💡 **风险评估是早期癌症筛查的有效工具**：奥利维亚·科尔曼的案例表明，即使常规的乳腺癌筛查（如乳房X光检查和基因检测）结果正常，一次简短的在线风险评估也可能揭示潜在的高风险。科尔曼在43岁时，通过一项仅需几分钟的评估，发现了37%的乳腺癌终生患病风险，这促使她进行了进一步的MRI检查并最终确诊为早期乳腺癌。

🎯 **高风险人群应考虑更深入的筛查**：对于乳腺密度较高或风险评估结果显示高风险的女性，应积极考虑MRI等更具敏感性的筛查方法。科尔曼的医生最初对她进行MRI表示惊讶，因为她年龄尚轻且无明显症状，但风险评估结果证明了这一检查的必要性，并可能帮助在癌症早期阶段进行干预。

🏥 **将风险评估纳入常规医疗保健**：科尔曼强烈呼吁将乳腺癌终生风险评估作为一项“标准”的医疗程序，就像测量血压或血糖一样。她认为，这项评估能够帮助人们在癌症变得更严重之前采取预防措施，强调了主动了解自身健康风险的重要性，尤其是在有家族史等情况下。

📈 **不同风险评估模型的应用**：存在多种乳腺癌终生风险评估模型，如Gail模型和Tyrer-Cuzick模型。这些模型通常通过询问一系列基本问题，如年龄、种族、家族史、初潮年龄、卵巢癌史或激素替代疗法使用情况等，来评估个体患病风险。美国放射学会已将推荐的风险评估筛查年龄降至25岁以上，对于风险评估得分达到20%及以上者，建议尽早进行筛查。

Olivia Munn, 45, showed no signs of breast cancer, including in her mammograms.A quick lifetime risk assessment led to her getting diagnosed with stage 1 breast cancer at 43.Munn's mother also took the assessment and was diagnosed with a more aggressive cancer.

Olivia Munn did everything she knew to be proactive about breast cancer screening. Her mammogram, ultrasound, and testing for a cancer gene mutation all came back negative.

Her OB/GYN in Beverley Hills, Dr. Thaïs Aliabadi, just had one question: Did she know her lifetime risk assessment score?

After they did the two-minute test together, which assesses factors like family history and the date of your first period, Munn learned she had a 37% risk of breast cancer. She sought out an MRI — a more effective screening tool for women who, like her, have higher breast density.

"I remember the radiologist said, 'Why are you here? You're too young to be getting an MRI,'" Munn, 45, said in a live recording of the "SHE MD" podcast with Aliabadi. Munn said the doctor was "so surprised" she knew about the lifetime risk assessment.

Munn was diagnosed with stage 1 breast cancer at 43 and underwent a double mastectomy. The same assessment led to her mother, Kim Munn, also being diagnosed with and treated for stage 1 breast cancer in July 2025.

The experience taught Munn that there's no such thing as being too safe when it comes to cancer screenings.

"Cancer wants us to be too busy," she said. "You want to stop it when it's in your yard. You don't want to stop it at your door…and you definitely don't want to wait until it's hovering over your bed."

Take the short test if you're over 25

There are a few different models of the breast cancer lifetime risk assessment, both of which take minutes to complete. The Gail model asks eight basic questions, including the patient's age, race, and family history. The Tyrer-Cuzick model goes a little more in-depth, asking about any ovarian cancer history or hormone-replacement therapy usage.

In 2023, the American College of Radiology lowered the recommended lifetime risk assessment screening age to 25 and up. While the annual breast cancer screening age is 45, those who score 20% and up in the assessment are encouraged to speak to their doctors and get screened sooner. Some, like Munn and her mother, might also undergo more detailed testing, such as getting an MRI — a step that might be skipped without the assessment.

"You need to know it the same way you need to know what your blood pressure is, what your blood sugar level is," Munn said. "It's just something very standard."