• Use iPrevent validated online risk assessment tool
• Population risk: Free mammogram every 2 years for Women over 40. Active invitation for breast screen women aged 50-74. (Over 75% breast cancers in 50-74yo)
• High Risk: 25+ Annual examination and mammogram

Benefit: Early detection -> improved morbidity and mortality

• Allows early detection and treatment
• Increased awareness
• Easier to treat if ‘caught earlier’
• Improved long-term prognosis

Risks: 18 weeks equivalent background radiation dose. For 40-49yo, small change to morbidity and mortality but large false positive tests and biopsies.

• Emotional mortality (stress/anxiety/etc.)
• Extra costs of treating insignificant cancers
• Need for unnecessary extra investigations (false positives)
• False sense of security (false negatives)
• Risk of radiation causing cancers

screening mammogram.

Same as diagnostic but no immediate radiologist review. Not for symptomatic women. reviewed after and compared to previous films. no clinical exam or context provided. If detected → brought back for triple assessment.

50-74yo