We are fortunate in the UK to have the NHS Breast Screening Programme, which invites women aged 50–71 for a mammogram every three years. Regular screening undoubtedly saves lives and remains extremely important.
However, breast screening is not one-size-fits-all.
At Courtfield Private Practice, we believe breast screening should be personalised according to each woman’s individual risk factors, breast density, family history and age. For many women, this may mean starting screening earlier, being screened more frequently, or having additional imaging alongside a mammogram, which can be achieved with private mammograms.
Why Some Women Need More Than Standard Screening
A standard NHS mammogram is a good screening tool, but there are important limitations:
– it is 2D rather than 3D (3D scanners/tomosynthesis produce more detailed images)
– it doesn’t comment on breast density (a very important feature – see why below)
– it starts at age 50 whereas at Courtfield we recommend that breast screening starts at age 40
– it takes place every 3 years whereas at Courtfield we recommend more frequent screening
Women with higher risk factors may benefit from:
- Earlier breast screening
- Annual rather than three-yearly mammograms
- Breast ultrasound in addition to mammography
- Breast MRI in selected higher-risk patients
The Advantages of Private Breast Screening
1. 3D Mammography (Tomosynthesis)
Most private breast screening centres offer 3D mammography rather than traditional 2D imaging.
3D mammograms provide more detailed images of the breast and can improve cancer detection rates, particularly in women with dense breast tissue. They may also reduce the likelihood of unnecessary recall appointments.
2. Breast Density Reporting
One of the most important differences in private screening is that breast density is routinely assessed and reported.
Dense breast tissue matters for two reasons – how we screen and how often we screen:
- Dense breasts can make mammograms harder to interpret, meaning mammograms can occasionally miss lesions in women with dense breast tissue. Women with dense breasts should therefore have an ultrasound in addition to a mammogram each time they go for their breast screening.
- Women with dense breasts have a higher risk of developing breast cancer compared with women with less dense breast tissue and so should have annual breast screening.
When Is a Breast MRI Needed?
Some women with particularly high-risk profiles — such as a strong family history or certain genetic risk factors — may benefit from breast MRI in addition to mammography and ultrasound.
MRI is not necessary for everyone, but it can be a valuable additional tool in selected patients.
A More Personalised Approach to Screening
Breast screening should not simply be about reaching the age of 50 and attending a scan every three years. The most appropriate screening plan depends on the individual.
At Courtfield Private Practice, we take a personalised approach to preventive healthcare and breast screening, helping patients understand:
- Their individual risk factors
- Whether earlier or more frequent screening may be appropriate
- Which imaging tests are most suitable for them
- How breast density may affect screening recommendations
Please don’t hesitate to come and see us for an appointment if you would like to discuss the above.
