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
Listen ad-free on Castria