{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T23:36:20Z","timestamp":1789601780258,"version":"build-2803163510"},"reference-count":42,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T00:00:00Z","timestamp":1770681600000},"content-version":"vor","delay-in-days":40,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,3,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Screening aims to detect breast cancer before it becomes clinically apparent, enabling identification of tumors when they are smaller and have not yet spread and when treatment options are more effective, less invasive, and more affordable. However, screening mammography has known limitations, with breast density being a primary challenge. Denser breast tissue not only increases the likelihood of cancer but also makes tumors harder to detect due to overlapping tissue. Strong evidence now exists to support updating our previous guidelines to recommend supplemental screening beyond mammography for individuals with American College of Radiology category c or d breast density. Supplemental screening methods, such as MRI, contrast-enhanced mammography (CEM), or US (in that order of preference) can significantly improve cancer detection rates. We recognize that implementing these recommendations across Canada will present challenges. Nevertheless, a collaborative effort among radiologists, health care stakeholders, and policymakers is essential to drive gradual, meaningful improvements in breast cancer detection and outcomes.<\/jats:p>","DOI":"10.1093\/jbi\/wbaf064","type":"journal-article","created":{"date-parts":[[2025,9,25]],"date-time":"2025-09-25T12:02:47Z","timestamp":1758801767000},"page":"1-7","source":"Crossref","is-referenced-by-count":2,"title":["Canadian Society Breast Imaging Position Statement on Mammographic Breast Density and Supplemental Screening"],"prefix":"10.1093","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-6365-4398","authenticated-orcid":false,"given":"Zina","family":"Kellow","sequence":"first","affiliation":[{"name":"Dalhousie University , Halifax, Nova Scotia ,","place":["Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5120-9248","authenticated-orcid":false,"given":"Supriya","family":"Kulkarni","sequence":"additional","affiliation":[{"name":"University of Toronto , Toronto, Ontario ,","place":["Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2477-1278","authenticated-orcid":false,"given":"Paula B","family":"Gordon","sequence":"additional","affiliation":[{"name":"University of British Columbia , Vancouver, British Columbia ,","place":["Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0367-2219","authenticated-orcid":false,"given":"Jean M","family":"Seely","sequence":"additional","affiliation":[{"name":"University of Ottawa , Ottawa, Ontario ,","place":["Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,2,10]]},"reference":[{"issue":"5","key":"2026030305343395800_wbaf064-B1","doi-asserted-by":"publisher","first-page":"723","DOI":"10.3390\/pharmaceutics13050723","article-title":"Current state of breast cancer diagnosis, treatment, and theranostics","volume":"13","author":"Bhushan","year":"2021","journal-title":"Pharmaceutics"},{"key":"2026030305343395800_wbaf064-B2","author":"Breast Cancer (Update) \u2013 Draft recommendations"},{"issue":"1","key":"2026030305343395800_wbaf064-B3","doi-asserted-by":"publisher","first-page":"107","DOI":"10.1177\/08465371211025229","article-title":"Digital breast tomosynthesis: potential benefits in routine clinical practice","volume":"73","author":"Kulkarni","year":"2022","journal-title":"Can Assoc Radiol J"},{"key":"2026030305343395800_wbaf064-B4","volume-title":"ACR BI-RADS\u00ae Mammography","author":"Sickles","year":"2013"},{"issue":"4","key":"2026030305343395800_wbaf064-B5","doi-asserted-by":"publisher","first-page":"593","DOI":"10.1016\/j.rcl.2023.12.007","article-title":"Breast Density: Where Are We Now?","volume":"62","author":"Kim","year":"2024","journal-title":"Radiol Clin North Am"},{"key":"2026030305343395800_wbaf064-B6","doi-asserted-by":"publisher","first-page":"62","DOI":"10.1016\/j.breast.2022.09.007","article-title":"Mammographic breast density and the risk of breast cancer: a systematic review and meta-analysis","volume":"66","author":"Bodewes","year":"2022","journal-title":"Breast"},{"issue":"3","key":"2026030305343395800_wbaf064-B7","doi-asserted-by":"publisher","first-page":"227","DOI":"10.1056\/NEJMoa062790","article-title":"Mammographic density and the risk and detection of breast cancer","volume":"356","author":"Boyd","year":"2007","journal-title":"N Engl J Med"},{"issue":"2","key":"2026030305343395800_wbaf064-B8","doi-asserted-by":"publisher","first-page":"393","DOI":"10.1038\/sj.bjc.6601548","article-title":"Breast density as a determinant of interval cancer at mammographic screening","volume":"90","author":"Ciatto","year":"2004","journal-title":"Br J Cancer"},{"issue":"5","key":"2026030305343395800_wbaf064-B9","doi-asserted-by":"publisher","first-page":"3595","DOI":"10.3390\/curroncol29050291","article-title":"The impact of dense breasts on the stage of breast cancer at diagnosis: a review and options for supplemental screening","volume":"29","author":"Gordon","year":"2022","journal-title":"Curr Oncol"},{"key":"2026030305343395800_wbaf064-B10"},{"key":"2026030305343395800_wbaf064-B11"},{"issue":"9","key":"2026030305343395800_wbaf064-B12","doi-asserted-by":"publisher","first-page":"902","DOI":"10.1016\/j.jacr.2023.04.002","article-title":"Breast cancer screening for women at higher-than-average risk: updated recommendations from the ACR","volume":"20","author":"Monticciolo","year":"2023","journal-title":"J Am Coll Radiol"},{"issue":"9","key":"2026030305343395800_wbaf064-B13","doi-asserted-by":"publisher","first-page":"1228","DOI":"10.1001\/jamaoncol.2016.6326","article-title":"Breast Cancer Surveillance Consortium. 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