Australia proposes personalized breast cancer screening changes

Australia's breast cancer screening program may be due for significant changes. The current system primarily focuses on women's age, but experts suggest a new approach that considers individual risk factors for breast cancer. Since the BreastScreen program began in the early 1990s, technology and understanding of breast cancer risks have evolved. Currently, women aged 50 to 74 are the main focus, though screenings start as early as 40. While many lives have been saved through early detection, around 75,000 Australian women could die from breast cancer in the next 20 years if current methods remain unchanged. Research indicates that certain groups of women are at higher risk for breast cancer. These groups include women with dense breast tissue, those with a family history of the disease, and women with specific genetic mutations. Different screening methods, such as MRI or advanced mammography, may be more effective for these high-risk individuals. The Cancer Council Australia is exploring various screening scenarios to determine the best future approach. They have shortlisted 19 promising options, including more targeted testing for high-risk women and potentially starting screenings earlier. For instance, a revised approach could save hundreds of lives over ten years. To implement these changes, a five-year plan includes conducting large-scale trials, improving data collection, and engaging with women and healthcare professionals. A review of the current BreastScreen program is expected soon, reflecting these ideas. There is growing support for risk-based screening from health leaders and advocacy groups. With proposed evidence-based recommendations, experts hope to enhance breast cancer screening in Australia.