Which exam is best for supplemental imaging of women with dense breast tissue?

Example of the four types of breast tissue density. The density of fibroglandular tissue inside the breast impacts the ability to easily see cancers. Cancers are very easy to spot in fatty breasts, but are almost impossible to find in extremely dense breasts. These examples show craniocaudal mammogram findings characterized as almost entirely fatty (far left), scattered areas of fibroglandular density (second from left), heterogeneously dense (second from right), and extremely dense (far right). RSNA

Example of the four types of breast tissue density. The density of fibroglandular tissue inside the breast impacts the ability to easily see cancers. On X-ray mammography, cancer and dense breast tissue both appear as white and can hide smaller cancers on 2D mammography. Dense breasts are also a risk factor for cancer. Cancers are very easy to spot in fatty breasts, but are almost impossible to find in extremely dense breasts. These examples show craniocaudal mammogram findings characterized as almost entirely fatty (far left), scattered areas of fibroglandular density (second from left), heterogeneously dense (second from right), and extremely dense (far right). Read more. Image courtesy of RSNA

It is widely agreed that women with dense breast tissue should undergo supplemental imaging in addition to their routine mammogram screening, but the jury is still out on which modality is best for cancer detection in this group. 

Design by Adaptive Theme