Supply Chain Vulnerabilities in Breast Imaging: Site- and Network-Level Strategies for a Concentrated Consumable Market

IF 5.3 3区医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Journal of the American College of Radiology Pub Date : 2026-09-01 Epub Date: 2026-06-22 DOI:10.1016/j.jacr.2026.06.012

Nita Kommula MD, Ravinder S. Legha MD, Ray Cody Mayo MD, Huong T. Le-Petross MD, Kanchan A. Phalak MD, Megan E. Speer MD, Kyungmin Shin MD, Megan Kalambo MD, MBA

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引用次数: 0

Abstract

Background

Image-guided vacuum-assisted biopsy is the standard of care for sampling suspicious breast lesions and depends on single-use, vendor-proprietary consumables produced by a concentrated set of manufacturers. The January 2026 Hologic Brevera 9-gauge needle recall and the subsequent FDA shortage designation exposed the fragility of this supply chain.

Purpose

To examine the three principal strategies available to breast imaging programs for mitigating consumable supply disruptions (strategic inventory stockpiling, vendor diversification, and protocol and procurement standardization) and to describe how standardization functions as the connective infrastructure enabling the other two at network scale.

Conclusions

Stockpiling provides an immediate operational buffer; vendor diversification eliminates structural single-source dependency; standardization allows both to operate consistently across distributed sites. No single strategy is sufficient alone. Enterprise-scale measures such as cross-site inventory redistribution presuppose centralized governance and resources, and continuity planning should hold community sites to the same standard as the primary campus.

查看原文本刊更多论文

乳房成像中的供应链漏洞：集中消费市场的站点和网络级策略。

背景：图像引导的真空辅助活检（VAB）是可疑乳腺病变取样的护理标准，依赖于由集中的制造商生产的一次性、供应商专有的耗材。2026年1月Hologic Brevera 9号针的召回和随后的FDA短缺认定暴露了这条供应链的脆弱性。目的：研究乳腺成像项目可用于减轻耗材供应中断的三种主要策略（战略库存储备、供应商多样化、协议和采购标准化），并描述标准化如何作为连接基础设施在网络规模上实现其他两种策略。结论：储存提供了一个即时的操作缓冲；供应商多样化消除了结构性的单一来源依赖；标准化允许两者在分布式站点上一致地操作。单独的策略是不够的。企业规模的措施，如跨站点库存重新分配，以集中治理和资源为前提，连续性规划应使社区站点达到与主校区相同的标准。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of the American College of Radiology RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING-

CiteScore

6.30

自引率

8.90%

发文量

312

审稿时长

34 days

期刊介绍： The official journal of the American College of Radiology, JACR informs its readers of timely, pertinent, and important topics affecting the practice of diagnostic radiologists, interventional radiologists, medical physicists, and radiation oncologists. In so doing, JACR improves their practices and helps optimize their role in the health care system. By providing a forum for informative, well-written articles on health policy, clinical practice, practice management, data science, and education, JACR engages readers in a dialogue that ultimately benefits patient care.