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Screening for Breast Cancer: Imaging Updates.

Manisha Bahl1

  • 1Department of Radiology, Massachusetts General Hospital, Boston, MA, USA; Harvard Medical School, Boston, MA, USA.

Radiologic Clinics of North America
|April 22, 2026
PubMed
Summary

This review covers breast cancer screening guidelines and imaging technologies. It discusses mammography, digital breast tomosynthesis, MRI, supplemental tools, and AI for personalized screening accuracy.

Keywords:
Breast MR imagingBreast cancerDigital breast tomosynthesisMammographyScreening

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Area of Science:

  • Radiology
  • Oncology
  • Medical Imaging

Background:

  • Established breast cancer screening guidelines rely heavily on mammography.
  • Emerging imaging technologies offer potential improvements in detection and risk assessment.
  • Personalized screening approaches are gaining importance in breast cancer management.

Purpose of the Study:

  • To provide a comprehensive overview of current breast cancer screening guidelines.
  • To review the role of established and emerging imaging technologies in breast cancer screening.
  • To explore the impact of artificial intelligence on breast cancer screening.

Main Methods:

  • Literature review of mammography, digital breast tomosynthesis, and MRI.
  • Discussion of supplemental modalities: abbreviated MRI, contrast-enhanced mammography, whole-breast ultrasound, and molecular breast imaging.
  • Exploration of artificial intelligence applications in breast cancer screening.

Main Results:

  • Mammography demonstrates a proven mortality benefit.
  • Digital breast tomosynthesis is widely adopted.
  • MRI is crucial for high-risk populations.
  • Supplemental modalities have specific advantages and limitations.
  • Artificial intelligence shows promise for enhancing screening accuracy and personalization.

Conclusions:

  • Breast cancer screening is evolving with advancements in imaging technology.
  • Supplemental imaging modalities and AI can improve screening outcomes.
  • Personalized screening strategies are the future of breast cancer detection.