The American Cancer Society recommends that women undergo regular screening mammography for the early detection of breast cancer. Review a consumer-friendly version of the American Cancer Society's screening guidelines for breast cancer, as well as information on risk factors and methods of reducing risk. View supplementary materials accompanying the MRI screening recommendations describing several models that can estimate risk based on complex family histories and assist clinicians in estimating breast cancer risk or the likelihood that a BRCA mutation is present. Full text: ACS recommendations and rationale for breast cancer screening Summary of the systematic evidence review on benefits and harms of breast cancer screening Complete systematic evidence review used in updating the ACS breast cancer screening guideline Duke Evidence Synthesis Group. For Your Patients: Breast Cancer Early Detection Review a consumer-friendly version of the American Cancer Society's screening guidelines for breast cancer, as well as information on risk factors and methods of reducing risk. Supplementary Materials: Breast Cancer Risk Assessment View supplementary materials accompanying the MRI screening recommendations describing several models that can estimate risk based on complex family histories and assist clinicians in estimating breast cancer risk or the likelihood that a BRCA mutation is present.
Breast magnetic resonance imaging MRI is the most sensitive imaging method for breast cancer detection. In this review we discuss the vastly superior performance of MRI compared to traditional breast cancer screening modalities of mammography, tomosynthesis and ultrasound. Adaptation of such an AB-MRI protocol significantly increases patient throughput and may allow MRI to serve as a stand- alone breast cancer screening tool. While mammography remains the mainstay of breast cancer screening, some studies show that biologically aggressive tumors i. Furthermore, the rate of advanced breast cancers did not decrease in countries that implemented nationalized mammography screening programs 8 , 9. These facts have led to the controversial claim that mammography may result in over diagnosis of small in situ or estrogen receptor positive, indolent invasive cancers 10 while it fails to detect the more aggressive and fast growing ones, including triple negative breast cancers that are negative for estrogen, progesterone and human epidermal growth factor 2 HER- 2 receptors or those which overexpress HER- 2 HER-2 amplified.
Breast MRI is not recommended as a routine screening tool for all women. If you are considered high-risk, you would have breast MRI in addition to your annual mammograms X-rays of the breast. Breast MRI is not a perfect tool. Although it is generally considered more sensitive for picking up breast cancer than mammography, it also can miss some cancers that would be detected by mammography. That is why breast MRI is recommended only in combination with other tests, such as mammogram or ultrasound.
Screening mammography remains the only clinically proven imaging modality shown to reduce mortality from breast cancer. While screening mammography has improved the detection of breast cancer, it still has several limitations as a screening test in young women, women with dense breasts, and in BRCA mutation carriers, where mammography sensitivity can be lower. Multiple studies have evaluated screening breast magnetic resonance imaging MRI in women at the highest risk of breast cancer in an effort to address some of these mammographic limitations.