The Transformative Power of Digital Breast Tomosynthesis and Artificial Intelligence in Breast Cancer Diagnosis.

Journal: Canadian Association of Radiologists journal = Journal l'Association canadienne des radiologistes
Published Date:

Abstract

The integration of Digital Breast Tomosynthesis (DBT) and Artificial Intelligence (AI) represents a significant advance in breast cancer screening. This combination aims to address several challenges inherent in traditional screening while promising an improvement in healthcare delivery across multiple dimensions. For patients, this technological synergy has the potential to lower the number of unnecessary recalls and associated procedures such as biopsies, thereby reducing patient anxiety and improving overall experience without compromising diagnostic accuracy. For radiologists, the use of combined AI and DBT could significantly decrease workload and reduce fatigue by effectively highlighting breast imaging abnormalities, which is especially beneficial in high-volume clinical settings. Health systems stand to gain from streamlined workflows and the facilitated deployment of DBT, which is particularly valuable in areas with a scarcity of specialized breast radiologists. However, despite these potential benefits, substantial challenges remain. Bridging the gap between the development of complex AI algorithms and implementation into clinical practice requires ongoing research and development. This is essential to optimize the reliability of these systems and ensure they are accessible to healthcare providers and patients, who are the ultimate beneficiaries of this technological advancement. This article reviews the benefits of combined AI-DBT imaging, particularly the ability of AI to enhance the benefits of DBT and reduce its existing limitations.

Authors

  • Vivianne Freitas
    From the Joint Department of Medical Imaging, University of Toronto, University Health Network, Sinai Health System, Women's College Hospital, 610 University Ave, Toronto, ON, Canada M5G 2M9.
  • Sandeep Ghai
    Joint Department of Medical Imaging, Breast Division, University of Toronto, Toronto, ON, Canada.
  • Frederick Au
    Joint Department of Medical Imaging, Breast Division, University of Toronto, Toronto, ON, Canada.
  • Derek Muradali
    Radiology Department, St. Michael Hospital, University of Toronto, Toronto, ON, Canada.
  • Supriya Kulkarni
    Joint Department of Medical Imaging, Breast Division, University of Toronto, Toronto, ON, Canada.