Radiology Groups Push Back on New Cancer Screening Guidelines
Radiology groups say the ACP's new screening recommendations conflict with nearly every major cancer organization and could cost thousands of lives annually.
By
Kerri Miller
April 17, 2026
Clinical Scorecard: Radiology Groups Push Back on New Cancer Screening Guidelines
At a Glance
Category Detail
Condition Breast Cancer Screening
Key Mechanisms Screening recommendations and guidelines for breast cancer detection.
Target Population Average-risk, asymptomatic women aged 40 and older.
Care Setting Outpatient radiology and primary care settings.
Key Highlights
ACR and SBI criticize ACP's biennial screening recommendation for ages 50-74. Annual screening starting at age 40 is supported by multiple cancer organizations. Concerns raised about the potential increase in breast cancer deaths due to ACP guidelines. Disagreement over the adequacy of digital breast tomosynthesis for women with dense breasts. Claims of overdiagnosis and false positives in screening are contested by radiology groups.
Guideline-Based Recommendations
Diagnosis
Annual screening mammograms starting at age 40.
Management
Follow guidelines from ACR, SBI, and other major cancer organizations.
Monitoring & Follow-up
Regular assessment of screening outcomes and breast cancer death rates.
Risks
Potential increase in breast cancer mortality if biennial screening is adopted.
Patient & Prescribing Data
Women aged 40 and older, average-risk, asymptomatic.
Emphasis on annual screenings to reduce mortality rates.
Clinical Best Practices
Adhere to annual screening guidelines as recommended by ACR and SBI. Consider individual patient risk factors, including breast density.
References