providing the Breast info👩🏻⚕️🎀 cancer advocate, educator, Women’s Imaging fellowship dir. Opinions are mine 🎧 my PODCAST! Girlfriend’s Guide to Breast Ca
Hey med students 👋 I’m a radiologist who is married to a radiologist, & here are 5 reasons you should not sleep on radiology 🩻
1. Choose schedule & level of people interaction
2. Procedures
3. Important member of team
4. SIT IN A DARK QUIET ROOM ALL DAY
5. Salary (google it)
@AdairaLandryMD
Prioritize your breast health. Someone is diagnosed with breast cancer every 2 minutes.
💕Do a monthly self-breast exam.
💕Get an annual mammogram starting at age 40 (or earlier if high-risk).
💕Consider adding ultrasound or MRI if you have dense breast tissue or ⬆️ risk.
5 things I would never do as a Breast
#Radiologist
💝
❌ Skip an annual mammogram
❌ Dismiss someone’s breast symptoms
❌ Say “you’re too young to get breast cancer 🚫
❌ Recommend mammography at age 50, every 2 years, & stopping at age 74
❌ Get a thermogram
#radtwitter
#bcsm
Annual screening mammography saves the most lives‼️
Anything else prioritizes anxiety >> early breast cancer detection.
Give us the most life-saving info & let us decide how often to show & what we’re anxious about?
We’re big girls, we can handle it.
OUR BOOBS, OUR CHOICE 💕
Women with dense breast tissue may benefit from supplemental imaging such as breast ultrasound or MRI depending on risks
Supplemental imaging has been shown to significantly increase sensitivity up to 90-95% when combined with digital mammography in women with dense breasts👩⚕️
This. 🥹💕 thank you
#AngelinaJolie
for continuing to use your platform to educate everyone about the importance of risk reduction & early cancer detection with supplemental screening.🫶
@TODAYshow
#earlydetectionsaveslives
dr. mom & dad go to school 🩻👩🏻⚕️👨🏻⚕️ the Drs. Roth presented
#Radiology
101 at Science Matters Day. I took on K cutie & friends, & hubs took 2nd grader (as long as he “wasn’t cringy”) 🤣 The reviews are in. “Cool, not cringy. 2nd fave after Mad Science which can’t be beat.”
Congrats to the
#radiology
residents who matched into breast fellowship!
Sadly our breast imaging program didn’t match for 2023/2024, but I know there’s an awesome radiologist out there who’s looking for a career change & would be the perfect fit.💕
If that’s you, let’s chat!👋
This year, prioritize your breast health.
💕Do a monthly self-breast exam
💕Get an annual mammogram starting at age 40 (earlier if high-risk)
💕Consider adding ultrasound or MRI if you have dense breast tissue or ⬆️ risk
Early detection is the BREAST protection. 💫
Hey
#USPTF
and
@AmericanCancer
- can we all just agree that starting annual screening mammography at age 40 save the most lives? 🎀
Present the facts & let US decide whether or not to get a mammogram.
OUR LIVES MATTER.💕
Sincerely,
a 40-year-old breast cancer specialist
Favorite
@BreastImaging
recommendation:
“All women, especially black women & those of Ashkenazi Jewish descent, should be evaluated for breast cancer risk 𝗻𝗼 𝗹𝗮𝘁𝗲𝗿 𝘁𝗵𝗮𝗻 𝗮𝗴𝗲 𝟯𝟬”
Women at high risk may benefit from earlier &/or supplemental screening
@Murrayrebner
High-risk breast lesions now have a new name: BENIGN WITH UPGRADE POTENTIAL (BWUP) 🎀
Include:
Atypical ductal/lobular hyperplasia
LCIS
Flat epithelial atypia
Phyllodes
🚫 no longer include radial scar/complex sclerosing lesion & papilloma
Here we go!!
Catch me on Good Day Philadelphia on Fox 29 Philly at 8:05 am to discuss the new
#usptf
#breastcancer
screening recommendations & why they don’t go far enough. 💕
Highlight of
@BreastImaging
conference: sitting down with
@DrDkopans
for our podcast!🙌
We talked about the importance of screening mammography for women in their 40s, the future of breast imaging, and advice to young radiologists.💕
Can’t wait for you to 🎧!
#radtwitter
#bcsm
This is a picture of me on
#matchday
2008, shortly after receiving my 1st choices for internship & radiology residency.
Little did I know that I would transfer programs 2 years later for a husband I hadn’t met yet.
Just a reminder that you choose your own path. Good luck! 🍀
Good morning from Savannah! Coming to you live from the
@BreastImaging
conference 💕 we’ll be live tweeting some of what we learned!
If you see us around, come and say hi 👋
#earlydetectionsaveslives
Hey
#USPTF
✨ 1 in 6 breast cancers occur in women in their 40s
✨40% of years of life saved by mammography are women in their 40s
✨about 30,000 women a year are diagnosed with
#breastcancer
< age 50
So how could you recommend starting mammography at age 50 EVERY 2 YEARS?!🤯😬
UNDERUTILIZATION OF BREAST MRI💕
Screening breast MRI has ⬆️ in the past decade to 0.4% of adult women.
However, an estimated 9% of U.S. women are eligible for high-risk breast MRI screening.
Thus breast MRI falls short.
@BreastImaging
#bcsm
@Murrayrebner
Catch me tomorrow on
@FOX29philly
to discuss the new
#usptf
breast cancer screening recommendations & why they don’t go far enough. 💕 Set your DVR for 8:05 am!
Also- should I wear the pink suit? 🤩
BREAST IMPLANT ASSOCIATED ANAPLASTIC LARGE CELL LYMPHOMA (BIA-ALCL)💕
• more common in TEXTURED implants
• symptoms: delayed effusion 1-10 years after implant
Diagnosis: aspirate effusion, ✅ for CD30
💫excellent prognosis with removal of implant + capsule w neg margins 🙌
As
#BreastCancerAwarenessMonth
comes to an end, an important reminder that breast cancer ACTION should be year-round. 💕
🌟Get an annual mammogram (& consider MRI/US if appropriate)
🌟Talk to your👩🏻⚕️about risk factors
🌟Do a monthly self-breast exam
BE YOUR BREAST ADVOCATE. 🎀
Most women diagnosed with breast cancer DO NOT have a family history of the disease. (And only 10-15% of breast cancer is inherited.) 💕
So don’t let your lack of family history of breast cancer falsely reassure you. 🎀
KNOW YOUR RISKS.
KNOW YOUR BREASTS.
#feelitonthefirst
me trying to convince every
#medicalstudent
why RADiology is RAD 🩻
But seriously, who WOULDN’T want to be a Radiologist? ☢️👩🏻⚕️
🏷️ a rad doc who needs to 👀 this!
#MedTwitter
#radiology
𝗬𝗼𝘂 𝗮𝗿𝗲 𝗻𝗼𝘁 “𝘁𝗼𝗼 𝘆𝗼𝘂𝗻𝗴” 𝘁𝗼 𝗴𝗲𝘁 𝗯𝗿𝗲𝗮𝘀𝘁 𝗰𝗮𝗻𝗰𝗲𝗿.
Although
#breastcancer
before age 40 is rare, it is the MOST COMMON type of cancer in young adults ages 15-39, accounting for 30% of all cancers in this age group, & 5-6% of breast cancer overall.💕
Cancer doesn’t care if you’re royalty, an actress, or BEYONCÉ’S DAD! 👸🏾🐝
It doesn’t care where you went to school or if you have insurance.
Cancer doesn’t care that you’re busy or have aspirations; a new baby or a bucket list trip planned.
Respectfully, FUCK YOU CANCER. 🎀
Don’t be DENSE about your breast density 🎀💫
Sharing this important message in honor of “Find Out my Breast Densiyy Day,” created by
@mydensitymatter
to educate women worldwide about
#breastdensity
as a risk factor for
#breastcancer
👩🏻⚕️
RT to spread the word! 😘
#densitytime
Laughter is the best medicine.
Unless it’s breast cancer.
Then it’s an individualized treatment plan, which may include surgery, chemo/hormonal therapy, &/or radiation. 🎀
Mammography alone can miss up to 50% of cancers in women with dense breasts.
Adding supplemental ultrasound, breast MRI, or contrast-mammography can increase
#breastcancer
detection rates to 90-95%.
Talk to your doctor if supplemental breast imaging is right for you. 🎀
5 things women in their 20/30s can do to be proactive about breast cancer 💕
1. Get to know your boobs
2. Be your own advocate
3. Talk to your family
4. Learn your risk factors (& consider genetic counseling)🧬
5. Maintain a healthy lifestyle
#MedTwitter
#radtwitter
#bcsm
Benefits of screening w mammography include ⬇️ breast cancer mortality, years of life lost, & morbidity from tx
5-year breast ca survival rates 🎀
> 99% localized dz
>86% regional dz
27% distant metastatic dz
💕women who get routine mammos ⬇️ their risk of dying from BC by 66%
Starting routine annual screening mammography at age 40 for AVERAGE-RISK WOMEN:
✨saves the most lives
✨leads to the greatest ⬇️ in
#breastcancer
mortality
✨results in most life-years gained
High-risk women should start earlier & consider supplemental imaging💕
Period.
𝐦𝐚𝐦𝐦𝐨𝐠𝐫𝐚𝐦 𝐫𝐞𝐩𝐨𝐫𝐭 𝟏𝟎𝟏 👩🏻⚕️💕 today is
#nationalmammographyday
, but every day is mammography day around here! 😜
Reminder to all women that EᗩᖇᒪY ᗪETEᑕTIOᑎ Iᔕ TᕼE ᗷEᔕT ᑭᖇOTEᑕTIOᑎ ᗩGᗩIᑎᔕT
#breastcancer
Schedule your mammogram today! 🎀
“The CISNET models show that if you wait to begin screening mammography until age 50, there will be approximately 100,000 women who are now in their 30s who will die because they weren’t screened for breast cancer in their 40s.
-Dr. Daniel Kopans on our podcast
Any questions?🎀
Black women have a 4% lower incidence of breast cancer than White women but are 40% more likely to die.
—> face >2 month delay in diagnosis & treatment
—> more likely to be diagnosed at a younger age & with more aggressive subtypes
We need to do better. ✊🏾✊🏽✊🏿
Are You Dense Advocacy, Inc. is proud of the efforts of our co-founder, Joe Cappello and his late wife Nancy, for working with the legislators in Washington so that all U.S. women will now be notified of their breast density. Thank you
@RosaDelauro
. Almost there!!
Due to numerous factors including lack of screening,
#breastcancer
in women < age 40 is often:
•diagnosed at later stages
•more aggressive subtypes
•worse prognosis (lower survival & higher recurrence rates)
LEARN YOUR RISKS.
LEARN YOUR BREASTS.
BE YOUR OWN ADVOCATE.💕
#bcsm
“All women, especially black women and those of Ashkenazi Jewish descent, should be evaluated for breast cancer risk no later than age 30, so that those at higher risk can be identified and can benefit from supplemental screening.” 💕
@RadiologyACR
+
@BreastImaging
#bcsm
👋
@BreastImaging
- make to check out our educational exhibit- “From Shadows to Spotlight: New Role of Breast Radiologists in the Age of Social Media.”
We talk about how we’ve grown our platforms, found our voice, and started a Podcast- and how you can too!
#radtwitter
If you have a family history of breast-cancer in a first-degree relative (mom, sister), start annual screening mammography 🔟 years before the youngest age at diagnosis, but not before age 2️⃣5️⃣.
You may also benefit from supplemental imaging. 💕
@BreastImaging
@RadiologyACR
IMPORTANT LESSONS FROM OLIVIA MUNN’S BREAST CANCER DIAGNOSIS👩🏻⚕️🎀
Breast ca is the most common ca in women <age 45. Olivia was neg for genetic mutation but still high risk (> 20% is high-risk, she was 37% based on family history, first preg > age 30, & prob dense breast tissue).
High-risk breast lesions now have a new name: BENIGN WITH UPGRADE POTENTIAL (BWUP) 🎀
Include:
Atypical ductal/lobular hyperplasia
LCIS
Flat epithelial atypia
Phyllodes
🚫 radial scar, papilloma
Thanks
@PeterEbyMD
for this great lecture!
@BreastImaging
💕
Hey
@AmericanCancer
- the
#selfbreastexam
makes sense 🎀
💕 About 40% of breast cancers are on palpation
💕 Nearly 80% of young women diagnosed with
#breastcancer
find the abnormality themselves
💕 About 5% of breast cancer is diagnosed < age 40
RT if you agree 🙏🏼
@ThanksCancer
More than 250,000 women living with
#breastcancer
in the United States today were diagnosed < age 40;
and nearly 80% of young women diagnosed with breast cancer find their breast abnormality themselves. 💕
LEARN YOUR RISKS.
LEARN YOUR BREASTS.
BE YOUR OWN ADVOCATE. 🎀
bonjour! meet me in montreal at the
@BreastImaging
conference April 11-14! 🎀
Need you cheering me on as I EMCEE THE TALENT SHOW! 🎤📣 stop by the social media help desk every am & say 👋
also montreal recs please! 👇
I am getting my first mammogram tomorrow to celebrate my 40th birthday and the
#scanxiety
is real. 💕
It feels strange because I’ve been discussing both on social media for years, but I’m ready to put my money where my mouth is.👩🏻⚕️
Good vibes welcome! 👊🏼
Great lecture by my mentor Dr.
@emilyconant3
about the use of
#artificialintelligence
in
@BreastImaging
to improve accuracy, efficiency, and offer precision screening🙌
Take-home point:
✨AI will not replace Radiologists;
✨Radiologists who use
#ai
will replace those who don’t👩🏻⚕️
URGENT: if you have breasts or know someone who does, 👀 this‼️
We have 1 WEEK to let the
#USPTF
know why their proposed
#breastcancer
screening recs are a step backwards‼️the public can submit their thoughts on the DRAFT until June 6️⃣ via their website
Did you watch?! NAILED IT! 😅🙏🏻
Missed me on
@FOX29philly
Good Day
#Philadelphia
regarding new breast cancer screening recs? Don’t worry- will share the whole clip later today!
WHAT I LEARNED AT
@BreastImaging
conference: DAY✌️
ONCOPLASTIC RECONSTRUCTION
Tumor is taken out and the native breast tissue is rearranged to fill in the lumpectomy defect +/- autologous fat injections💫
May see fat necrosis after, but keep 👀 open for recurrence
#radtwitter
Good rule of thumb: if you have a family history of breast cancer in a first-degree relative (mom, sister),
start
#breastcancer
screening 🔟 years before their age of diagnosis, but not before age 3️⃣0️⃣ for mammography, or age 2️⃣5️⃣ for MRI 🎀
#BreastCancerAwareness
So proud of Dr. Matt Knouse, our
@CooperHealthNJ
Womens imaging fellow for presenting the FIRST article at the FIRST journal club for the
@BreastRadFellow
🙌
Looking forward to the next one! 💕
@BreastImaging
Between 1989-2014, breast cancer mortality decreased overall by 40%, but only 26% in black women
Some reasons:
⭐️⬇️ access to breast cancer and genetic screening & treatment
⭐️⬆️ aggressive tumors
Takehome: Personalized
#breastcancer
screening needs to factor in
#disparities
🆕 podcast episode: erasing breast cancer | vax facts with the
@pinkeraserproj
🎀
I sit down with cofounders
@kristendahlgren
from NBC & Michele Young to discuss how breast cancer vaccines could be a reality in 5-10 YEARS!
#breastcancer
‼️listen up gen Z, I’m your elder. I was born in the 1900s
💫 all women should have a
#breastcancer
risk assessment starting at age 25, so high-risk women (>20% lifetime risk) can be identified & benefit from earlier & supplemental screening
RT to help spread the word 📣
SOME PROFESSIONAL RISK FACTORS FOR
#burnout
in
#radiology
:
• ⬆️workload
•longer hours
•night shifts/frequent call
•isolation
•undercompensated
•electronic difficulties (PACS/EMR)
•lack of recognition
•recent error
•poor leadership communication
CONTRAST MAMMOGRAPHY IN THE SCREENING SETTING 💕
May be appropriate for:
⭐️ women with LOW & INTERMEDIATE risk with DENSE breast tissue
⭐️ HIGH-RISK women with NON-DENSE TISSUE
⭐️MRI can’t be obtained (patient can’t tolerate MRI, limited MRI access)
@BreastImaging
#breastcancer
a week is not enough! 😘 happy national nurses week to all the incredible nurses out there! thank you for all you do! 🫶🙏🏻
🏷️ your fave nurse(s)!🧑🏻⚕️👨🏻⚕️
(I’ll go first- too many to name but my mom who inspired me to pursue medicine! 🥰)
#NurseAppreciationWeek
#thankyou
Your breast cancer risk changes as you get older & more information comes to light such as family history, interval biopsies, pregnancies, & lifestyle changes.
Your breast cancer risk score should be revisited every 5-10 years. 💫
Mammogram Guidelines Don’t Go Far Enough — But You Can Change That
#kcm
👀 my essay in today's
@katiecouricmedia
Wake-Up Call newsletter why the PROPOSED breast cancer screening recommendations don’t go far enough, but we can change them before MIDNIGHT‼️
Dense breast tissue is normal and common. About 50% of women over age 40 have “dense” breast tissue.
Dense breast tissue can make it harder to detect small breast cancers, and is also an independent risk factor for
#cancer
. 💕
@DenseBreastInfo
@mydensitymatter
Yesterday I went to a funeral for an amazing man who was taken too soon. Each family member told a similar story about what made him so special.
“How are you?”
“MAGNIFICENT!” he’d exclaim.
“But how could you always be magnificent?”
“It’s simple. It’s a choice I make each day.”
STARTING NOW!! - my awesome fellows and I will be presenting this important article on “Fertility Preservation in Young Women w
#breastcancer
: Impact on Treatment & Outcomes.” 💕
Hope you can join us! ⬇️
#radiology
Had my first
#mammogram
to celebrate my 40th birthday🎀 Some thoughts…
#scanxiety
is real😬
Even though I knew my mammo was probably going to be “normal” (cancer detection rate from a screening mammo is LOW, 3-5 per 1000 women)
it all goes out the window when it’s YOUR exam💕
A PICTURE IS WORTH 1000 WORDS💕
34-yo female presenting with a palpable area of concern in her left upper outer breast.
As you can see, her cancer is obscured on digital mammography, much better visualized on
#contrastmammography
🎀
#findoutmybreastdensityday
@mydensitymatter
Are you DENSE?💕
❌ Breast density has nothing to do with how your breasts look or feel.
✅ The only way to know your breast density is to read your mammo report.
The radiologist assigns ☝️ of 4 breast density categories based on the % of fat vs fibroglandular tissue 👩🏻⚕️
Annual screening mammography starting at age 40 (for AVERAGE-RISK WOMEN) leads to better outcomes from
#breastcancer
✨earlier stage at diagnosis
✨better surgical options, more effective chemotherapy
✨greatest ⬇️ in breast
#cancer
mortality
I applaud the USPTF changing the mammography screening recommendations back to starting at age 40, but every 2 years is not enough!
We know mammography is not perfect & interval cancers are common.
SCREENING MAMMOGRAPHY STARTING AT AGE 40 EVERY YEAR SAVES THE MOST LIVES! 💕
Women should start getting screening mammograms at the age of 40, rather than 50, according to new draft recommendations from an influential national health panel, which found that starting breast cancer screening 10 years earlier could save thousands of lives per year.
Mammography every 2 years is 2 long, esp in young women & minorities who are more likely to develop aggressive breast ca, die from their disease, & have dense breasts 😬
EARLY DETECTION IS THE BREAST PROTECTION 💕 can ⬇️ morbidity/mortality & lead to better outcomes 🙌