Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what assessment she has made of the potential merits of (a) 3D mammography and (b) other new screening technologies to support the early diagnosis of breast cancer.

Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)

The UK National Screening Committee (UK NSC) is aware of research into the use of three-dimensional (3D) mammography and the growing interest to use artificial intelligence (AI) in the National Health Service breast screening programme. Guidance has been published on GOV.UK on the use of Tomosynthesis 3D imaging in a clinical trial setting as part of the NHS breast screening programme.

The UK NSC had also worked with Health Technology Assessments to design an evaluation of existing AI in a prospective study to look at whether it could be used to read breast screening mammograms.

There are currently no plans to adopt these technologies, but evidence to inform a UK NSC decision on the use of 3D mammography and AI in the NHS breast screening programme will be reviewed by the Committee when available.

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what recent assessment her Department has made of the potential merits of introducing (a) a risk assessment and (b) a breast density assessment during a women's first breast cancer screening appointment.

Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)

The UK National Screening Committee (UK NSC) plans to review the evidence for risk stratification in breast screening, to tailor it more closely to an individual’s risk of cancer, rather than the current population-based approach.

In 2019, the UK NSC reviewed the benefit of additional screening with ultrasound after a negative mammography screening, for women with dense breasts. The Committee concluded that there was insufficient evidence to recommend additional ultrasound screening at that time.

The Breast Screening Risk Adaptive Imaging for Density trial is looking into the use of supplementary imaging techniques for women within the standard breast screening programme, who are found to have radiographically dense breast tissue. The UK NSC will review this evidence when it becomes available.

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, if she will make an assessment of the potential merits of (a) lowering the breast cancer screening age to 40 and (b) including a breast cancer risk assessment in the first appointment.

Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)

The UK National Screening Committee (UK NSC) currently recommends that all women aged 50 years old to 71 years old are invited for breast screening every three years. A trial, AgeX is looking at the impact of increasing or decreasing, or both, the screening age for the breast screening programme. When the results from this trial are available, the UK NSC will review the findings. The UK NSC plans to review the evidence for risk stratification in breast screening to tailor it more closely to an individual’s risk of cancer, rather than the current population-based approach.

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