breast MRI medically necessary to detect intra-capsular (silent) rupture of silicone gel-filled breast implants. Screening for silent intra-capsular rupture more frequently than every 2 years is not considered medically necessary. Aetna considers breast MRI experimental and investigational for all other indications, including any of the following, because there is insufficient scientific evidence to support its use: To confirm implant rupture in symptomatic individuals whose ultrasonography shows rupture, especially with implants more than 10 years old (ultrasound sufficient to proceed with removal); or To diagnose fat necrosis post-breast reduction surgery; or To differentiate benign from malignant breast disease, especially clustered micro-calcifications; or To evaluate breasts before biopsy in an effort to reduce the number of surgical biopsies for benign lesions; or Surveillance of asymptomatic individuals with breast cancer who have completed primary therapy and who are not at high genetic risk of breast cancer; or To provide an early prediction of response to adjuvant breast cancer chemotherapy in guiding choice of chemotherapy regimen; or Dermatomyositis as an indication for use of MRI for breast cancer screening; or To screen for breast cancer in members with average risk of breast cancer; or Aetna considers computer-aided detection of malignancy with MRI of the breast experimental and investigational because its clinical value has not been established , e.g. Digital Picture Processing, read epub read epub.

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