What’s new at RSNA: risk from the image itself

RSNA’s breast-imaging preview highlights sessions on image-only, 5-year breast cancer risk models, external validation work, and how MRI adds value in multi-modal AI. It also calls out global screening updates and a deeper look at background parenchymal enhancement (BPE) on MRI. RSNA

In parallel, the FDA granted De Novo authorization to the first image-only AI risk platform that predicts 5-year risk directly from a screening mammogram—an inflection point that makes risk-adjusted pathways far more scalable. Coverage from Radiology Business and BCRF explains the authorization and clinical intent. Radiology Business

Why it matters: average-risk guidance in the U.S. now begins screening at age 40 (USPSTF, 2024). Programs can layer image-based risk on top of that baseline to triage who needs annual vs. short-interval follow-up and who merits supplemental imaging. USPSTF

CEM is earning a seat next to MRI

Expect exhibits and sessions positioning CEM as a cost-effective, accessible adjunct—particularly for dense-breast populations and diagnostic workups. RSNA News recently framed CEM as a practical alternative to MRI in some screening/diagnostic scenarios, and new peer-review literature is refining technique (e.g., lower volume/higher-iodine contrast while preserving diagnostic performance). RSNA

On outcomes, the RACER trial in The Lancet Regional Health – Europe reported that using CEM as primary imaging for recalled women improved the accuracy and efficiency of the work-up compared with conventional imaging—evidence that will influence protocols beyond the show floor. The Lancet

MRI still leads for sensitivity—BPE is your underused signal

Breast MRI remains the sensitivity champion for high-risk patients and for problem solving. This year’s RSNA content spotlights BPE—how the level of background enhancement relates to tumor biology and outcomes. Recent reviews (2024–2025) synthesize BPE’s predictive/prognostic value, including associations with pathologic complete response after neoadjuvant therapy and survival in certain subtypes. SpringerLink

Practical move: standardize how you document BPE and incorporate it into structured reports and risk conferences; it’s becoming more than a descriptive footnote.

What to ask vendors at RSNA

1. Risk engine proof: “Show external validation and calibration plots by density and race; how does your image-only model integrate into our mammography worklist and letters?”
2. CEM logistics: “Demonstrate CEM acquisition workflows, contrast protocols, and how your viewer handles subtraction/kinetics alongside priors.”
3. MRI + BPE analytics: “Can we standardize BPE capture in structured reports and trend it across treatment?”

As risk-first screening, CEM, and MRI gain real traction, the winners will be the programs that operationalize them quickly and consistently. If you’re planning your 2026 breast-imaging playbook, stop by Vesta at RSNA to see how our subspecialists, standardized templates, and overflow routing make risk-adjusted pathways usable on day one.

The post Breast Imaging 2025–26: Risk Models, CEM/MRI Momentum — RSNA Preview first appeared on Vesta Teleradiology.

But what happens when a facility doesn’t have immediate access to a subspecialty-trained breast radiologist?

That’s where teleradiology steps in.

At Vesta Teleradiology, we support women’s health initiatives year-round by providing reliable, fast, and compliant mammography interpretations, especially for facilities that may not have in-house specialists available.

The Need for Expert Mammography Interpretation

According to the CDC, breast cancer is the second most common cancer among women in the U.S., and regular mammograms are the best way to detect breast cancer early, when it’s easier to treat and before symptoms appear1. The American College of Radiology (ACR) also notes that interpretation by radiologists trained in breast imaging can improve detection rates and reduce false positives2.

However, many imaging centers and rural hospitals don’t have a dedicated breast radiologist on-site — and delays in interpretation can lead to gaps in care or unnecessary anxiety for patients.

This challenge is magnified by a growing shortage of radiologists, particularly those specializing in breast imaging. A 2023 workforce survey from the Association of American Medical Colleges (AAMC) highlighted that more than 50% of practicing radiologists are over the age of 55, and retirements are outpacing new entrants. Breast imaging — already a subspecialty with fewer practitioners — is feeling the strain. Many facilities are facing longer turnaround times or are unable to offer advanced imaging interpretation consistently.

In addition, burnout remains a real concern. Breast radiologists face high volumes and frequent callbacks, which can affect accuracy and job satisfaction. Teleradiology can help balance the workload by offering overflow and relief coverage, supporting both the health system and the radiologists themselves.

How Teleradiology Closes the Gap

Vesta Teleradiology provides healthcare facilities with remote access to subspecialty-trained radiologists, including experts in breast imaging. This allows imaging centers, OB/GYN clinics, and hospitals to meet women’s health needs without overextending in-house teams.

Here’s how we help:

• Full MQSA-compliant interpretations
• Support for both screening and diagnostic mammograms
• 24/7/365 availability, including STAT and overflow reads
• Subspecialty reads in breast MRI, ultrasound, and 3D mammography (tomosynthesis)
• Seamless PACS integration and secure data exchange

Whether your site needs full-time coverage or help during vacation season, we ensure that your patients receive timely, high-quality reads.

National Women’s Health Week Is the Perfect Time to Prioritize Imaging Readiness

National Women’s Health Week 2025 runs from May 12–18 and encourages women to schedule important preventive screenings — including mammograms.

Facilities should be prepared for increased volume during this time and throughout Breast Cancer Awareness campaigns later in the year (October). Having a trusted teleradiology partner means you can handle increased demand without sacrificing quality or turnaround times.

Vesta Teleradiology: Your Partner in Women’s Imaging

At Vesta, we believe in supporting facilities that support women. Our flexible coverage options and experienced radiologists help ensure that women’s health screenings — including mammograms — are interpreted accurately, securely, and quickly.

Whether you’re preparing for Women’s Health Week or looking for year-round coverage, we’re here to help you deliver the care your patients deserve.

Let’s improve access, together. Contact us to learn more about how Vesta can support your women’s imaging services.

The post Supporting Women’s Health with Subspecialty Teleradiology: National Women’s Health Week 2025 first appeared on Vesta Teleradiology.

The best way to detect breast cancer in its early stages is by mammograms–merely an X-ray of the breast. There is no financial strain because health insurance plans are required to cover the costs of mammograms every one or two years.

When you reach your forties, you should begin conversing with your medical providers about when to start and how often you should get a mammogram.

 

Specialists usually recommend the procedure for women between 50 to 74 years of age at average risk of breast cancer and performed every one or two years depending on the woman’s risk factors.

How to Prepare for a Mammogram

When your healthcare provider suggests scheduling a mammogram for the first time, there are some considerations.

If possible, you should consider making your appointments at a nearby facility that specializes in mammograms. In doing this, you can have technicians who are very familiar with the process and accurately compare your mammograms yearly.

If you need to change facilities, it’s best to arrange to have all your records sent to the new clinic for X-ray comparison. It is also an excellent idea to bring all the dates and locations of any previous breast procedures done.

Specialists advise that women avoid making mammogram appointments the week before their periods. Breasts are more swollen and sensitive during this time which can cause the mammogram procedure to be uncomfortable for them and may interfere with taking clear X-rays.

Technicians will advise that women wear pants or a skirt with a top that they can easily remove along with their bra. They also recommend that women do not use any deodorant, lotions, or powders that may show up as spots on the X-ray.

When You Arrive at the Imaging Center

Most technicians are very considerate and sensitive to what women experience during mammograms. They will ask you to undress above the waist and will give you a wrap to wear.

Many clinics have private dressing areas where you undress and wait for your technician to escort you into the X-ray room. There will only be the two of you in this area which is helpful to reduce any anxieties you may have.

You will stand in front of the mammogram machine, and the technician will position your body and breast for the most accurate X-rays. Your breast will rest on the device, and a plastic upper plate will lower and compress your breast.

The process takes 10 to 15 seconds for each body position, and there are usually only two or three X-rays taken per breast. The whole procedure only takes about 20 minutes.

Your Mammography Results

Mammography produces black-and-white digital images of your breast tissue that will be sent to a physician specializing in radiology to interpret. An imaging center could also refer to a teleradiology company to have a radiologist do the interpretation. Most clinics offer 2D mammograms for breast screening, but many facilities now offer 3D mammograms.

The radiologist will then report their findings to your healthcare provider. This process will take approximately ten days but could take longer. The radiology report will determine if you will need further X-rays, possible MRIs, or treatments. Physicians call back about 10 to 13% of women for abnormal findings, but most of these findings are not breast cancer.

Regular mammograms are an easy, safe way to screen for breast cancer. The most challenging part about the process may be remembering to make your annual appointment, and many women make their birthdays a reminder to make their yearly appointment.

What can be more celebratory than scheduling what may be a life-saving procedure for your health on the most important day of the year for you, your friends, and your loved ones? 

The post What to Expect During a Breast Cancer Screening at an Imaging Center first appeared on Vesta Teleradiology.