A method, system and computer program product for determining changes in breast density. A generative adversarial network is trained to predict an appearance of a mammogram image for a patient's current examination based on mammogram images assigned labels of a first type of density classification. An appearance of a mammogram image for a patient's current examination is predicted using the generative adversarial network based on a mammogram image(s) obtained from the patient's prior examination assigned labels of the first type of density classification. A comparison is made between the predicted and actual mammogram images for the patient's current examination to determine if there is a difference between scores assigned to the predicted and actual mammogram images, and if so, whether such difference can be attributed to the subjective assessment by different physicians or changes in the standards of density classification or is due to a real change in breast density.
