Things to Know About the USPSTF’s New Draft Guidance for Mammograms.   On May 9, 2023, the U.S. Preventive Services Task Force (USPSTF) released new screening mammogram draft guidance for women at average risk of developing breast cancer. The new draft guidance differs from their previous recommendation and aligns more closely with screening recommendations from other leading health organizations — a step in the right direction. Comprised of volunteer subject matter experts and practicing clinicians, the USPSTF reviews the latest in evidence-based medicine and research to make recommendations on public health guidance. The USPSTF draft guidance is now open for public and expert review until June 6 before being finalized later this year. Many breast health experts and advocates are expected to comment to help inform the final recommendation. Here’s what you need to know. What the New USPSTF Draft Guidance Says The newly released USPSTF draft guidance recommends screening mammograms starting age 40 and continuing every other year to age 74 for women with an average risk of developing breast cancer. Additionally, the draft guidance includes a call for more research on breast health disparities among minority women, the benefits of breast cancer screenings for women 75+, and the benefits of supplemental screening specifically for women with dense breast tissue. How USPSTF Mammogram Guidance Has Changed USPSTF last issued guidance about screening mammograms in 2016. At that time, they recommended screening mammograms for women at average risk for breast cancer every other year beginning at age 50. The USPSTF guidelines also recommended that women ages 40 to 49 talk with their providers about their breast cancer risk. In their latest draft guidance, the lowering of the starting age to 40 is now more consistent with the growing body of clinical evidence supporting the benefits of screening earlier. Aligning With Other Recommendations The new draft guidance also brings USPSTF closer to guidelines from other organizations that recommend screening mammograms begin at 40 for women with an average risk for breast cancer. These organizations include: The American College of Obstetricians and Gynecologists (ACOG) The American College of Radiology (ACR) The American Medical Association (AMA) The National Comprehensive Cancer Network (NCCN) The Society of Breast Imaging (SBI) These organizations all recommend annual screening in consultation with a woman’s primary care or OB-GYN physician instead of screening every other year, as proposed by USPSTF. Clinical evidence supports annual screening mammograms have lowered the number of breast cancer deaths in women by 40% compared with less frequent screenings. Recommendations From Experts at Windsong Radiology Remain the Same Charlotte Radiology continues to follow the recommendations of the NCCN and other breast health expert guidelines. We continue to recommend annual screening mammograms starting at 40 for women at average risk for breast cancer as the standard of care because: 1 in 6 breast cancers are diagnosed in women ages 40 to 49. 3D screening mammograms can detect cancer up to three years before you can feel a lump. A mammogram at age 40 provides a baseline that can help detect changes in breast tissue that happen naturally year over year. Breast density — a prevalent risk factor for breast cancer — can only be measured through mammography. Breast cancer detected at stage 0 or stage 1 has a five-year survival rate of nearly 100%. Early detection often means less need for aggressive treatment. Windsong Radiology imaging experts are taking an active role in the USPSTF draft guidance comment process. We support the USPSTF draft recommendation in lowering the screening age to 40, as it will ensure greater access to screening for women and detect more breast cancers earlier. However, we encourage the USPSTF to look closely at the growing body of clinical research and patient experience demonstrating that annual mammograms save more lives. Is it time for your annual mammogram? Click to Request an appointment online or call us at 716-631-2500 today!

Georgia was born in 1957 and is proud of her 50 plus years. What she isn’t so proud of is that she delayed her mammogram an extra year. “Time got away,” she admitted. “It is easy to do.” With dense breast tissue, she knew that 3D mammography was important for diagnosing breast cancer early. What she didn’t know is how her delayed mammogram would impact her life. After two years Georgia took the time to come in for her mammogram at Windsong. The 3D mammogram revealed a suspicious change to her dense breast tissue. A subsequent biopsy led to the dreaded call from the doctor which confirmed that she had breast cancer. ”I had been very healthy my whole life, but everything changed with that 30 second phone call statement,” Georgia recalled. This was not a case of early detection and what followed was a radical mastectomy and the removal of multiple lymph nodes. Her surgery was performed by board certified breast care surgeon, Dr. Michael Peyser. His extensive background in surgical oncology was a huge benefit to Georgia as she entered an aggressive treatment plan of chemo and radiation which required her to be out of work for 7 months. Today Georgia is extremely diligent about getting her exams on a timely basis and she has advice for any woman thinking of putting off her mammogram. “Your life can change drastically with a phone call,” she said. “Just do it every year,” she urges. Many guidelines suggest that women of average risk (above the age of 55) don’t need to get screened annually. This makes Georgia crazy, as she says she is a perfect example of a woman of average risk that waited two years and was then diagnosed with an advanced stage of breast cancer. Georgia wonders how much different her diagnosis and treatment would have been if she came back after a year, and recommends that women take the advice of breast specialists and get screened annually. She reminds everyone that it could save you time, aggressive treatment, and most importantly, your life. Need to schedule a mammogram? Contact Windsong today!

Raja Cheruvu, MD, FACR has been named the new President of Windsong Radiology, succeeding Dr. Thomas Summers effective January 7, 2022. In his role, he will oversee Windsong’s radiology, interventional and vascular services and breast surgery. Read more.