Breast Cancer Screening Guidelines

New evidence-based patient-facing breast cancer guidelines from the National Comprehensive Cancer Network (NCCN) call for annual mammograms for all average-risk women over the age of 40 years. This simplifies the message, says the NCCN. Read the NCCN article

Elizabeth Wende Breast Care follows the American College of Radiology/Society of Breast Imaging (ACR/SBI) breast cancer screening guidelines highlighting the importance of annual screening for all women.


  • Starting screening at 40 for all women
  • The benefit of a risk assessment by 30
  • Addressing underserved and overlooked populations, including transgender people and minority women

Average Risk Women

  • All women should have a discussion with their primary care physician regarding their breast cancer risk by age 30
  • Yearly screening mammograms starting at age 40

High-Risk Women

  • Women with a strong family history of breast cancer or genetic mutation may benefit from starting screening earlier than age 40
  • Consult your physician about when to start mammography & if any additional imaging is needed, such as a high-risk breast MRI

Women aged 75 and Older

Breast Self-Awareness

  • Learn to identify possible changes in your breasts
  • Continue yearly check-ups & clinical breast exams by healthcare providers

Benefits of Screening Mammography


New NCCN Guidelines for Mammography: All Women Over 40

Breast Cancer Screening Recommendations Inclusive of All Women at Average Risk: Update from the ACR and Society of Breast Imaging (June 2021).

Mammography Saves Lives (Society of Breast Imaging/American College of Radiology website)

The American Society of Breast Surgeons’ position statement

Breast Cancer Screening in Women at Higher-Than-Average Risk: Recommendations From the ACR

Screening Guidelines Comparison Sheet  (dense

The Fundamental Flaws of the Canadian National Breast Screening Study (CNBSS) Trials: A Scientific Review