Breast Density: Where Are We Now?

Radiol Clin North Am. 2024 Jul;62(4):593-605. doi: 10.1016/j.rcl.2023.12.007. Epub 2024 Mar 7.

Abstract

Breast density refers to the amount of fibroglandular tissue relative to fat on mammography and is determined either qualitatively through visual assessment or quantitatively. It is a heritable and dynamic trait associated with age, race/ethnicity, body mass index, and hormonal factors. Increased breast density has important clinical implications including the potential to mask malignancy and as an independent risk factor for the development of breast cancer. Breast density has been incorporated into breast cancer risk models. Given the impact of dense breasts on the interpretation of mammography, supplemental screening may be indicated.

Keywords: Breast cancer risk; Breast density; Dense breasts; Supplemental breast cancer screening.

Publication types

  • Review

MeSH terms

  • Breast Density*
  • Breast Neoplasms* / diagnostic imaging
  • Breast* / diagnostic imaging
  • Female
  • Humans
  • Mammography* / methods
  • Risk Factors