Breast Imaging in Women Over Forty

Purpose of Review: This review explores the growing complexities surrounding breast cancer screening in women aged 40 and older, addressing controversies, recent guideline changes, and disparities in access and outcomes. The aim is to provide comprehensive insights into the benefits, risks, and barriers associated with mammography in this demographic. Recent Findings: There are shifting recommendations from organizations like the USPSTF, now advocating for biennial mammograms starting at age 40. Several studies underscore the importance of early screening, particularly for high-risk groups, emphasizing the significant impact on mortality rates and overall survival. Additionally, the COVID-19 pandemic has exacerbated disparities, leading to a concerning decrease in screening rates, especially among women over 40 and minority populations. Summary: This review highlights the need for tailored breast cancer screening strategies for women aged 40 and older, considering individual risk factors, guideline updates, and socioeconomic disparities. It emphasizes the importance of addressing barriers to access and promoting early detection to improve outcomes and reduce breast cancer mortality.