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The use of the de-identified Private dataset was approved by the Institutional Review Board of the University of Pittsburgh (Approval No. STUDY19110130, Date: December 13, 2019). The requirement for informed consent was waived due to the retrospective nature of the study and the use of anonymized data. The VinDr-Mammo and EMBED datasets are publicly available and fully de-identified; therefore, ethics approval and informed consent were not required for their use.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics Approval"}},{"value":"The requirement for informed consent was waived for the Private\u00a0dataset due to the retrospective use of anonymized data. Public datasets used in this study did not require consent.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to Participate"}},{"value":"This study did not involve identifiable personal data, photographs, or individual participant details. All imaging data used (Private, VinDr-Mammo, and EMBED) were fully anonymized prior to analysis, and no identifying information can be linked to any subject. Therefore, informed consent for publication was not required.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for Publication"}},{"value":"The authors declare the following financial interests and personal relationships that could be considered potential competing interests:Margarita Zuley reports a relationship with Bayer Healthcare that includes travel reimbursement, and a relationship with Bracco Diagnostics Inc. that includes travel reimbursement. Andriy Bandos reports a relationship with Hologic Inc that includes: consulting or advisory.All other authors declare that they have no relevant financial or non-financial interests to disclose.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}]}}