Abstract: Though breast carcinoma has become the most common malignancy in Chinese women, there are no standardized screening methods and modes of breast carcinoma. In western countries, mammography is the standard imaging for breast carcinoma screening. The western mode of breast carcinoma screening is not suitable for Chinese women, since there are many differences in the characteristics of breast carcinoma and economic status between China and western countries. Previous studies and practices have implied that the suitable screening mode for Chinese women is to screen the high-risk women by physical examination and ultrasound after evaluating the risk of breast carcinoma for individuals, which is more cost-effective and can improve early detection rate.