The use of breast MRI for screening enables earlier detection of relevant breast cancer than with other imaging techniques (particularly mammography). It has been initially tested in women with a very high (hereditary) risk for the development of breast cancer, but indications are expanding and now may include, for example, women with a personal history of breast cancer and women with very dense breasts. To optimize the value of MRI for screening the use of dedicated screening protocols and optimized hangings is required.