Who Decides? Understanding Breast Screening Guidelines and the Experts Behind Them
When it comes to breast cancer screening, you might wonder—who decides when I should get a mammogram or whether I need additional screening? The answer isn’t always straightforward. There isn’t just one rulebook. Several expert organizations review the latest research and publish their guidelines, and sometimes those recommendations differ.
These groups may not always agree, but they each play an important role in guiding care and shaping screening practices. Some doctors follow one set of guidelines, while others follow another, so it’s helpful to understand who’s who and what they recommend.
Here are four of the most influential groups:

U.S. Preventive Services Task Force (USPSTF)
Who they are: An independent panel of experts in prevention and primary care. Their recommendations are often used by primary care providers and insurers.
What they do: Review evidence to make recommendations about preventive services, such as mammograms.
Latest Breast Screening Recommendation:

National Comprehensive Cancer Network (NCCN)
Who they are: A group of leading cancer centers that work together to create cancer care guidelines, often used by specialists.
What they do: Develop in-depth guidelines that cover everything from risk assessment to treatment for patients and providers.
Latest Breast Screening and Risk Assessment Guidelines:

American College of Radiology (ACR)
Who they are: A leading organization of radiologists, the doctors who read and interpret imaging like mammograms, ultrasounds, and MRIs.
What they do: Provide detailed screening recommendations, often more aggressive for women with dense breasts or other risk factors.
Latest Breast Screening Guidelines:


