Tailoring breast screening by individual risk and cost

Project 4: CISNET Modeling of outcomes and cost for risk-based screening strategies

NIH-funded research University of California, San Francisco · NIH-11191512

This project uses computer simulations to compare personalized breast screening plans with standard guideline recommendations for women of different ages, breast density, and risk levels.

Quick facts

Grant typeP01 program project
Study typeNIH-funded research
Funding institutionUniversity of California, San Francisco NIH-funded
Lab location1 site (San Francisco, United States)
Project IDNIH-11191512 on NIH RePORTER

What this research studies

From my point of view as someone thinking about breast cancer screening, researchers will use a well-established simulation model (MISCAN-Fadia) to project long-term outcomes for different screening approaches. They will feed the model with data from trials like WISDOM and other high-quality sources and use new subtype-specific risk models developed elsewhere in the grant to set risk thresholds. The simulations will estimate benefits, harms, and costs for personalized screening versus three commonly used US guideline strategies (ACR, ACS, USPSTF) across groups defined by age, breast density, comorbidity, race, and other risk factors. Because breast cancer can take many years to develop, these kinds of models help predict long-term effects without requiring decades of new trials.

Who could benefit from this research

Good fit: This work is most relevant to adult women concerned about breast cancer risk, including those with dense breasts or known risk factor profiles, because the models represent these subgroups.

Not a fit: People whose circumstances are not represented in the modeled data (for example very rare genetic conditions or populations not included in source datasets) may not see direct benefit from the results.

Why it matters

Potential benefit: If successful, the work could lead to screening recommendations that find more cancers early while reducing unnecessary tests and costs.

How similar studies have performed: CISNET models like MISCAN-Fadia have previously informed national screening guidance, though applying subtype-specific personalized strategies at the population level is newer.

Where this research is happening

San Francisco, United States

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Conditions Breast CancerBreast Cancer DetectionBreast Cancer Gail ModelBreast Cancer Gail Model Risk Assessment ToolBreast Cancer Model
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.