High risk score of breast cancer by artificial intelligence (AI) on screening mammograms: a review of negative and cancer cases - Summary - MDSpire

High risk score of breast cancer by artificial intelligence (AI) on screening mammograms: a review of negative and cancer cases

  • By

  • Marit A. Martiniussen

  • Marie B. Bergan

  • Merete U. Kristiansen

  • Nataliia Moshina

  • Anne Sofie F. Larsen

  • Marthe Larsen

  • Fredrik A. Dahl

  • Solveig Hofvind

  • May 6, 2026

  • 0 min

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Objective:

To characterize and compare specific mammographic features in screening examinations with high AI risk scores for women with and without screen-detected breast cancer.

Key Findings:
  • 739 screen-detected cancers and 208 interval cancers were identified, with implications for clinical practice.
  • High AI risk scores were associated with both positive and negative cases, indicating potential for false positives and the need for careful interpretation.
  • Mammographic features identified by AI models differed between women with and without cancer, suggesting areas for further research.
Interpretation:

AI models can identify suspicious mammographic features, but their application may lead to false positives, necessitating careful interpretation and follow-up, particularly in training AI models.

Limitations:
  • Retrospective design may introduce bias, potentially affecting the reliability of findings.
  • Exclusion of certain cases could limit generalizability, impacting the applicability of results.
  • Dependence on AI model performance and accuracy may influence the outcomes and their interpretation.
Conclusion:

AI-assisted screening has the potential to enhance mammographic interpretation but requires further validation in practical settings to optimize recall rates and reduce false positives.

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