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So if a woman has dense breasts, a risk assessment may be helpful?

Perhaps. For the great majority of women informed that they have dense breasts under the law, breast density in itself has only a small impact on their overall risk. But there are other important risk factors that also may come into play, and knowing a specific patient's risk level can help to determine whether supplemental screening is appropriate. If a woman is at very high risk, a screening MRI would likely be helpful.