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Radiologic Technologist and Radiologist Knowledge Gaps about Breast Density Revealed by an Online Continuing
Robin L Seitzman1,2, JoAnn Pushkin2, Wendie A Berg2,3
1Seitzman Consulting, San Diego, CA.
Journal of Breast Imaging
|March 1, 2024
Summary
Radiologists and technologists show significant knowledge gaps in breast density, risk assessment, and screening. Continuing education is crucial for improving breast cancer screening recommendations and patient care.
Area of Science:
- Radiology and Medical Imaging
- Oncology and Cancer Research
- Public Health and Epidemiology
Background:
- Breast density assessment is critical for accurate mammography interpretation and personalized cancer risk evaluation.
- Existing continuing education may not adequately address key knowledge gaps in breast density, risk stratification, and screening guidelines.
- Understanding these gaps is essential for optimizing breast cancer screening protocols.
Purpose of the Study:
- To identify provider knowledge deficits regarding breast density, risk assessment, and screening.
- To determine predictors of these knowledge gaps within the radiology community.
- To inform the development of targeted continuing education initiatives.
Main Methods:
- An online continuing education course on breast density was offered from November 2016 to December 2018.
- Demographic data, a monograph, and post-test results were collected from participants.
- Multiple logistic regression analysis identified predictors of knowledge gaps, defined as over 25% of incorrect responses.
Main Results:
- Significant knowledge gaps were identified in 1649 participants, with technologists/nonphysicians exhibiting more deficits than physicians.
- Common misconceptions included the use of the Gail model for high-risk determination, the relationship between age and breast cancer risk, and MRI recommendations for BRCA mutation carriers.
- Effectiveness of tomosynthesis was overestimated, with many participants believing its sensitivity approached that of MRI.
Conclusions:
- Substantial knowledge gaps persist among radiologic technologists and physicians concerning breast density, cancer risk assessment, and screening modalities.
- Targeted continuing education is necessary to improve the appropriate application of breast cancer screening recommendations.
- Addressing these educational deficits can enhance diagnostic accuracy and patient outcomes.
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