For more information about breast density, risk factors, and options for supplemental screening, go to densebreast-info.org @densebreastinfo.bsky.social @bcrfcure.bsky.social
Ultrasound (US) is good for evaluating lumps, but screening US finds fewer cancers than MRI. Contrast-mammography is becoming a good alternative to MRI, but is not yet FDA approved for screening. Any additional screening carries risks of false alarms. densebreast-info.org/for-patients...
Most insurance will now cover additional screening when indicated, as well as additional testing for abnormalities seen on screening. Medicare, Tricare, and VA, however, are exempt from new federal guidelines for ACA-qualified plans. The FindItEarlyAct.org would address these gaps in coverage.
Your specific density category is in the mammogram report sent to your doctor. We recommend adding MRI to mammography for the 7% of women with extremely dense breasts, and for many with heterogeneously dense breasts and other risks (e.g. family history, prior atypical biopsy, prior cancer).
In the USA, your mammogram results letter will say if your breasts are dense or not dense. There are actually four density categories: fatty, scattered, heterogeneously dense, and extremely dense. The latter two are "dense". The denser the breasts, the greater the risk of developing breast cancer.
"Dense" breasts have more glandular tissue (where milk can be produced) than fatty breasts, but all breasts have some of both. You cannot tell density by the way the breasts feel. About 40% of women have "dense" breasts. About 40% of cancers go unseen on a mammogram in dense breasts.
Tag! You're "It"! No you are! Silly Glory and Petunia Australian cattle #rescuedogs!
Here's Glory with a reminder to "Spring forward"! #RescueDogs #PureJoy
New article in @thelancet.com on global health burden from breast cancer, showing 25% of cases are attributable to modifiable risks: high red meat consumption, tobacco use, high blood sugar, high body mass index, alcohol consumption, and physical inactivity. www.auntminnie.com/print/conten...
Grateful to be invited by Texas Radiological Society and Dr. Jay Parikh to give Philip Strax, MD lecture "When is Mammography Not Enough?" Risk assessment should be performed in all women by age 25, esp. if Black, Hispanic, Asian, or Ashkenazi Jewish heritage, may need to start MRI at age 25-30.
The persistence of croci is inspiring! First spottings today, 26th Feb, after multiple snow storms.
Article just out in Journal of Breast Imaging detailing our experience with iodinated contrast reactions in women having contrast-enhanced mammography: more frequent at first exposure and usually mild, but new reactions happen every year and can be delayed up to one week. doi.org/10.1093/jbi/...
AI shows great promise in reducing double reading of mammograms in Europe, improving cancer detection and reducing symptomatic breast cancers in the interval before the next screening. See commentary in @dximaging-mjh.bsky.social www.diagnosticimaging.com/view/leading...
Getting lots of "help" digging out from the snow from our rescue pups! #Snowzoomies
Miss January, Glory.
Birthplace: San Antonio, TX, now residing in the suburbs of Pittsburgh, PA.
Miss January loves long walks with her sisters, playing frisbee in the snow, belly rubs, going "all in" to initiate play, and bicycling with her front paws in the couch. No kisses at bedtime, though.
Dancing with the Stars has got nothing on Petunia and Glory rescue pups!
I enjoyed this open letter from Minnesota to Denmark, tongue-in-cheek and I wish it did not need to be said.... apple.news/A-ZzQQlhUSVK...
Excellent article by @hcrichardson.bsky.social excerpted from March 24, 1945 US War Department pamphlet explaining fascism. "If we permit discrimination, prejudice, or hate to rob anyone of his democratic rights, our own freedom and all democracy is threatened." open.substack.com/pub/heatherc...
C'mon sis, play with me....(sound on)
When is a mammogram not enough? Risk assessment should be done for all women by age 25, esp. if family history. All women should start screening by age 40; start earlier and with MRI if high risk. Read more... www.futureofpersonalhealth.com/breast-healt...
Happy New Year and happy snow frisbee from Glory!
Good discussion of our research results presented at #RSNA2025 @rsnasky.bsky.social showing that adding 3D mammography (tomosynthesis) to contrast mammography reduces false alarms, maintains better detection of small invasive breast cancers. dailybulletin.rsna.org/2025/wed/wed14
Thank you especially to @jeremymberg.bsky.social foryour support over 41 years and for all your efforts to preserve and protect all scientific, data-based endeavors.
Deeply humbled to be receiving the Society of Breast Imaging Gold Medal, announced at #RSNA2025. Thank you to all who collaborated, supported, and participated in our research to improve early detection of breast cancer. @densebreastinfo.bsky.social @bcrfcure.bsky.social
Saw these photogenic "turkey tail" mushrooms growing in our yard, which seemed appropriate today! Happy Thanksgiving to all. Cherish those you love.
I love Glory's sense of anticipation! #Rescue pup #AustralianCattleDog #BorderCollie mix
Thank you for your comment. The Find It Early Act only addresses screening and diagnostic testing, not surgery. Most states have programs for underinsured or uninsured women of limited means to help with surgery, but I think they vary on coverage of reconstruction if done as a preventive measure.
Enjoyed this @thedailyshow.com satire on health care under RFK Jr. Critical reasoning skills are more important than ever. With all its minor flaws, I'll take scientific evidence over hyperbole. www.youtube.com/watch?v=HoMO...
"Find It Early Act" reintroduced into Congress on 11/20; requires insurance to cover costs of recommended breast cancer screening (including MRI when needed) AND diagnostic testing with no cost sharing. Cost remains a barrier. Write your congressperson in support! delauro.house.gov/media-center...
This seems a well-reasoned article on important topics including grant funding, elite institutions and individuals, and conflicts of interest--worth consideration