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Look how far we have come: BREAST cancer detection education on the international stage
The development of screening mammography over 30 years has remarkedly reduced breast cancer–associated mortality by 20%-30% through detection of small cancer lesions at early stages. Yet breast screening programmes may function differently in each nation depending on the incidence rate, national leg...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Frontiers Media S.A.
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9846523/ https://www.ncbi.nlm.nih.gov/pubmed/36686760 http://dx.doi.org/10.3389/fonc.2022.1023714 |
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author | Trieu, Phuong Dung (Yun) Mello-Thoms, Claudia R. Barron, Melissa L. Lewis, Sarah J. |
author_facet | Trieu, Phuong Dung (Yun) Mello-Thoms, Claudia R. Barron, Melissa L. Lewis, Sarah J. |
author_sort | Trieu, Phuong Dung (Yun) |
collection | PubMed |
description | The development of screening mammography over 30 years has remarkedly reduced breast cancer–associated mortality by 20%-30% through detection of small cancer lesions at early stages. Yet breast screening programmes may function differently in each nation depending on the incidence rate, national legislation, local health infrastructure and training opportunities including feedback on performance. Mammography has been the frontline breast cancer screening tool for several decades; however, it is estimated that there are 15% to 35% of cancers missed on screening which are owing to perceptual and decision-making errors by radiologists and other readers. Furthermore, mammography screening is not available in all countries and the increased speed in the number of new breast cancer cases among less developed countries exceeds that of the developed world in recent decades. Studies conducted through the BreastScreen Reader Assessment Strategy (BREAST) training tools for breast screening readers have documented benchmarking and significant variation in diagnostic performances in screening mammogram test sets in different countries. The performance of the radiologists from less well-established breast screening countries such as China, Mongolia and Vietnam were significant lower in detecting early-stage cancers than radiologists from developed countries such as Australia, USA, Singapore, Italy. Differences in breast features and cancer presentations, discrepancies in the level of experiences in reading screening mammograms, the availability of high-quality national breast screening program and breast image interpretation training courses between developed and less developed countries are likely to have impact on the variation of readers’ performances. Hence dedicated education training programs with the ability to tailor to different reader cohorts and different population presentations are suggested to ameliorate challenges in exposure to a range of cancer cases and improve the interpretation skills of local radiologists. Findings from this review provide a good understanding of the radiologist’ performances and their improvement using the education interventions, primarily the BREAST program, which has been deployed in a large range of developing and developed countries in the last decade. Self-testing and immediate feedback loops have been shown to have important implications for benchmarking and improving the diagnostic accuracy in radiology worldwide for better breast cancer control. |
format | Online Article Text |
id | pubmed-9846523 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-98465232023-01-19 Look how far we have come: BREAST cancer detection education on the international stage Trieu, Phuong Dung (Yun) Mello-Thoms, Claudia R. Barron, Melissa L. Lewis, Sarah J. Front Oncol Oncology The development of screening mammography over 30 years has remarkedly reduced breast cancer–associated mortality by 20%-30% through detection of small cancer lesions at early stages. Yet breast screening programmes may function differently in each nation depending on the incidence rate, national legislation, local health infrastructure and training opportunities including feedback on performance. Mammography has been the frontline breast cancer screening tool for several decades; however, it is estimated that there are 15% to 35% of cancers missed on screening which are owing to perceptual and decision-making errors by radiologists and other readers. Furthermore, mammography screening is not available in all countries and the increased speed in the number of new breast cancer cases among less developed countries exceeds that of the developed world in recent decades. Studies conducted through the BreastScreen Reader Assessment Strategy (BREAST) training tools for breast screening readers have documented benchmarking and significant variation in diagnostic performances in screening mammogram test sets in different countries. The performance of the radiologists from less well-established breast screening countries such as China, Mongolia and Vietnam were significant lower in detecting early-stage cancers than radiologists from developed countries such as Australia, USA, Singapore, Italy. Differences in breast features and cancer presentations, discrepancies in the level of experiences in reading screening mammograms, the availability of high-quality national breast screening program and breast image interpretation training courses between developed and less developed countries are likely to have impact on the variation of readers’ performances. Hence dedicated education training programs with the ability to tailor to different reader cohorts and different population presentations are suggested to ameliorate challenges in exposure to a range of cancer cases and improve the interpretation skills of local radiologists. Findings from this review provide a good understanding of the radiologist’ performances and their improvement using the education interventions, primarily the BREAST program, which has been deployed in a large range of developing and developed countries in the last decade. Self-testing and immediate feedback loops have been shown to have important implications for benchmarking and improving the diagnostic accuracy in radiology worldwide for better breast cancer control. Frontiers Media S.A. 2023-01-04 /pmc/articles/PMC9846523/ /pubmed/36686760 http://dx.doi.org/10.3389/fonc.2022.1023714 Text en Copyright © 2023 Trieu, Mello-Thoms, Barron and Lewis https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Oncology Trieu, Phuong Dung (Yun) Mello-Thoms, Claudia R. Barron, Melissa L. Lewis, Sarah J. Look how far we have come: BREAST cancer detection education on the international stage |
title | Look how far we have come: BREAST cancer detection education on the international stage |
title_full | Look how far we have come: BREAST cancer detection education on the international stage |
title_fullStr | Look how far we have come: BREAST cancer detection education on the international stage |
title_full_unstemmed | Look how far we have come: BREAST cancer detection education on the international stage |
title_short | Look how far we have come: BREAST cancer detection education on the international stage |
title_sort | look how far we have come: breast cancer detection education on the international stage |
topic | Oncology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9846523/ https://www.ncbi.nlm.nih.gov/pubmed/36686760 http://dx.doi.org/10.3389/fonc.2022.1023714 |
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