A competency-based ultrasound-guided breast biopsy training program for radiologists from low-and-middle-income countries that leverages mobile health technology (NCT04501419): A study protocol Journal Article

   

Authors:	Omisore, A. D.; Egberongbe, A. A.; Pace, L. E.; Raza, S.; Akinola, R. A.; Obajimi, M. O.; Sevilimedu, V.; Bryce, Y.; Mango, V. L.; Alatise, O. I.; Kingham, T. P.; Morris, E. A.; Sutton, E. J.
Article Title:	A competency-based ultrasound-guided breast biopsy training program for radiologists from low-and-middle-income countries that leverages mobile health technology (NCT04501419): A study protocol
Abstract:	Introduction: While ultrasound-guided breast biopsy (UGBB) performed by a radiologist is the standard of care in high-income countries for diagnosing breast cancer, blind or surgical biopsy has been the norm in low-and middle-income countries (LMIC) in part because LMIC radiologists lack the skill to perform UGBB. We present the study protocol of a competency-based UGBB training program for LMIC Nigerian radiologists that leverages mobile health technology. Methods: This institutional review board-approved prospective multi-institutional single-arm clinical trial (ClinicalTrials.gov identifier: NCT04501419) involves 13 Nigerian radiologists from eight tertiary hospitals in South West and South East Nigeria. Our training program is unique because it uses a competency-based curriculum developed specifically for LMIC radiologists. The competency-based curriculum incorporates blended learning (e-learning and trainer-led), simulation (supervised and unsupervised), and patient biopsy (supervised and unsupervised) components. The study time frame is two years: 1 year for the trainees to complete active training and patient recruitment and another 1 year for patient follow-up. Primary outcome measures include trainees' competency (measured using the Ottawa Surgical Competency Operating Room Evaluation (O-SCORE)), the radiology-pathology concordance rate, and the complication rate. Secondary outcome measures include the diagnostic interval and the positive predictive value of UGBB. Conclusion: Building capacity for UGBB in Nigeria and other LMIC can potentially improve breast cancer outcomes through early diagnosis. This training program is part of an implementation multi-component strategy package in Nigeria to improve breast cancer outcomes. This training program can also be adapted for other image-guided procedures that could impact global cancer control through diagnosis, therapeutic intervention, and/or palliation.
Keywords:	radiologist; early diagnosis; surgery; breast biopsy; cancer; mobile health; mhealth; competency-based; ultrasound-guided; low-and-middle-income countries; objective assessment; technical skills; low-resource
Journal Title:	Cancer Control
Volume:	32
ISSN:	1073-2748
Publisher:	H. Lee Moffitt Cancer Center & Research Institute
Date Published:	2025-05-01
Language:	English
ACCESSION:	WOS:001470797400001
DOI:	10.1177/10732748251334435
PROVIDER:	wos
PMCID:	PMC12035153
PUBMED:	40250340
Notes:	The MSK Cancer Center Support Grant (P30 CA008748) is acknowledge in the PDF -- Corresponding authors is MSK author: Elizabeth Jane Sutton -- Source: Wos

https://synapse.mskcc.org/synapse/works/has_related_data_chk/224958