“…Furthermore, the growth rate of tumours is an important variable input in many models dealing with the planning and evaluation of screening programmes (20) , thus, a reliable tD is necessary to estimate benefits and harms from related terms such as length bias and lead time (22,23) . Because of the wide span of tD, the very fast growing cancers will only rarely be observed with the intervals used in current breast cancer screening programmes and the very slow growing cancers could be subjected to overdiagnosis, resulting in overtreatment.…”