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Medical image falsification in radiology science
Thomas C Kwee1, Andreea M Pavel1, Robert M Kwee2
1Medical Imaging Center, Department of Radiology, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.
European Journal of Radiology
|June 10, 2025
Summary
Medical image falsification is prevalent among radiology researchers, with over 11% admitting to it and over 37% witnessing it. Female researchers and those without a medical doctor (MD) degree were less likely to falsify images.
Area of Science:
- Radiology
- Medical Imaging
- Scientific Publishing Ethics
Background:
- Medical image falsification undermines scientific integrity in radiology.
- Understanding the prevalence and types of image manipulation is crucial for maintaining research credibility.
Purpose of the Study:
- To investigate the extent and nature of medical image falsification experienced by radiology researchers.
- To identify factors associated with engaging in or witnessing image falsification.
Main Methods:
- A survey was distributed to corresponding authors of articles in top radiology journals.
- The survey assessed experiences with medical image falsification within the past five years.
Main Results:
- 11.9% of respondents admitted to medical image falsification, and 37.1% witnessed it.
- Cherry-picking images was the most common falsification method (50.3%).
- Female gender and lacking a medical doctor (MD) degree were associated with lower odds of falsification.
Conclusions:
- A significant proportion of radiology researchers have engaged in or witnessed medical image falsification.
- Gender and academic degree (MD) are associated with the likelihood of image falsification in radiology research.
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