OBJECTIVE. The purpose of this study is to describe screening updates for women with average and high risk for breast cancer, compare different screening strategies, and describe new approaches in risk prediction, including radiomics. CONCLUSION. All women are at substantial risk for breast cancer. For women with average risk, annual mammography beginning at 40 years old maximizes the life-extending benefits and provides improved treatment options. Women at higher risk need earlier and more intense screening. Delaying initiation or decreasing frequency of mammographic screening adversely affects breast cancer detection.
Keywords: average-risk women; breast cancer screening; guidelines; high-risk women; screening mammography.