[Breast cancer screening imaging: what do we do].

Area of Science:

• Oncology
• Radiology
• Medical Imaging

Background:

• Breast cancer screening aims to detect malignancies early.
• Various imaging modalities exist, each with specific applications.
• Evidence-based guidelines evolve with new research.

Purpose of the Study:

• To assess the efficacy of different breast imaging techniques.
• To define the role of each modality in individual and mass screening.
• To review randomized studies on digital mammography and ultrasound screening.

Main Methods:

• Review of randomized controlled trials on digital mammography and ultrasound.
• Analysis of data regarding screening effectiveness across different age groups and risk factors.
• Comparison of diagnostic accuracy and clinical utility of various imaging methods.

Main Results:

• Analog and digital mammograms are validated for women aged 50-74.
• Ultrasound offers additional value for moderate-risk individuals.
• MRI is the preferred method for high-risk (genetic/familial) cases, alongside conventional imaging.
• Individual screening recommendations vary by age and risk profile.

Conclusions:

• Tailoring breast cancer screening to individual risk factors and age is crucial.
• Mammography and ultrasound are key tools for average-risk populations.
• MRI plays a vital role in high-risk screening protocols.
• Personalized screening strategies improve early detection and outcomes.