The Bre@st Cancer Risk Assessment Tool (BCRAT), that can flag cancer in few minutes explained

With rates of cancer soaring among young people, oncologists are pleading with people to stay on top of their risk using simple tests that can be done at home.


Olivia Munn has revealed she was diagnosed with luminal B b****t cancer last year - having undergone four surgeries in the last 10 months. She credited her OBGYN (here) for 'saving my life'


Dr Thais Aliabadi insist that risk takes more than that into account, such as the woman¿s age during her first menstrual period


Rates of bre@st cancer in under 50 year-olds have ticked up over the past two decades.

A recent study by Canadian researchers found that over the past 30 years, b****t cancer rates in 20-somethings have rocketed 45 percent.

All types of the disease have shot up by a third in people under 50 over the last 20 years.

However, screening tools rarely apply to women aged below 40, leaving a gap that allows more women to fall through the cracks.

Such is the concern that the US Preventative Services Task Force has recently lowered the minimum screening age to 40, down from 50.

The bre@st cancer risk assessment administered by Dr Aliabadi was able to flag a patient’s risk, despite mammograms and other scans missing the tumor.

The most popular risk assessment tool is the National Cancer Institute’s Bre@st Cancer Risk Assessment Tool (BCRAT), sometimes known as the Gale Model after Dr. Mitchell Gail, who developed it in 1989. The test is accessible via the NCIBC website

Dr Aliabadi said: ‘If you’re tall, if you had children after 30, if you have dense bre@sts, if you have family history, if you’re overweight, you add your risk factors, and you get a risk score.

‘If it’s 20 percent or above, that means you fall into the high-risk category and you have to start your imaging at early as 30, not 40, and you have to add MRI to it.

Roughly 12 percent of US women will be diagnosed with b****t cancer in their lifetime, studies show.

And Dr Aliabadi says it is challenging to predict which women will be within that 12 percent.

She continued: ‘A patient had a negative mammogram, negative ultrasound, but because her lifetime risk was 37 percent, I added an MRI [a more detailed scan that can spot tumors in dense b*****s].

 ‘All of her friends were telling her why is your doctor so paranoid? And with my paranoia, she had three cancer lesions on her right and one on her left b****t.’

Women who begin menstruating at an earlier age are exposed to estrogen for a longer time, making them more susceptible to cancer.

This also goes for women who go through menopause at a later age, as they are also exposed to estrogen for a longer period of their lives.

And pregnancy changes bre@st cells for the better, making them more resistant to cancer. Having a baby at an older age reduces that protective effect.

The test takes into account age, age at first menstrual period, age at the time of the birth of a first child (or has not given birth), family history of bre@st cancer (mother, sister or daughter), number of past bre@st biopsies, number of bre@st biopsies showing atypical hyperplasia, and race/ethnicity.

Ms Munn had a negative mammogram, negative ultrasound, but because her lifetime risk was 37 percent, Dr Thais Aliabadi added an MRI


While mammograms are recommended for women 40 and over, the DIY risk assessment tool can be done independently at home at any age.

A high-risk score is considered to be above 20 percent.

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The ten-question cancer risk calculator that helped actress Olivia Munn discover her b****t tumors can be doe online – and doctors encourage women over 35 to tak

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And with rates of cancer in under 40s ticking up, it can be a lifesaver. An MRI is not typically recommended as a screening test by itself because it can miss some cancers that a mammogram would find.

But it has been known to find that which is missed. Very high-risk women such as Olivia Munn are recommended to undergo a mammogram or an MRI every six months.

As well as dense b****t tissue, an MRI can detect small lesions, and detailed information about a tumor, its size, shape, and reach.

However, doctors are often reluctant to order MRIs due to the risk of detecting false positives — lesions that would never become cancerous.

MRIs can also be prohibitively expensive, especially if a person does not have health insurance.

Dr Aliabadi says genetic testing that tells whether a person has genes that could raise their risk would also be helpful.

How to calculate YOUR bre@st cancer risk

1. Do you have a medical history of any b****t cancer or of ductal carcinoma in situ (DCIS) or lobular carcinoma in situ (LCIS) or has she received previous radiation therapy to the chest for treatment of Hodgkin lymphoma?

  • Yes
  • No

2. Do you have a mutation in either the BRCA1 or BRCA2 gene, or a diagnosis of a genetic syndrome that may be associated with elevated risk of b****t cancer?

  • Yes
  • No
  • Unknown

3. What is your age? (This tool calculates risk for women between the ages of 35 and 85.)

4. What is your race/ethnicity?

5. Have you ever had a b****t biopsy with a benign (not cancer) diagnosis?

  • Yes
  • No
  • Unknown

If answered No or Unknown, go to question 9.

6. If Yes, how many b****t biopsies with a benign diagnosis have you had?

  • 1
  • 2 or more

7. Have you ever had a b****t biopsy with atypical hyperplasia?

  • Yes
  • No
  • Unknown

8. How old were you when you had your first menstrual period?

  • 7 to 11
  • 12 to 13
  • 14 or older

9. How old were you when you gave birth to your first child?

  • No Births
  • 20
  • 20-24
  • 25-29
  • 30 or older
  • Unknown

10. How many of the woman’s first-degree relatives (mother, sisters, daughters) have had b****t cancer?

  • None
  • One
  • More than one
  • Unknown

To calculate your risk, input your answers at

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