Australian GPs now have access to much-needed guidance to help patients manage breast density, which is a factor that can influence breast cancer risk and screening decisions. This new resource, published by the Department of Health, Disability and Ageing, fills a critical gap in clinical practice.

With more women being notified of their breast density after having a mammogram, GPs are increasingly asked: Do I need extra imaging? Until now, there’s been little clarity. The new guide changes that by providing a flowchart to help determine when additional screening is recommended.

The flowchart considers breast density and family history of breast cancer, enabling GPs to make informed decisions about referrals for additional imaging. Options include MRI, ultrasound, contrast-enhanced mammography, and digital breast tomosynthesis (3D mammogram). Importantly, the guide also outlines costs and Medicare rebates, so patients and doctors can discuss out-of-pocket expenses upfront.

While breast cancer risk is influenced by many factors, this guidance focuses on breast density and family history because these are directly linked to eligibility for rebates for additional imaging. For a more comprehensive risk assessment, online tools like iPrevent are available.

This is a significant step forward in supporting GPs and empowering women with clear, evidence-based advice. This guidance is designed to support patient-doctor discussions and should be considered in the context of each individual’s breast cancer risk factors, personal circumstances and preferences.