13 doctors weighed in:

Which test is better for finding cancers, a mammogram or an ultrasound?

13 doctors weighed in
Dr. Barry Rosen
Surgery
6 doctors agree

In brief: Mammogram

Mammograms are excellent for finding any abnormality in the breast, and thus are best as a screening test for cancer.
Ultrasounds are most useful after finding an abnormality on mammogram or examination; we can then direct the ultrasound to the area in question to help determine if it is worthy of biopsy or observation.

In brief: Mammogram

Mammograms are excellent for finding any abnormality in the breast, and thus are best as a screening test for cancer.
Ultrasounds are most useful after finding an abnormality on mammogram or examination; we can then direct the ultrasound to the area in question to help determine if it is worthy of biopsy or observation.
Dr. Barry Rosen
Dr. Barry Rosen
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Dr. Barry Kahn
Pathology
3 doctors agree

In brief: Mammogram

Typically a mammogram would be the first imaging modality used to screen the breast for any areas of concern.
After identifying troublesome areas, ultrasound is often used to hone down on that specific area. Mammogram is better at picking up areas of micro calcifications, though.

In brief: Mammogram

Typically a mammogram would be the first imaging modality used to screen the breast for any areas of concern.
After identifying troublesome areas, ultrasound is often used to hone down on that specific area. Mammogram is better at picking up areas of micro calcifications, though.
Dr. Barry Kahn
Dr. Barry Kahn
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Dr. Shabbir Hossain
Internal Medicine
2 doctors agree

In brief: Few factors

Depends on your age, density of your breast tissue and also if anything is felt on a breast exam.
Family history also plays a big role in determining your risk and therefore what modalities are best.

In brief: Few factors

Depends on your age, density of your breast tissue and also if anything is felt on a breast exam.
Family history also plays a big role in determining your risk and therefore what modalities are best.
Dr. Shabbir Hossain
Dr. Shabbir Hossain
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Dr. Michael Gabor
Diagnostic Radiology

In brief: In the screening

setting, mammography detects about 3-5 cancers per 1000 patients, and screening ultrasound about 2-3, so overall mammography is a little better, and remains the standard of care for screening.
However, ultrasound performs better in dense breasts, and mammography performs better in fatty breasts.

In brief: In the screening

setting, mammography detects about 3-5 cancers per 1000 patients, and screening ultrasound about 2-3, so overall mammography is a little better, and remains the standard of care for screening.
However, ultrasound performs better in dense breasts, and mammography performs better in fatty breasts.
Dr. Michael Gabor
Dr. Michael Gabor
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