(By Dr. Heather Peppard, assistant professor in the UVa Department of Medical Imaging and Radiology, Division of Breast Imaging) There’s no denying that the “rules” for breast cancer screenings have become more difficult to follow: Should I begin screening at age 40 or 50? Should I have them annually or every other year? That’s why it’s important to talk to your doctor about your personal risk factors and educate yourself on the screening options available to you.