[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-383218-105":59,"doc-detail-383218-en":130},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":123,"head_meta":125,"extra_data":127,"updated_unix":129},105,"en","look-how-far-we-have-come-breast-cancer-detection-education-on-the-international-stage","Look how far we have come - BREAST cancer detection education on the international stage","","Reviewing the international development of breast cancer screening education, this article explains how advances in screening mammography have reduced breast-cancer mortality, while highlighting variability between nations in legislation, infrastructure, incidence rates, and reader training. It addresses missed cancers due to perceptual and decision-making errors, summarizes evidence from BREAST training tools showing benchmarking differences across countries, and argues for tailored education programs and self-testing with immediate feedback to strengthen diagnostic accuracy and local radiologist performance worldwide.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/look-how-far-we-have-come-breast-cancer-detection-education-on-the-international-stage/383218/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/look-how-far-we-have-come-breast-cancer-detection-education-on-the-international-stage/383218.png","ImageObject",300,407,{"name":92,"@type":93},"nayy☆","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-29","2026-09-24",true,{"@type":102,"interactionType":103,"userInteractionCount":44},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"Why does breast cancer screening performance vary across countries?","Question",{"text":112,"@type":113},"Screening programmes differ by incidence rates, national legislation, health infrastructure, and training opportunities, which influence reader experience and interpretation quality.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"What causes a portion of missed cancers during mammography screening?",{"text":117,"@type":113},"Missed cancers are attributed to perceptual and decision-making errors made by radiologists and other readers, particularly when detecting small early lesions.",{"name":119,"@type":110,"acceptedAnswer":120},"How does the BREAST training approach aim to improve diagnostic accuracy?",{"text":121,"@type":113},"It uses education interventions and training tools that enable benchmarking and can be tailored to different reader groups and population presentations, supported by self-testing and immediate feedback.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},383218,1790672699,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":44,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":139,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":145},962090893153,"https://ap-avatar.wpscdn.com/davatar_9964176cb1d06d4a9deccf72a44ae3dc","TYPE Review  \nPUBLISHED 04 January 2023 DOI 10.3389/fonc.2022.1023714  \nOPEN ACCESS  \nEDITED BY  \nHussain Gadelkarim Ahmed, University of Khartoum, Sudan  \nREVIEWED BY  \nAbdelbaset Mohamed Elasbali,  \njouf university college of applied medical science qurayyat, Saudi Arabia Aliete Cunha-Oliveira,  \nCoimbra Nursing School, Portugal  \n*CORRESPONDENCE  \nPhuong Dung (Yun) Trieu  \n [phuong.trieu@sydney.edu.au](phuong.trieu@sydney.edu.au)  \nSPECIALTY SECTION  \nThis article was submitted to Breast Cancer,  \na section of the journal Frontiers in Oncology  \nRECEIVED 20 August 2022  \nACCEPTED 05 December 2022  \nPUBLISHED 04 January 2023  \nCITATION  \nTrieu PD(Y), Mello-Thoms CR, Barron ML and Lewis SJ (2023) Look how far we have come: BREAST cancer detection education on the international stage.  \nFront. Oncol. 12:1023714 .  \ndoi: 10.3389/fonc.2022.1023714  \nCOPYRIGHT  \n© 2023 Trieu, Mello-Thoms, Barron and Lewis. This is an open-access article distributed under the terms of the  \nCreative 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.  \nLook how far we have come: BREAST cancer detection education on the international stage  \nPhuong Dung (Yun) Trieu 1*, Claudia R. Mello-Thoms 1,2, Melissa L. Barron 1 and Sarah J. Lewis 1  \n1 Discipline of Medical Imaging Sciences, School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia, 2 Department of Radiology, Carver College of Medicine, University of Iowa, Iowa City, IA, United States  \nThe 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 inte","cbCaic3LzYtrvGIL","https://ap.wps.com/l/cbCaic3LzYtrvGIL","pdf",5970111,13,"English","# Introduction\n## Screening mammography impact and international variability\n## Missed cancers and reader performance errors\n## BREAST training program and benchmarking\n## Self-testing and immediate feedback for radiology","[{\"question\":\"Why does breast cancer screening performance vary across countries?\",\"answer\":\"Screening programmes differ by incidence rates, national legislation, health infrastructure, and training opportunities, which influence reader experience and interpretation quality.\"},{\"question\":\"What causes a portion of missed cancers during mammography screening?\",\"answer\":\"Missed cancers are attributed to perceptual and decision-making errors made by radiologists and other readers, particularly when detecting small early lesions.\"},{\"question\":\"How does the BREAST training approach aim to improve diagnostic accuracy?\",\"answer\":\"It uses education interventions and training tools that enable benchmarking and can be tailored to different reader groups and population presentations, supported by self-testing and immediate feedback.\"}]","Look how far we have come - BREAST cancer detection education on the international stage | PDF",1790255283,33]