Higher Risk Breast Cancer Screening: Which Test to Use?

Mammography is recommended for average-risk women for breast cancer screening, but choosing additional screening methods can be complex. Factors affecting the decision include cancer detection rates, false-positive findings, and patient risk factors like family history and genetic mutations. Supplemental screening options include digital breast tomosynthesis, ultrasound, and MRI. Studies show that digital breast tomosynthesis improves cancer detection rates while reducing false positives, while MRI is superior for detecting cancers in women with dense breasts. However, MRI can result in more false positives. Different experts have varying opinions on the use of ultrasound and MRI for supplemental screening. It is important to use validated risk models to estimate breast cancer risk accurately.

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