Disparities in Breast Cancer Diagnostics: How Radiologists Can Level the Inequalities

Author:

Pesapane Filippo1ORCID,Tantrige Priyan2,Rotili Anna1ORCID,Nicosia Luca1ORCID,Penco Silvia1,Bozzini Anna Carla1,Raimondi Sara3ORCID,Corso Giovanni456ORCID,Grasso Roberto47ORCID,Pravettoni Gabriella47,Gandini Sara3ORCID,Cassano Enrico1ORCID

Affiliation:

1. Breast Imaging Division, IEO European Institute of Oncology IRCCS, 20141 Milan, Italy

2. King’s College Hospital NHS Foundation Trust, London SE5 9RS, UK

3. Molecular and Pharmaco-Epidemiology Unit, Department of Experimental Oncology, IEO European Institute of Oncology IRCCS, 20141 Milan, Italy

4. Department of Oncology and Hemato-Oncology, University of Milan, 20122 Milan, Italy

5. Division of Breast Surgery, IEO European Institute of Oncology IRCCS, Via Ripamonti, 435, 20141 Milan, Italy

6. European Cancer Prevention Organization (ECP), 20122 Milan, Italy

7. Applied Research Division for Cognitive and Psychological Science, IEO European Institute of Oncology IRCCS, 20141 Milan, Italy

Abstract

Access to medical imaging is pivotal in healthcare, playing a crucial role in the prevention, diagnosis, and management of diseases. However, disparities persist in this scenario, disproportionately affecting marginalized communities, racial and ethnic minorities, and individuals facing linguistic or cultural barriers. This paper critically assesses methods to mitigate these disparities, with a focus on breast cancer screening. We underscore scientific mobility as a vital tool for radiologists to advocate for healthcare policy changes: it not only enhances diversity and cultural competence within the radiology community but also fosters international cooperation and knowledge exchange among healthcare institutions. Efforts to ensure cultural competency among radiologists are discussed, including ongoing cultural education, sensitivity training, and workforce diversification. These initiatives are key to improving patient communication and reducing healthcare disparities. This paper also highlights the crucial role of policy changes and legislation in promoting equal access to essential screening services like mammography. We explore the challenges and potential of teleradiology in improving access to medical imaging in remote and underserved areas. In the era of artificial intelligence, this paper emphasizes the necessity of validating its models across a spectrum of populations to prevent bias and achieve equitable healthcare outcomes. Finally, the importance of international collaboration is illustrated, showcasing its role in sharing insights and strategies to overcome global access barriers in medical imaging. Overall, this paper offers a comprehensive overview of the challenges related to disparities in medical imaging access and proposes actionable strategies to address these challenges, aiming for equitable healthcare delivery.

Publisher

MDPI AG

Subject

Cancer Research,Oncology

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