Annals On Call Podcast Annals On Call Podcast

Breast Cancer Screening: Guidance From the American College of Physicians

Jun 15, 2026 · 24m

Summary

Host Dr. Bob Centor and guest Dr. Carolyn Crandall discuss the American College of Physicians’ updated guidance on breast cancer screening for average-risk women. They outline age-specific recommendations, including shared decision-making for ages 40-49 and 75+, and biennial mammography for ages 50-74. The episode also addresses supplemental digital breast tomosynthesis for dense breasts, clarifying why it is preferred over ultrasound or MRI.

Topics discussed

Introduction and guest overview Methodology for selecting guidelines Target population: average risk females Screening recommendations for ages 40-49 Screening recommendations for ages 50-74 Screening recommendations for ages 75+ Supplemental imaging for dense breasts Biennial vs annual screening debate Shared decision making and conclusion Bob's Pearls summary and closing
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