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What is Breast Density and Why is it Important? [Podcast]

Posted October 05, 2023 by Patrick Slattery, M.D.

Listen to this episode of the Healthy Vitals Podcast.

This podcast episode delves into breast density, covering its types, detection methods, significance for screenings, misconceptions, and risk reduction. Learn about dense breast screenings, recent Ohio legislation expanding coverage, and proactive measures for breast health. 


Featured Guest:

Patrick Slattery, M.D.
Patrick Slattery, M.D. is a Radiologist, fellowship trained in Breast Imaging.

Transcription:


Scott Webb (Host): Individuals who have dense breast tissue are at higher risk for developing breast cancer, and that's why regular exams and mammograms are essential. And joining me today to tell us more about dense breasts and the fairly new Ohio legislation that can help offset some of the costs for regular screenings is Dr. Patrick Slattery. He's fellowship-trained in breast imaging and he's a radiologist with Summa Health.

This is Healthy Vitals, a podcast from Summa Health. I'm Scott Webb. Doctor, thanks so much for your time today. We're going to discuss an important topic today, breast density and what that means and how it's diagnosed and so forth. So, let's just start there. What does that mean? What is breast density?

 

What is breast density?

 

Dr. Patrick Slattery: Yeah. So, breast density discusses how much of your breast is made up of fibroglandular tissue or fibrous tissue versus fatty tissue, which are the three main categories that kind of are the tissue that make up the breast.


Host: Yeah. So, there's different types obviously. Maybe we can, you know, go into a little more detail there, just in understanding why is this even something that we're discussing, why is this an important topic. So, maybe just go into a little more detail about the different types.

 

What are the different types of breast density?

 

Dr. Patrick Slattery: There's mostly fatty breast density, which is exactly as it sounds. It's breast tissue that's mostly made up of fatty tissue. Scattered fibroglandular breast tissue is another kind of low breast tissue density, which is made up of fibroglandular tissue and fatty tissue, but mostly fatty tissue. And then, there's heterogeneously dense breast tissue, which is made up of more fibroglandular tissue than it is fatty breast tissue. And then, extremely dense breast tissue is where the breasts are mostly made up of fibroglandular tissue. And this is an important topic because women who have dense breast tissue, which is the categories of heterogeneously dense or extremely dense, it decreases the ability to detect breast cancer on yearly screening mammograms.


Host: I see. Okay. So, more dense breasts, that can create some issues or complications in diagnosing other things. So then, how do you diagnose or discover dense breasts?

 

How do you diagnose or discover dense breasts? 

 

Dr. Patrick Slattery: So, the only way we currently have to discover breast tissue density is through imaging. The best modality for figuring that out is through screening mammograms. But it can also be seen on MRI or breast ultrasound.


Host: All right. So, a couple of ways, but basically gold standards in terms of discovering or diagnosing, if you will. What are some of the common misconceptions about breast density? You talked about, you know, dense breasts that make it more difficult to diagnose cancer and things like that. So, what are some of the misconceptions anyway about it?

What are some misconceptions about dense breasts? 

 

Dr. Patrick Slattery: And so, I think the most common misconception out there is that you can tell the density of your breast based on, you know, physical exam or the way that your breasts feel. But as we discussed a little bit ago, the only way to know for sure if you have dense breast tissue is through imaging, most commonly seen on mammograms, but you cannot diagnose dense breast tissue on physical exam.


Host: Right. So, some imaging would be necessary, whether that's screening mammogram, or as you say, MRIs, that kind of thing. We'll talk about misconceptions anyway. If a person does not have dense breasts, does that mean that they don't need to be screened as often? Can they sort of be screened less often because they don't have dense breasts?

 

If you do not have dense breasts do you need to be screened as often?

 

Dr. Patrick Slattery: This is a very common misconception. And unfortunately, the answer is no. I know that some women don't like getting yearly screening mammograms, but early detection is our best treatment or prevention for breast cancer and the gold standard for early detection is yearly screening mammograms. And so, even if you don't have dense breast tissue, it's still important to get your yearly screening mammogram in order to detect any changes in your breast tissue.


Host: Yeah. And you discussed that a person having dense breasts then maybe presents some complications anyway in terms of diagnosis for something like breast cancer. Does that mean that they're at higher risk or greater risk for developing breast cancer because of the dense breasts?

 

Are you at a high risk of breast cancer if you have dense breasts? 

 

Dr. Patrick Slattery: Yes, that is correct. So, it's kind of a double edged sword in the sense that dense breast tissue makes it harder to detect breast cancer on mammogram, and it also increases patient's risk of developing breast cancer at some point in time in their life.


Host: Yes, you can see that really the importance of regular screenings, early diagnosis. And I know in the last year, Ohio passed legislation to expand the coverage for screenings, which is awesome. Maybe you could tell us a little bit more about that and what patients should really know.

 

What should you know about the new bill passed in regards to breast screenings?

 

Dr. Patrick Slattery: Yeah. So, a really great bill that was passed and it requires insurance companies to cover additional screening beyond just yearly mammograms for patients who are at high risk or have dense breast tissue and patients who are at high risk have like a family history of breast cancer or other risk factors that increase their risk of developing breast cancer in their lifetime.


Host: Yeah. And you mentioned their family history and genetics, which of course none of us can outrun, but good if we know our family history and genetics, especially if that means, you know, earlier screenings for different types of things like breast cancer. Is there anything else individuals can do? Are there behavior and lifestyle things that people can address or be mindful of that can reduce their risk of developing breast cancer?

 

Is there anything you can do to reduce the risk of getting breast cancer?

 

Dr. Patrick Slattery: Breast cancer along with other forms of cancer, the best way to reduce risk is by leading a healthy lifestyle, partaking in a healthy diet and regular exercise, as you said, that we're unable to change our genetics or our family histories, but the things that we can control are kind of our lifestyle and making healthy choices, maintaining a good weight and regular exercise are all very important aspects of that.


Host
: Yeah, for sure. As you're saying, your message here is, you know, to sort of live as healthy as you can, be as healthy as you can, make good choices, be screened, all that good stuff. It's been really educational today, doctor. As we wrap up here, just final thoughts, takeaways, things that you really want listeners to know if they suspect that maybe they have dense breasts and really haven't been screened or screened as often as they should have been and so forth, what would you like them to know?

What should you know?


Dr. Patrick Slattery:
Yeah. So, kind of going back to the law that we discussed earlier in Ohio about additional screening that's covered by insurance companies. And that is screening breast ultrasound and breast MRI for patients who are high risk or have dense breast tissue. Here at Summa, we offer, , breast MRI as our additional screening option for patients who have dense breast tissue or are at high risk for breast cancer. And so, genetics and family history and personal history all kind of come into play with regards to personal risk of breast cancer. And so, I think it's just really important for women to talk to their doctors about their personal risk of developing breast cancer, and if they do qualify for additional screening, what types, what is covered by insurance and what options they do have.


Host: Yeah, that's perfect. As always, we want folks to reach out to their providers, understand their risk factors. And as you were saying about this new legislation that was passed, take advantage of that if they can. Doctor, thanks so much for your time today. You stay well.


Dr. Patrick Slattery
: All right. Thanks. You too.

 

Learn more about Summa Health's breast density

 

Host: And for more information on today's topic, go to summahealth.org/breastdensity. And if you found this podcast to be helpful and informative, please share it on your social channels and be sure to check out the full podcast library for additional topics of interest. This is Healthy Vitals, a podcast from Summa Health. I'm Scott Webb. Stay well, and we'll talk again next time.

About the Author

Patrick Slattery, M.D.

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Updated February 2025

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It’s true. According to the American Heart Association (AHA), 60 percent of Non-Hispanic Black women aged 20 and older have some form of cardiovascular disease. Black women have almost two times higher risk of stroke than Caucasians and are sadly more likely to…

An Overview of Osteoporosis: Prevention to Treatment [Podcast]

Natalie Hiltbrand, an Osteoporosis Specialist at Summa Health, leads a discussion on osteoporosis treatment, as well as prevention.

10 Early Signs of Diabetes That Shouldn't Be Ignored

FsoHigh blood sugar can cause gradual, unassuming symptoms that can sneak up on you. Frequent urination and excessive thirst — the telltale signs of type 2 diabetes — are often mild and can easily be attributed to other factors.

In fact, most people don’t even know they have high blood sugar until they’re diagnosed with type 2 diabetes.

Diabetesis a chronic condition that causes glucose (or sugar) levels in the body to rise. The problem is ignoring or writing off the symptoms…

Get the facts on lung cancer so you can breathe easier

You’re not a smoker, so you can’t be at risk for lung cancer, right? Not so fast.

While smokers, especially cigarette smokers, make up the leading cause of lung cancer deaths, nonsmokers do get diagnosed with this deadly disease.

Lung cancer is the second most common diagnosed cancer in both men and women, and the leading cause of cancer deaths, making up almost 25 percent in the United States, according to the American Cancer Society (ACS).

However, despite how…

Addressing Common Pelvic Health Issues [Podcast]

Dr. Megan Cesta and senior physical therapist Amy Senn discuss common pelvic health issues women may experience.

What does "High Risk" for Breast Cancer really mean?

One out of every eight women will develop breast cancer in their lifetime; this is considered average risk for U.S. women.  High risk for breast cancer is defined as a greater than or equal to 20% lifetime risk, or in other words, a one in five chance of developing breast cancer over a lifetime. We all know someone — a coworker, family member such as a mother, sister, daughter or friend — that has been diagnosed with this disease. 

That’s why for…

Why is it so important to get your flu shot this year?

Last winter, the community took several precautions to help stop the spread of COVID-19. From masks and social distancing to virtual work and school to cancelled events, an unforeseen positive side effect was a less intense flu season.  

Flu cases documented during last year’s flu season were historically low by a wide margin. Medical professionals haven’t seen anything like it.  

So with many precautions still in place amidst an ongoing pandemic, you may be…

What You Need to Know about Colorectal Screenings [Podcast]

Healthy VitalsDr. John Fondran discusses the importance of colorectal health, and why getting screened is important.

Heavy, painful periods? It could be endometriosis.

Reviewed April 2025

Endometriosis is not PMS, or premenstrual syndrome. It is not pain from your period because endometriosis overlaps with a woman’s cycle, many chalk up the symptoms to just a “bad period.” Severe endometriosis may even lead to pain outside of your period.

Endometriosis is caused by endometrial (uterine) cells located elsewhere in the pelvis, outside the uterus. If you’re suffering from endometriosis, tissue that is similar to the…

African-Americans More at Risk for Heart Disease

February is Black History Month, when we recognize African-Americans and those of color who have played major roles in shaping our present culture. February is also American Heart Health month – a time to raise awareness of heart disease. While these two events are different, they are linked in healthcare. Heart disease remains the number one killer of Americans, and African-Americans are 20 percent more likely to die from heart disease than non-Hispanic whites.

We do not…

Is working from home a pain in the neck — literally?

Many agree one positive that has come out of the COVID-19 pandemic is the work-from-home order to prevent further spread. No more long commutes and fighting traffic, more time spent with family and less interruption from chitchat around the water cooler.
 
In the United States, it’s estimated nearly 50 percent of the working population is now working at home. But as more and more companies embrace remote working for the long haul, one negative has emerged: new or…

Thyroid disease 101: Early diagnosis and treatment are key to preventing serious complications

The thyroid gland has an important job to do in the body. It produces thyroid hormones that help regulate metabolism and the body’s overall temperature. Metabolism is a process that turns food into energy, which is vital to keeping all of our body systems working correctly. This small, but mighty gland impacts just about every area of the body, including heart function, digestive function, muscle control, mood and brain development.
 
The thyroid gland is a small,…

All About Sleep Apnea [Podcast]

Dr. James Bavis & Dr. Ketan Deoras explain sleep apnea as well as signs, symptoms, and what to expect.

Sports injuries of the knee: ACL and meniscus tears

You’ve seen it on the soccer field or basketball court: a player plants a foot, twists and goes down grabbing a knee. The problem is most likely tearing of the meniscus (cartilage) or ACL (anterior cruciate ligament). Both can be extremely painful and sideline an athlete for months of recovery.

A tear usually requires more intervention than a strain or sprain.

A knee strain is a stretch or partial tear of a tendon or muscle, while a sprain is a stretch or tear of a…

Breast Cancer: The Importance of Knowing Your Risk [Podcast]

Dr. Keristen Brantley & Dr. Victoria Van Fossen discuss Breast Cancer Prevention and Treatment.

Breast Cancer: The Importance of Knowing Your Risk [Podcast]

Dr. Keristen Brantley & Dr. Victoria Van Fossen discuss Breast Cancer Prevention and Treatment.

Think Pink: How to lower your risk for breast cancer

For decades, October and the color pink have gone hand in hand to promote Breast Cancer Awareness. The universal pink ribbon represents prevention, early detection and treatment — supporting the mission to spread awareness and education.

According to breastcancer.org, breast cancer affects one in eight women, and chances are you know someone — a co-worker, a family member, a friend — who has been diagnosed. Other than skin cancer, it is the most commonly…

Alzheimer’s Awareness: Symptoms, Stages, and Support [Podcast]

Amanda Harvan sheds light on the symptoms, stages and support of Alzheimer's.

Men’s Well-Being: All About Prostate Health [Podcast]

Dr. Kevin Spear discusses men's health and different risk factors and how to ensure optimal well-being.

The Latest Updates on COVID-19 [Podcast]

Dr. Thomas File shares the latest updates on COVID-19.

Can Obesity be Considered a Disease [Podcast]

Dr. Adrian Dan discusses obesity as a metabolic disease.

Breaking the Stigma of Mental Illness [Podcast]

Emily Hionides-Horner discusses 7 ways to overcome mental health stigma.

The Modern Guide to Heart Health [Podcast]

Dr. Peter Bittenbender shares his insight on the modern guide to heart health.

Tips on Maintaining Fitness and Physical Health During the Pandemic [Podcast]

Dr. Cipriani discusses tips on maintaining physician health during the pandemic.

Tips for Managing Anxiety [Podcast]

Dr. Leslie Zaynor discusses tips for managing anxiety.

5 health numbers you should know by heart

As we grow older, wrinkles, fine lines and gray hairs aren’t the only aging factors we need to be concerned about. The real health indicators we should be tracking can’t be found in any mirror — and they affect our heart and other vital organs. 

These are critical heart health numbers that should not be ignored and include blood pressure, resting heart rate, cholesterol, blood sugar and body mass index. Heart disease is the leading cause of death for…

7 Health Concerns Women Shouldn't Ignore

From mother to wife, and from businesswoman to caretaker, women wear many hats on a daily basis. So, it’s understandable why many of us put off our own needs; there’s just not enough time in the day. However, when it comes to your health, it should always come first.

Maybe you’re too busy to stop and see a doctor, or you’re hoping a symptom will just go away on its own. But, if you’re not feeling your best, you can’t possibly perform at your…

MRI Fusion Biopsy for Prostate Cancer - What is it and Why is it Better?

As one of the most common cancers among men, prostate cancer will affect about 1 in 9 men during their lifetime. In fact, more than 60% of cases are diagnosed in men over 65. The cancer has been difficult to detect in early stages using the most common, and somewhat outdated, tests and screenings. These tests and screenings have been used for three decades with adequate results. Yet, more tests are then needed to try to determine the type of cancer and the best treatment plan.

Should I get a prostate-specific antigen (PSA) Test?

It can be difficult to face the idea of getting screened for prostate cancer, and many people opt out due to fear, inconvenience, or lack of knowledge of the symptoms. There is clear scientific evidence that screening with a prostate-specific antigen (PSA) test can help identify cancer early on which makes treatment more effective and reduces the number of deaths associated with prostate cancer. 

We’ve compiled some valuable information below so that you can…

Alzheimer's Research Showing Promise for Future

Billions of dollars have been spent on researching Alzheimer’s, but it stubbornly continues to affect 1 in 10 Americans over the age of 65. While we are still waiting for a cure, there have been significant advances that have made an impact on the treatment of Alzheimer's and related diseases:

New treatments and positive trials on the horizon
Currently, the medications on the market for Alzheimer’s only relieve symptoms of the disease. None stop the progression.…

Polycystic Ovary Syndrome - What Is It And How Will It Affect My Body?

Polycystic ovary syndrome is a common health problem that affects women of childbearing age and is caused by an imbalance of reproductive hormones. Women with PCOS may have infrequent or prolonged menstrual periods or excess male hormone (androgen) levels. Because of this imbalance, the ovaries sometimes develop numerous small collections of fluid and can fail to regularly release eggs.

Who is at Risk for PCOS?

It is estimated that between 5% and 10% of women between 15 and 44…

Colon Cancer Screening: What Are Your Options?

 

Should you get a wearable sleep tracker?

Deep, consistent, quality sleep can not only make you feel great during the day; it can also improve your health. Sleep can boost your mood, help you maintain a healthy body weight and help your heart and mind function at tip-top levels.

But, for some of us, a solid night's sleep may seem like a dream. Lack of sleep can affect our brain's ability to react properly; so much so, that our body’s overall health can be at risk.

What you should know about urological cancers

Did you know one out of every 10 men in the US will develop prostate cancer? This form is the most common cancer in men. Bladder cancer, another common cancer in the US, affects as many as 68,000 individuals every year. It’s the fourth leading cancer for men and the eleventh for women. For men ages 15 to 44, testicular cancer is the leading type of cancer. What do all of these have in common? They are cancers that form in or affect parts of the urinary tract.

Immunotherapy for Melanoma

Updated on May 6, 2024

Did you know skin cancer is the most common cancer in the United States? If caught early, skin cancer is one of the easier cancers to treat. However, every hour of every day one American dies from melanoma, its deadliest form.

There are various treatments for melanoma, depending on the stage at which a patient is diagnosed, including: surgery to remove the affected area, chemotherapy, radiation therapy or a relatively new treatment called immunotherapy.…

Going Natural: Anti-Aging Tips for Over 40

It is never too late to adjust your skincare routine. Think of it like a new exercise routine: with a little dedication, determination and education you can undo or halt bad habits.

Around the age of 30, the body’s collagen production slows down. Collagen plays a big part in the elasticity our skin has. When that production slows down, we tend to see our skin change with the addition of dark spots, larger pores, fine lines and wrinkles.

Reducing the Risk of Colorectal Cancer

March is Colorectal Cancer Awareness Month. Colorectal cancer remains the #3 cancer killer in the U.S., yet it is one of the most preventable types of cancer. Statistically, 1 in 22 men and 1 in 24 women will develop colorectal cancer in their lifetime. According to the American Cancer Society, in 2018 more than 140,000 people will be diagnosed with colorectal cancer and 50,000 of them are expected to die of this disease. Colorectal cancer screening could save more than half…

The Gift of Heart Health

When you think of February, you may think of Valentine's Day, chocolate and flowers. February also marks American Heart Month, a great time to commit to a healthy lifestyle and make small changes that can lead to a lifetime of heart health. Heart disease is the leading cause of death for men and women in the United States. But the good news is it's also one of the most preventable.

Making heart-healthy choices, knowing your family health history and the risk factors for heart…

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