|Age (yrs) to Start Mammography||Age to Stop Mammography||Mammography Interval|
|ACR/SBI||40a||No age limit, tailor to individual health status||Annual|
|ACS||45, option to start at age 40||When life expectancy is < 10 years||Annual 45-54; Every 1 or 2 years 55+|
|ACOG||Offer at 40, not later than 50||Age 75, then shared decision making||Every 1 or 2 years|
|ASBrS||40||When life expectancy is < 10 years||Annual|
|NCCN||40||Upper age limit for screening is not yet established||Annual|
|USPSTF||40||74 years||Every 2 years
Rev. May 2023
aBlack, Hispanic, and Asian women have peak incidence of breast cancer in their 40s and should begin screening at least by age 40 [1, 2].
1. Monticciolo DL, Newell MS, Moy L, Niell B, Monsees B, Sickles EA. Breast Cancer Screening in Women at Higher-Than-Average Risk: Recommendations from the ACR. J Am Coll Radiol 2018; 15:408-414;
2. Stapleton SM, Oseni TO, Bababekov YJ, Hung Y, Chang DC. Race/Ethnicity and Age Distribution of Breast Cancer Diagnosis in the United States
American College of Radiology (ACR)/Society of Breast Imaging (SBI)
Lee CS, Monticciolo DL, Moy L. Screening Guidelines Update for Average-Risk and High-Risk Women. AJR Am J Roentgenol 2020; 214:316-323
Monticciolo DL, Newell MS, Moy L, Niell B, Monsees B, Sickles EA. Breast Cancer Screening in Women at Higher-Than-Average Risk: Recommendations from the ACR. J Am Coll Radiol 2018; 15:408-414
See also: Breast Cancer Screening in Women at Higher-Than-Average Risk: Recommendations from the ACR, 2018
ACR Appropriateness Criteria ® Breast Cancer Screening, J Am Coll Radiol 2017;14:S383-S390.
American Cancer Society (ACS)
Oeffinger KC, Fontham ET, Etzioni R, et al. Breast Cancer Screening for Women at Average Risk: 2015 Guideline Update from the American Cancer Society. JAMA. 2015;314(15):1599-614.
American College of Obstetricians and Gynecologists (ACOG)
American Medical Association (AMA)
American Society of Breast Surgeons (ASBrS)
National Comprehensive Cancer Network (NCCN)
NCCN Guidelines Breast Cancer Screening and Diagnosis Guidance PDF v.1.2019, 2/24/20
U.S. Preventive Services Task Force (USPSTF)