There is a new(ish) type of mammography out. My Dr. told me about it last year. It actually doesn't have the radiation that normal mammography has. And he said that insurance now covers it. I was a little too concerned that it was too new technology. So I turned it down then.
But, a couple months ago, I happened to be at the Evelyn H. Lauder Breast Center at the Memorial Sloan Kettering Cancer Center, and saw an in-depth presentation for this new mammography. It's called
Contrast Enhanced Mammography. This wasn't an outside research study. The Breast Cancer Center at MSK does their own extensive research, trials, treatment and studies as they are in the business to try to fight and beat breast cancer, so they collect, study and use their
own research and results. "According to the rankings of
U.S. News & World Report in its annual Best Hospitals listing, MSK has consistently ranked among the top two cancer hospitals in the U.S. and the top-ranked cancer center in the northeast since these rankings were established more than 30 years ago."
Contrast Enhanced Mammography (CEM) is great for women with dense breasts. "CEM is an advanced digital mammographic technique that uses imaging neovascularity to enable earlier breast cancer detection like MRI, but at a lower cost w/potential for access to a larger number of women." They showed us slides of a regular mammography. Basically with dense breasts, the images look like a white snow storm, or a white sheet of paper. Cancer tumors show up as dark spots. In a "snow storm" one can't pick out anything.
Then they showed the same breast using an ultrasound. Finally we see a dark spot. Definitely (later) diagnosed as a cancer tumor. However, with ultrasound, it's only as precise as the current technology is able to magnify and detect. Spots have to be of a certain size to be
seen.
Then they showed the images of the Contrast Enhanced Mammography. Some of them were split-screen, side by side comparisons next to an ultrasound of the same breast. It's like looking at the same image with regular TV on the sonogram side. The CEM side looked like a super-high definition 4K TV screen, and in terms of clarity and MAGNIFICATION of a tiny area, it was like being seen on one of those super size Jumbotron screens in a sports stadium.
They were able to enhance an image that looked clear in the ultrasound image, with one thinking there is no cancer. Yet the CEM zoomed in to show a dark little DOT the size of a pencil point of cancer shown, way before an ultrasound would detect it. Remember, we usually only go in for a screening once a year. So that dot would be growing all that time
until an ultrasound finally picks it up.
Also, Memorial Sloan Kettering is using AI as a back-up. If the Dr. or CEM technician missed seeing the little pencil dot, the AI technology would point it out. "Look at area 22," for example. Then the Dr, would focus on that area and see the pencil dot of (what turns out to be) cancer.
They are able to successfully treat these cancers
months before they would have been detected on an ultrasound. And zero chance of seeing it on a mammogram until very big.
I'm sold. Will get it this year.
However, do your own research, ask your own doctors. 