In a review published by the European Journal of Radiology, researchers explored the potential of Artificial Intelligence (AI) to revolutionize breast cancer screening through advancements in digital mammography (DM) and digital breast tomosynthesis (DBT).
Deep Learning (DL)-based AI systems have shown considerable promise, significantly enhancing detection accuracy and reducing the workload for radiologists. With improved capabilities to identify subtle abnormalities, AI has demonstrated an ability to both reduce false positives and negatives, providing more consistent results and potentially surpassing traditional computer-aided detection (CAD) systems.
However, while AI systems offer substantial benefits, this review highlights several challenges. Issues such as data quality, potential biases in training data, and regulatory complexities are significant barriers to the broader clinical adoption of AI in breast imaging. Moreover, the article emphasizes the importance of standardized guidelines and reliable practices, such as the FUTURE-AI framework, to build clinical trust and ensure fairness, robustness, and explainability in AI applications.
With standardized guidelines, increased collaboration among researchers, and adherence to trustworthy AI practices, AI technology could significantly advance the accuracy, fairness, and reliability of breast cancer screenings worldwide. Ongoing efforts, like federated learning, aim to enhance the quality and generalizability of AI models, ensuring robust clinical performance across diverse populations.
The integration of AI in breast cancer screening is poised to be a major leap forward. However, continuous research, clinical trials, and regulatory guidance will be essential to fully unlock AI’s potential in healthcare. This review highlights the collaborative efforts needed to bring these transformative technologies into routine practice, ultimately improving patient outcomes and empowering healthcare providers.
Díaz, O., Rodríguez-Ruíz, A., & Sechopoulos, I. (2024). Artificial intelligence for breast cancer detection: Technology, challenges, and prospects. European Journal of Radiology, 175, 111457. https://doi.org/10.1016/j.ejrad.2024.111457