Home WHAT ARE THE PROS AND CONS OF BREAST CANCER SCREENING?
Breast cancer screening saves lives. According to the Canadian Cancer Society, the death rate from breast cancer has been declining since the 1980s. This is thanks to earlier detection from regular mammogram screening and improvements in breast cancer treatment.
Mammography is a type of X-ray exam that takes an image of the inside of the breasts – called a mammogram. It’s the best way to detect breast cancer in its early, most treatable stage because it provides a detailed look at the internal structure of breast tissue in both men and women and can reveal changes that are too small to feel. A mammogram can be used for diagnostic concerns and for screening purposes.
Diagnostic mammography is performed if there are symptoms of a breast abnormality, while screening mammography occurs when there is no obvious breast abnormality and no signs of breast cancer. Having regular screening mammograms makes it easier to compare the images year after year and to see changes within the breast that might indicate cancer.
Screening mammograms are mostly performed on women; men generally receive a diagnostic mammogram if imaging is needed to investigate for any new concerns. Some men who are considered high risk because of a genetic predisposition are encouraged to undergo regular screening. Many women start having regular screening mammograms every year at about age 40.
Mayfair Diagnostics recommends screening mammography every year from age 40 to 49, then every two years between age 50 and 75, if there are no risks factors that would necessitate a shorter interval. After age 75, screening frequency will depend on a number of factors, including your medical history.
Across Canada the recommended age to start screening and the recommended screening intervals differ by province. Most provincial and federal breast screening guidelines are based on an evaluation of whether the benefits of regular screening mammograms outweigh the potential harms.
Mayfair’s recommendations for breast screening are aligned with the Canadian Association of Radiologists.
When deciding between the benefit of early detection of breast cancer and the potential harms associated with breast screening there are two main harms that are often considered. The first is radiation exposure and the second is overdiagnosis.
Many women are concerned about the cumulative effects from radiation exposure during a mammogram. However, mammograms require a very small dose of radiation – the same amount of radiation as every person receives from the earth’s natural background radiation over six months. Since the risk of harm from this amount of radiation exposure is low compared to the prognosis when breast cancer is detected early, many women decide the benefit outweighs the risk.
Overdiagnosis includes unnecessary treatment of cancer that would not have caused harm in a woman’s lifetime, as well as the physical and psychological consequences of false positives. Current research puts the risk of overdiagnosis at 10 percent, compared to research that shows not participating in screening mammography leads to a 60 percent higher chance of dying from breast cancer.
Early detection is the primary reason for screening. When breast cancer is detected through imaging and before it is clinically apparent (e.g., palpable lump), it’s more likely to be small and more easily treated. Small cancers detected early can be removed and breast conserving surgery can be performed. Additionally, small cancers often do not require chemotherapy or radiation therapy.
Factors that can increase the risk of developing breast cancer include women with a personal history of, or one or more first-degree relatives (parent, sibling, child) diagnosed with, breast or ovarian cancer; women who are carriers of gene mutations, such as BRCA1 or BRCA2, or have a first-degree relative with these gene mutations; and women who have had chest radiation therapy before age 30 or within the past eight years.
Women with these risk factors are considered high risk and may be encouraged to start screening earlier and more frequently.
Increasingly, breast density is being recognized as a significant risk factor. Dense breast tissue refers to how it appears on the mammogram based on the mix of fatty and fibrous tissue. Women with very dense breasts may require a more personalized screening approach than what is recommended for the general population. This may include both mammography and ultrasound exams.
While the recommendations differ and can be confusing, the ultimate decision rests with women. Understanding the risks and benefits of regular mammogram screening and speaking with your doctor about your medical history, is an important first step to decide what’s right for you.
Mayfair Diagnostics has 14 locations which offer mammography exams, and except for our Coventry Hills all of them use the Senographe Pristina mammography system – which helps provide a more comfortable mammogram. Visit our breast imaging page for more information.
REFERENCES
Alberta Health Services (2021) “Breast Screening.” www.screeningforlife.ca. Accessed October 1, 2022.
Canadian Association of Radiologists (2016) “CAR Practice Guidelines and Technical Standards for Breast Imaging and Intervention.” www.car.ca. Accessed October 1, 2022.
Canadian Cancer Society (2018) “Breast cancer statistics.” www.cancer.ca. Accessed October 1, 2022.
Coldman, A., et al (2014) “Pan-Canadian Study of Mammography Screening and Mortality from Breast Cancer.” Journal of the National Cancer Institute. November 2014, 106 (11).
Monticciolo, Dr. et al. (2018) “Current Issues in the Overdiagnosis and Overtreatment of Breast Cancer.” American Journal of Roentgenology. February 2018, 210 (2). Accessed October 1, 2022.
Tabar, L., et al. (2019) “The incidence of fatal breast cancer measures the increased effectiveness of therapy in women participating in mammography screening.” Cancer. Accessed October 1, 2022.
Radiologists are specialized physicians who interpret diagnostic imaging to diagnose and monitor a wide range of medical conditions. At Mayfair Diagnostics, they review X-ray, ultrasound, CT, and MRI studies, among others, analyzinsg images in detail and providing comprehensive reports and clinical recommendations to referring physicians. They collaborate closely with technologists and clinic teams to guide imaging protocols, ensure quality and radiation safety standards, and may perform image-guided procedures such as biopsies or injections. Through their expertise and teamwork, radiologists play a key role in accurate diagnosis, effective treatment planning, and improved patient outcomes.
Administrative professionals support the organization across human resources, marketing, operations, strategic partnerships, finance, information technology, and infrastructure. From recruiting staff to promoting services and improving workflows, they help ensure smooth operations and positive experiences for employees and patients. Through collaboration with clinical and support teams, they provide essential coordination that enables efficient, high-quality service.
Diagnostic Imaging Assistants (DIAs) support clinic operations and help ensure a positive patient experience. They assist staff by greeting and preparing patients, confirming information, coordinating appointments, and guiding patients through their visit. DIAs also maintain exam rooms, manage documentation, and ensure supplies and equipment are ready. Through strong customer service, attention to detail, and teamwork, they help create a safe and organized environment.
Patient Experience Coordinators (PECs) are the first point of contact, scheduling exams and ensuring accurate patient information. They communicate clearly with patients, coordinate with care teams, and support a smooth, confidential, and customer-focused experience.
Nuclear Medical Technologists perform diagnostic nuclear medicine procedures involving sensitive and highly personal patient circumstances. They are responsible for delivering the highest standard of care in a professional, compassionate, and patient-centered manner, in accordance with provincial regulatory requirements, CAMRT standards, and Mayfair policies and guidelines.
Computed Tomography (CT) Technologists operate CT imaging equipment to produce detailed cross-sectional images of the body that assist in diagnosing a wide range of medical conditions. They prepare and position patients for scans, ensure safety protocols are followed, and administer contrast agents when required. CT technologists work closely with radiologists to ensure high-quality diagnostic images are obtained, while providing clear communication and compassionate care to support patient comfort throughout the procedure.
Magnetic Resonance Imaging (MRI) Technologists operates MRI scanners to produce detailed images of internal body structures used to assist in medical diagnosis and treatment planning. They are responsible for preparing and positioning patients, ensuring all safety protocols are strictly followed due to the strong magnetic field, and obtaining high-quality images as directed by radiologists. MRI technologists combine technical expertise with patient care, providing clear communication and support to ensure a safe, comfortable, and efficient imaging experience.
Diagnostic Medical Sonographers perform ultrasound exams to help diagnose and monitor medical conditions. Following Sonography Canada standards and Mayfair Diagnostics protocols, they capture accurate images while ensuring patient safety, comfort, and confidentiality. They work with radiologists and clinical teams to review requisitions, prepare patients, perform scans, and document findings, contributing to accurate diagnoses and a positive patient experience.
Medical Radiation Technologists (MRTs) perform x-ray, mammography, and BMD exams while ensuring patient safety, accuracy, and compassionate care. They also may assist in pain therapy procedures. MRTs verify patient information, explain procedures, position patients, and produce high-quality images. MRTs follow professional standards and protocols, maintaining strict radiation safety, quality assurance, and patient privacy while supporting a positive patient experience.
We foster a supportive and collaborative culture designed to encourage positive patient experiences and build strong working relationships across the organization:
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EXCELLENCE
We share a commitment to high quality and excellence in all that we do. This commitment calls on all of us to achieve the very best of our capabilities and exceed our own expectations.
CURIOSITY
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COLLABORATION
Our team is supportive of each other’s efforts; we are loyal to one another; and we care for one another both personally and professionally. We promote and support a diverse, yet unified, team. We work together to meet our common goals across Mayfair clinics, locations, and geographies. Only through collaboration on ideas, technologies, and talents can we achieve our mission and vision.
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Join Mayfair Diagnostics, recognized as one of Western Canada’s premier medical imaging organizations. With a century-long legacy and headquartered in Calgary, Alberta, Mayfair Diagnostics is dedicated to assisting patients in achieving clarity regarding their health.
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