Cover of Understanding Breast Cancer Screening: Mammograms, MRIs, and More

Understanding Breast Cancer Screening: Mammograms, MRIs, and More

Understanding Breast Cancer Screening: Mammograms, MRIs, and More

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Breast cancer remains one of the most common cancers affecting women, but advances in screening are helping detect cancers earlier and improve outcomes. In this episode of Health Matters, host Courtney Allison speaks with Dr. Janice Sung, radiologist and associate division chief of breast imaging at NewYork-Presbyterian and Columbia, about today's breast cancer screening options and how women can better understand their personal screening needs.Dr. Sung explains why annual mammograms remain the foundation of breast cancer screening and reviews current recommendations for when screening should begin. She also discusses how family history, genetic mutations, and breast density can influence both risk and screening strategies.The conversation explores supplemental screening options, including breast ultrasound, MRI, abbreviated MRI, and contrast-enhanced mammography. Dr. Sung explains how these technologies work, why some tests are more sensitive than others, and how newer vascular-based imaging techniques are helping identify cancers earlier.Finally, she discusses the role of artificial intelligence in breast imaging, the move toward more personalized screening approaches, and why staying up to date with recommended screenings remains one of the most effective ways to reduce breast cancer mortality.Chapters00:00 – Why Breast Cancer Screening MattersHow screening helps detect cancer earlier, improves outcomes, and saves lives02:15 – Mammograms, Breast Density, and Screening GuidelinesWhen to start screening, what mammograms can and cannot detect, and how dense breast tissue affects imaging06:00 – Ultrasound, MRI, and New Screening TechnologiesHow supplemental screening works and when tests like MRI, abbreviated MRI, and contrast-enhanced mammography may be recommended09:15 – Genetics, AI, and the Future of ScreeningUnderstanding inherited risk, how artificial intelligence supports breast imaging, and the shift toward personalized screening Key Topics Covered· Breast cancer screening· Mammograms· Dense breasts· Breast density· Breast ultrasound· Breast MRI· Abbreviated MRI· Contrast-enhanced mammography· Breast cancer prevention· Early cancer detection· Breast cancer risk factors· Family history and breast cancer· BRCA mutations· PTEN mutations· Genetic testing· Artificial intelligence in healthcare· AI in breast imaging· Personalized medicine· Women's health· Cancer screening guidelines· Breast imaging· Breast cancer awareness· Screening recommendations· Preventive care Key TakeawayBreast cancer screening saves lives, and today's screening options are more personalized than ever. While annual mammograms remain the foundation of screening for most women beginning at age 40, factors such as breast density, family history, and genetic risk may make additional imaging tests appropriate. Talking with your healthcare provider about your individual risk can help ensure you're getting the screening that's right for you.Doctor BioDr. Janice Sung is a board-certified radiologist specializing in breast imaging. She is an attending radiologist at NewYork-Presbyterian Hospital and professor of radiology at Columbia University Vagelos College of Physicians and Surgeons. Dr. Sung is experienced in all types of breast imaging and breast cancer diagnosis, including mammography, ultrasound, and MRI, as well as image-guided interventional procedures such as stereotactic breast biopsy, ultrasound-guided biopsy, MR-guided biopsy, and radioactive seed placement and wire localizations.Dr. Sung's research focuses on imaging for early breast cancer detection in women who are at intermediate and high risk for developing breast cancer. She has co-authored multiple scientific articles defining groups of women who will benefit from screening that is more intensive than routine, annual mammography. She is frequently invited to lecture on this and other topics in breast imaging. She also trains and supervises residents and fellows in interpreting breast-images and in interventional breast procedures. In recognition of her accomplishments, she has been named a Fellow of the Society of Breast Imaging.Dr. Sung received her medical degree from the State University of New York, Buffalo, and completed a residency in diagnostic radiology at the University of Pennsylvania. She then completed a one-year fellowship in breast and body imaging at Memorial Sloan Kettering Cancer Center.
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