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Misdiagnosis in breast imaging: a statement paper from European Society Breast Imaging (EUSOBI)—Part 2: Main causes of errors in breast imaging and recommendations from European Society of Breast Imaging to limit misdiagnosis.

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Title: Misdiagnosis in breast imaging: a statement paper from European Society Breast Imaging (EUSOBI)—Part 2: Main causes of errors in breast imaging and recommendations from European Society of Breast Imaging to limit misdiagnosis.
Authors: Thomassin-Naggara, Isabelle1,2 (AUTHOR) isabelle.thomassin@aphp.fr, Athanasiou, Alexandra3 (AUTHOR), Kilburn-Toppin, Fleur4 (AUTHOR), Forrai, Gabor5 (AUTHOR), Ispas, Miruna6 (AUTHOR), Lesaru, Mihai6 (AUTHOR), Giannotti, Elisabetta3 (AUTHOR), Pinker-Domenig, Katja7,8 (AUTHOR), Van Ongeval, Chantal9 (AUTHOR), Mann, Ritse M.10,11 (AUTHOR), Gilbert, Fiona4 (AUTHOR), Pediconi, Federica12 (AUTHOR), Baltzer, Pascal7 (AUTHOR), Herrero, Julia Camps13 (AUTHOR), Clauser, Paola7 (AUTHOR), Gilbert, Fiona J.4 (AUTHOR), Fuchsjäger, Michael14 (AUTHOR), Helbich, Thomas7 (AUTHOR), Kuhl, Christiane K.15 (AUTHOR), Fallenberg, Eva M.16 (AUTHOR)
Source: European Radiology. May2025, Vol. 35 Issue 5, p2397-2411. 15p.
Subjects: Breast imaging, Diagnostic errors, Interdisciplinary communication, Mammograms
Abstract: Importance: Breast cancer is one of the leading causes of negligence claims in radiology. The objective of this document is to describe the specific main causes of errors in breast imaging and provide European Society of Breast Imaging (EUSOBI) recommendations to try to minimize these. Observations: Technical failures represent 17% of all mammographic diagnostic negligence claims. Mammography quality control protocol and dedicated training for technologists and radiologists are essential. Lack of consideration of the clinical context is a second critical issue, as a clinical abnormality is found in 80% of malpractice claims. EUSOBI emphasizes the importance of communication and clinical examination before the diagnostic investigation. Detection errors or misapplications of the lexicon or Breast Imaging Reporting Data System (BI-RADS) score account for 5% of malpractice claims and should be reduced by limiting radiologists' distraction or fatigue, and being aware of satisfaction of search errors and the importance of a personal systematic review. Errors related to pathological concordance and MDT review can be limited by the use of markers after biopsy and the use of standardized reports, which can aid communication with other specialities. Finally, errors related to tumor or patient factors should be discussed, considering the use of contrast-enhanced mammography and magnetic resonance imaging. Conclusion: Several factors are responsible for misdiagnosis in breast cancer, including errors in the practice of the technician and/or radiologist (technical failures, lack of consideration of the clinical context, incorrect application of the BI-RADS score, false reassurances), lack of communication with other specialists or with the patient, and the type of tumor and breast parenchyma. Key Points: QuestionWhat factors most contribute to and what implications stem from misdiagnosis in breast imaging? Findings Ongoing training and education for radiologists and other healthcare providers, as well as interdisciplinary collaboration and communication is paramount. Clinical relevanceMisdiagnosis in breast imaging can have significant implications for patients, healthcare providers, and the entire healthcare system. [ABSTRACT FROM AUTHOR]
Copyright of European Radiology is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Misdiagnosis in breast imaging: a statement paper from European Society Breast Imaging (EUSOBI)—Part 2: Main causes of errors in breast imaging and recommendations from European Society of Breast Imaging to limit misdiagnosis.
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  Data: <searchLink fieldCode="JN" term="%22European+Radiology%22">European Radiology</searchLink>. May2025, Vol. 35 Issue 5, p2397-2411. 15p.
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  Data: Importance: Breast cancer is one of the leading causes of negligence claims in radiology. The objective of this document is to describe the specific main causes of errors in breast imaging and provide European Society of Breast Imaging (EUSOBI) recommendations to try to minimize these. Observations: Technical failures represent 17% of all mammographic diagnostic negligence claims. Mammography quality control protocol and dedicated training for technologists and radiologists are essential. Lack of consideration of the clinical context is a second critical issue, as a clinical abnormality is found in 80% of malpractice claims. EUSOBI emphasizes the importance of communication and clinical examination before the diagnostic investigation. Detection errors or misapplications of the lexicon or Breast Imaging Reporting Data System (BI-RADS) score account for 5% of malpractice claims and should be reduced by limiting radiologists' distraction or fatigue, and being aware of satisfaction of search errors and the importance of a personal systematic review. Errors related to pathological concordance and MDT review can be limited by the use of markers after biopsy and the use of standardized reports, which can aid communication with other specialities. Finally, errors related to tumor or patient factors should be discussed, considering the use of contrast-enhanced mammography and magnetic resonance imaging. Conclusion: Several factors are responsible for misdiagnosis in breast cancer, including errors in the practice of the technician and/or radiologist (technical failures, lack of consideration of the clinical context, incorrect application of the BI-RADS score, false reassurances), lack of communication with other specialists or with the patient, and the type of tumor and breast parenchyma. Key Points: QuestionWhat factors most contribute to and what implications stem from misdiagnosis in breast imaging? Findings Ongoing training and education for radiologists and other healthcare providers, as well as interdisciplinary collaboration and communication is paramount. Clinical relevanceMisdiagnosis in breast imaging can have significant implications for patients, healthcare providers, and the entire healthcare system. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of European Radiology is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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