Location of AI risk markers and associated mammographic features in screening mammograms obtained years before screen-detected breast cancer - Scorecard - MDSpire

Location of AI risk markers and associated mammographic features in screening mammograms obtained years before screen-detected breast cancer

  • By

  • Marit A. Martiniussen

  • Marie B. Bergan

  • Merete U. Kristiansen

  • Solveig Roth Hoff

  • Henrik Wethe Koch

  • Fredrik A. Dahl

  • Solveig Hofvind

  • June 18, 2026

  • 0 min

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Clinical Scorecard: Identification of AI Risk Indicators and Corresponding Mammographic Characteristics in Screening Mammograms Prior to Breast Cancer Diagnosis

At a Glance

CategoryDetail
ConditionBreast Cancer
Key MechanismsMammographic screening and AI risk scoring
Target PopulationWomen aged 50–69 years
Care SettingBreastScreen Norway program

Key Highlights

  • Breast cancer is the most frequently diagnosed cancer among females globally.
  • Mammographic screening reduces the incidence of advanced disease and breast cancer-specific mortality.
  • AI models can enhance early breast cancer detection by generating malignancy risk scores.
  • 20–30% of screen-detected and interval cancers had visible signs on prior mammograms.
  • The study analyzed 130,031 screening examinations among 42,371 women.

Guideline-Based Recommendations

Diagnosis

  • Screen-detected cancer includes histologically verified ductal carcinoma in situ (DCIS) and invasive cancer.

Management

  • Mammograms assigned a score ≥ 2 by radiologists are reviewed for potential recall.

Monitoring & Follow-up

  • AI models generate continuous risk scores to assist in monitoring.

Risks

  • Mammographic screening is associated with potential harms, including overdiagnosis and false positives.

Patient & Prescribing Data

Women screened in the BreastScreen Norway program.

AI risk scores can identify cancers 2 to 4 years prior to diagnosis.

Clinical Best Practices

  • Utilize BI-RADS for consistent evaluation and communication of mammographic findings.
  • Incorporate AI risk scoring to enhance detection capabilities.

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