Clinics in the US are offering mammogram readings by both radiologists and artificial intelligence (AI) models. AI tools can speed up radiologists' work and detect breast cancer earlier than traditional mammograms alone. While experts are excited about improved accuracy, concerns remain about effectiveness across diverse patients and impact on breast cancer survival rates. AI models highlight suspicious areas on mammogram images and can reduce false positives. However, it is unclear whether AI analysis will reduce deaths from breast cancer or simply increase the number of earlier detections. Generalizability of European findings, potential limitations of AI, and lack of billing codes for insurers also pose challenges.