I agree that risk assessment is important. I think AI is going to play an increasing role. AI can find things in the mammograms that human eyes can't see, which can help us predict risk.
There are the usual questionnaire kinds of things about family history and so on. Everyone should have a risk assessment, ideally around 30. Average-risk women should start a screening mammography at 40 and be able to attend annually. All women should be told their breast density. Women with dense breasts should have supplemental screening.
There are new modalities coming online all the time. The newest one is called contrast-enhanced mammography. It's going be much less expensive than MRI. It's very close in sensitivity. That will make a huge difference. Only 30 places in Canada have purchased that.