These recommendations aim to provide advice about whether a woman, who has a mammogram that shows dense breast tissue (high mammographic breast density), may need additional tests.

Tests for women with high breast density

In the context of an organised screening programme, for asymptomatic women, with high mammographic breast density, the ECIBC's Guidelines Development Group (GDG) suggests:

  • screening with either digital breast tomosynthesis (DBT) or digital mammography
    (conditional recommendation, very low certainty of the evidence)
  • not implementing tailored screening with both DBT and digital mammography
    (conditional recommendation, very low certainty of the evidence)
  • not implementing tailored screening with magnetic resonance imaging (MRI)
    (conditional recommendation, very low certainty of the evidence)
  • not implementing tailored screening with automated breast ultrasound system (ABUS)
    (conditional recommendation, very low certainty of the evidence)
  • not implementing tailored screening with hand-held ultrasound (HHUS)
    (conditional recommendation, low certainty of the evidence)