Journal
ACADEMIC RADIOLOGY
Volume 25, Issue 5, Pages 547-551Publisher
ELSEVIER SCIENCE INC
DOI: 10.1016/j.acra.2017.05.021
Keywords
Breast Cancer; Health Disparities; Advanced Imaging
Funding
- American Cancer Society [126947-MRSG-14-160-01-CPHPS]
- National Cancer Institute [P01 CA154292]
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With the advent of new screening technologies, including digital breast tomosynthesis, screening ultrasound, and breast magnetic resonance imaging, there is growing concern that existing disparities among traditionally underserved populations will worsen. These newer screening modalities purport improved cancer detection over mammography alone but are not offered at all screening facilities and often require a larger co-pay or out-of-pocket expense. Thus, the potential for worsening disparities with regard to access and appropriate utilization of supplemental screening technologies exists. Currently, there is a dearth of literature on the topic of health disparities related to access and the use of supplemental breast cancer screening and their impact on outcomes. Identifying and addressing explanatory factors for persistent and potentially worsening disparities remain a central focus of efforts to improve equity in breast cancer care. Therefore, this paper provides an overview of factors that may contribute to present and future disparities in breast cancer screening and outcomes, and explores specific relevant topics requiring greater research efforts as more personalized, multimodality breast cancer screening approaches are adopted into clinical practice.
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