Evidence map›Paper›PMID 41501990›Full record

SynthesisJournal of the National Cancer Institute2026

Current state of mammography-based artificial intelligence for future breast cancer risk prediction: a systematic review.

Kathryn P Lowry, Han Eol Jeong, Ki Hwan Kim, Kevin S Hughes, Christoph I Lee, Adam Yala, Karla Kerlikowske, Celine M Vachon

Abstract readSystematic Review
In one paragraph

Synthesis in Journal of the National Cancer Institute, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Cross-Device Adaptation of Mirai for Mammography-Based Breast Cancer Risk Prediction.medRxiv : the preprint server for health sciences · 2026
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Kathryn P LowryDepartment of Radiology, University of Washington School of Medicine, Seattle, WA, United States.ORCID 0000-0002-0840-7855
Han Eol JeongLunit, Seoul, South Korea.ORCID 0000-0001-6678-0941
Ki Hwan KimLunit, Seoul, South Korea.ORCID 0000-0001-7684-235X
Kevin S HughesDepartment of Surgery, Medical University of South Carolina, Charleston, SC, United States.ORCID 0000-0003-4084-6484
Christoph I LeeDepartment of Radiology, University of Wisconsin-Madison School of Medicine and Public Health, Madison, WI, United States.ORCID 0000-0002-8185-7721
Adam YalaComputational Precision Health, University of California Berkeley and University of California, San Francisco, CA, United States.
Karla KerlikowskeDepartments of Medicine and Epidemiology and Biostatistics, University of California, San Francisco, CA, United States.ORCID 0000-0001-8793-8779
Celine M VachonDivision of Epidemiology, Department Quantitative Sciences, Mayo Clinic, Rochester, MN, United States.ORCID 0000-0002-1962-9322

Funding

Risk-based Imaging Strategies to Improve Breast Cancer Surveillance OutcomesP01CA154292 · NCI · UNIVERSITY OF CALIFORNIA AT DAVIS · PI KARLA M KERLIKOWSKE · 2011 to 2026
$52.9M
Evaluation of novel tomosynthesis density measures in breast cancer risk predictionR01CA275074 · NCI · MAYO CLINIC ROCHESTER · PI KARLA M KERLIKOWSKE, Despina Kontos · 2023 to 2026
$2.7M
American Cancer Society 21-078-01-CPSHMayo Clinic Cancer CenterNCI NIH HHS P01 CA154292NCI NIH HHS R01 CA275074
6 · The paper itself

Abstract

backgroundThere is growing interest in artificial intelligence (AI) models for predicting future breast cancer. We performed a systematic review of studies of mammography-based AI models for future breast cancer risk prediction to summarize current evidence, identify knowledge gaps, and inform future research directions.

methodsWe searched 6 databases for studies from January 1, 2012, to February 28, 2025, that evaluated mammography-based AI models for future breast cancer risk prediction. We extracted study design, participants' race and ethnicity, geographic origin, mammogram type, vendor, prediction time frame, breast cancer type predicted, external validation, and exclusion of cancers diagnosed on the index screening mammogram. Areas under the receiver operating curve (AUCs) were summarized overall and by study characteristics.

resultsA total of 41 studies met our inclusion criteria. All studies were retrospective, and most used 2D mammograms (n = 37 studies) acquired using Hologic equipment (n = 25) and performed in the United States (n = 17); White, non-Hispanic women were most represented. Nearly all (n = 40) studies assessed discrimination performance with a median AUC of 0.71 for no longer than 2-year risk prediction, 0.72 for 3-4 years, and 0.71 for 5 years or more prediction. Median AUC was 0.75 for studies including index cancers vs 0.68 when excluded. Six studies reported model calibration performance ranging from good to overestimation of risk.

conclusionFuture studies should evaluate models using digital breast tomosynthesis, examine performance for aggressive or advanced breast cancer, include diverse populations, and evaluate both discrimination and model calibration. Prospective evaluations are needed to determine the clinical utility of mammography-based AI models for personalized risk-based breast cancer screening before implementation.

Indexed as

Artificial IntelligenceBreast NeoplasmsEarly Detection of CancerMammographyArea Under CurveFemaleHumansRisk AssessmentROC Curve

Identifiers

PMID41501990
PMCPMC13383095

What Socratic holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.