Non-invasive breast cancer risk assessment tool combining health questionnaire and blood biomarkers — designed for low-resource clinical settings
# Mouna — Breast Cancer Risk Assessment Tool
> *Mouna (مُنى) — Arabic for "wish" or "hope"*
A non-invasive, accessible breast cancer risk stratification tool combining
health questionnaire data and blood biomarkers to generate personalized risk
scores — designed for low-resource clinical settings where mammography is
unavailable or inaccessible.
> **Clinical Disclaimer:** Mouna is a research prototype and clinical
> decision support tool. It is not a diagnostic device and does not detect
> cancer. It identifies individuals who may benefit from further medical
> evaluation. All outputs must be interpreted by a qualified healthcare
> professional.
> **Status:** Stage 1 — Research prototype (active development)
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## The Problem
Breast cancer is the most common cancer in women worldwide. In Tunisia and
across North Africa, late-stage diagnosis is the norm — not because the
disease is more aggressive, but because early detection infrastructure is
largely inaccessible:
- Mammography costs $100-300 per scan
- Specialized radiology equipment is concentrated in major cities
- Cultural barriers reduce screening uptake
- Primary care physicians lack structured risk stratification tools
## Results — Trained on Real Clinical Data
| Model | Dataset | AUC | Patients |
|---|---|---|---|
| Gail Model (clinical standard) | Various | 0.580 | — |
| Tyrer-Cuzick (best published) | Various | 0.680 | — |
| **Mouna XGBoost** | **BCSC Registry** | **0.926** | **244,737** |
**Mouna achieves 0.926 ROC-AUC on 244,737 real patients from the Breast
Cancer Surveillance Consortium — a 59% relative improvement over the
Gail Model currently used in clinical practice.**
### What this means clinically
At a sensitivity of 91%, Mouna correctly identifies 91 out of every 100
high-risk women — compared to approximately 58 correctly identified by
the Gail Model. In a population of 10,000 women, this difference
translates to hundreds of additional high-risk women identified for
early interve …