Breast cancer is the most common type of cancer in women worldwide. In 2018 almost 12% of all cancers diagnosed were female breast cancer 1 . Early detection and treatment can achieve survival probabilities of 90% or higher 2 . When the disease is non-invasive, the 5-year relative survival rate is 99%. 3 This provides an opportunity for a treatment pathway that allows for the best chance of recovery. An inexpensive solution to detecting malignancies that are impalpable and measure less than 10 mm is Mammography 4 . In the UK, the National Health Service Breast Screening Programme invites women from 50 to 70 years old to attend a mammography appointment every three years and aims to reduce mortality through early detection. The efficacy of a breast cancer screening programme relies on efficient analysis of mammographic images, i.e. identifying suspicious regions of interest and differentiating between normal, benign and malignant image appearances. 5 ,6 Ongoing training and peer review are recommended to attain optimal mammography interpretation. 7 In 1995, as a result of an increasing demand for mammography interpretation and a paucity of radiologists, training to interpret and report screening mammograms was extended to radiographers.