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.

Additional tests for high mammographic breast density

In the context of an organised screening programme:

  • for asymptomatic women
  • with high mammographic breast density
  • and a negative mammography

The ECIBC's Guidelines Development Group (GDG) suggests:

  • screening with digital breast tomosynthesis (DBT) or mammography screening alone
    (conditional recommendation, 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)
  • not implementing tailored screening with magnetic resonance imaging (MRI)
    (conditional recommendation, very low certainty of the evidence)

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