The FDA has updated the mammography regulations and now requires that mammography facilities notify patients about the density of their breasts. The amendments incorporate language that specifies how breast density can influence the accuracy of mammography in addition to recommending a discussion with their healthcare professional. The rule goes into effect September 10, 2024. Currently, the ACOG committee opinion states unequivocally that healthcare professionals comply with all laws, although evidence is lacking as to clinical utility and improved outcomes with additional screening and testing.
Non-Dense Breast
Breast tissue can be either dense or not dense
Dense tissue makes it harder to find breast cancer on a mammogram and also raises the risk of developing breast cancer
Your breast tissue is not dense
Talk to your healthcare provider about breast density, risks for breast cancer, and your individual situation
Dense Breast
Breast tissue can be either dense or not dense
Dense tissue makes it harder to find breast cancer on a mammogram and also raises the risk of developing breast cancer
Your breast tissue is dense
In some people with dense tissue, other imaging tests in addition to a mammogram may help find cancers
Talk to your healthcare provider about breast density, risks for breast cancer, and your individual situation
…does not recommend routine use of alternative or adjunctive tests to screening mammography in women with dense breasts who are asymptomatic and have no additional risk factors.
The College strongly supports additional research to identify more effective screening methods that will enhance meaningful improvements in cancer outcomes for women with dense breasts and minimize false-positive screening results.
(A) The breasts are almost entirely fatty
(B) There are scattered areas of fibroglandular density
(C) The breasts are heterogeneously dense, which may obscure small masses
(D) The breasts are extremely dense, which lowers the sensitivity of mammography
Learn More – Primary Sources:
ACOG Committee Opinion 625: Management of Women With Dense Breasts Diagnosed by Mammography
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