{"type":"rich","version":"1.0","provider_name":"Transistor","provider_url":"https://transistor.fm","author_name":"Should I Call a Doctor?","title":"#11: Innovating cancer screening – how breast cancer detection is evolving","html":"<iframe width=\"100%\" height=\"180\" frameborder=\"no\" scrolling=\"no\" seamless src=\"https://share.transistor.fm/e/57fd5b28\"></iframe>","width":"100%","height":180,"duration":1561,"description":"What you’ll learnConfused about when to start breast cancer screening, what breast density means, or whether you need genetic testing? Inova’s Dr. Kaltman explains risk, red-flags, and next steps—so you know which care to choose and how personalized risk assessments are reshaping early detection.\nFeatured guest:Dr. Rebecca KaltmanExecutive DirectorInova Saville Cancer Screening and Prevention Center ________________________ Key takeaways with chapter markersHow age, family history (maternal & paternal), and red flags guide screening (13:50)What dense breasts mean and when to add supplemental imaging (19:06)When to consider genetic counseling/testing and how group sessions work (5:06)Where primary care fits for lifestyle/metabolic risk and referrals (8:21)Imaging choices (mammogram, MRI, ultrasound, contrast-enhanced) (10:04)Mobile screening (23:45)Multi-cancer blood test clinical trial at Inova (24:52)________________________ FAQsWhen should most women start screening?\nMost begin at age 40, but earlier for higher-risk patients (often 10 years before the youngest family diagnosis). Ask your Primary Care doctor/OB-GYN for a formal risk assessment. Do dense breasts change my screening plan?\nPossibly. Dense tissue can mask findings on mammography; your clinician may recommend supplemental imaging (e.g., MRI; ultrasound or contrast-enhanced mammography when appropriate). Who should consider genetic counseling/testing?\nAnyone with strong family history (maternal or paternal), early cancers, or unknown history. Testing now uses multi-gene panels and is far more accessible than in the past. Are self-breast exams still recommended?\nBe breast-aware and know your normal, but routine self-exams alone are not enough. Report new changes (lump, nipple retraction, rash, contour change). Can lifestyle changes reduce risk?\nYes—weight, activity, and nutrition matter. Primary care can connect you with dietitians/health coaching and, when needed, medical weight-loss support.","thumbnail_url":"https://img.transistorcdn.com/rIhAE1Yjj7iH2WXU7Cj8xeYhrKhDvvmcDg0CL_qiPZo/rs:fill:0:0:1/w:400/h:400/q:60/mb:500000/aHR0cHM6Ly9pbWct/dXBsb2FkLXByb2R1/Y3Rpb24udHJhbnNp/c3Rvci5mbS83YmIx/NDcxNDI2NzI4Y2M4/Zjc2MjM2NTdmZDEz/YzQ3Ni5qcGVn.webp","thumbnail_width":300,"thumbnail_height":300}