Women at elevated risk (≥ 20% lifetime) for breast cancer should be offered annual screening breast magnetic resonance imaging in addition to mammography.

To determine who is at elevated risk, calculations must be completed that take extensive family history into account.

This article explains how to use the Tyrer-Cuzick model to calculate risk.

Additionally, this article suggests an algorithm for nurse practitioners to use when making decisions about referral to genetics specialists and breast cancer screening.