People at increased risk of breast cancer may benefit from a screening approach that differs from average-risk screening. Your HRBC plan is individualized and based on your risk factors, medical history, and (when applicable) genetic test results.
Why high-risk screening can be different
- High-risk screening may include breast MRI in addition to mammography for eligible patients.
- Some patients may have imaging at different intervals (for example, alternating modalities across the year).
- Recommendations are personalized to balance benefits, limitations, and patient preferences.
Typical modalities discussed
- Mammography (often with 3D/tomosynthesis when available)
- Breast MRI (for eligible patients)
- Breast ultrasound (in selected circumstances)
If MRI is not possible
If MRI is contraindicated (for example, due to certain implants) or not tolerated, your care team will discuss other appropriate screening approaches based on your individual risk profile.
Risk-reduction options
Risk-reduction is personalized and may include one or more of the following:
Lifestyle-based strategies
- Physical activity and exercise counselling
- Weight management support
- Limiting alcohol intake
- Smoking cessation support
- Nutrition counselling when appropriate
Medications (Endocrine Prevention)
Some patients may benefit from medications that can reduce breast cancer risk. Eligibility depends on factors such as menopausal status, personal risk profile, and potential side effects. This will be discussed with you in detail.
Surgical risk reduction
For selected individuals with very high inherited risk, surgical risk-reduction options may be discussed. Referrals to breast surgery, plastic surgery, and/or gynecology are coordinated as appropriate.
This page provides general information and does not replace medical advice. Your plan is individualized.
