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India's Cancer Screening Leap: Beyond Mammograms
21 Jan
Summary
- Risk-adapted screening tailors tests to individual breast cancer risk.
- WISDOM trial shows comparable cancer detection without compromising safety.
- India's lower median diagnosis age makes traditional screening less effective.

India has an opportunity to revolutionize breast-cancer screening by moving beyond traditional mammograms to a risk-adapted model. This approach personalizes screening based on individual risk factors like family history and breast density, rather than relying solely on age.
The WISDOM trial, which published initial results on December 12, 2025, demonstrated that risk-based screening is feasible and effective, detecting advanced cancers comparably to annual mammography while maintaining safety. Upcoming European studies will further inform implementation.
Unlike Western nations, India's median age for breast cancer diagnosis is 47, making age-based mammography less sensitive. With less than 2% of women having undergone mammograms or clinical breast exams, India's lack of a national mammography program presents a unique chance to build a tailored system.




