Mammography is one of the screening methods used to detect breast cancer, which is established based on the protocols within a health system. However, many developing countries are unable to avail of this method.Although, other screening methods can be used in rural areas with portable equipment and well-trained radiology technologists. Our investigation aims to determinate the frequency of mammography in radiology departments as a basis for education of radiological technologists. Materials and methods: We performed a retrospective analysis of the frequency of mammography and mastectomies in the last three years at the Bitola clinical hospital in Macedonia. Results: Upon examining the procedures of 2,373 patients over the last three years, results indicate a high number of diagnosed and treated breast cancer patients. Radiological technologists are involved in the process of diagnosing and treating the disease and also can learn from other medical experts. Discussion: The radiation dose in modern mammography is not as high as in an MRI, and with precise protocols mammography can be used as a screening method in almost every hospital.Conclusion: University-educated radiological technologists can perform some diagnostic methods in rural areas without the supervision of a doctor. Education of these staff could have a huge economic benefit for society, particularly in rural areas in which, an easy access to a full-service hospital is not available.