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Review of Bone Scan in Staging of Breast Cancer Patients (Milton Keynes University Teaching Hospital NHS Trust 2020-2021)

We conducted a review of the Milton Keynes University Teaching Hospital NHS Trust’s modality of staging breast cancer to assess compliance with the Royal College of Radiology (RCR) guidelines in the use of bone scan for breast cancer staging. We noticed that a bone scan was required for all breast cancer patients, most of whom did not meet the RCR criteria for a bone scan. We found that a bone scan done on all 89 breast cancer patients seen from June 2020 to May 2021 was ineffective in confirming all cases with bone metastasis, hence not contributing to management and outcomes. We recommend that bone scans should not be routinely done on breast cancer patients, as it is not cost-effective and cost-saving.