12/12/2025
From JAMA: Breast cancer is the most common malignancy in women and optimizing screening is essential for early detection and reducing harm.
In the WISDOM randomized clinical trial, researchers assessed outcomes of risk-based screening vs annual mammography in more than 28 000 US women aged 40 to 74 years without prior breast cancer. Risk-based screening used genetic testing, polygenic risk score, and clinical risk models to stratify recommendations from delayed screening, to biennial, annual, or alternating mammography and MRI.
While the study found risk-based screening was noninferior for detection of stage ≥IIB compared with annual screening, rates of breast biopsies did not decrease overall with risk-based screening.
https://ja.ma/48xc716