Misdiagnosis in breast imaging: A statement paper from European Society Breast Imaging (EUSOBI)—Part 1: The role of common errors in radiology in missed breast cancer and implications of misdiagnosis Review


Authors: Thomassin-Naggara, I.; Kilburn-Toppin, F.; Athanasiou, A.; Forrai, G.; Ispas, M.; Lesaru, M.; Giannotti, E.; Pinker-Domenig, K.; Van Ongeval, C.; Gilbert, F.; Mann, R. M.; Pediconi, F.; and on behalf of EUSOBI Board
Review Title: Misdiagnosis in breast imaging: A statement paper from European Society Breast Imaging (EUSOBI)—Part 1: The role of common errors in radiology in missed breast cancer and implications of misdiagnosis
Abstract: Importance: Misdiagnosis in breast imaging can have significant implications for patients, healthcare providers, and the healthcare system as a whole. Observations: Some of the potential implications of misdiagnosis in breast imaging include delayed diagnosis or false reassurance, which can result in a delay in treatment and potentially a worse prognosis. Misdiagnosis can also lead to unnecessary procedures, which can cause physical discomfort, anxiety, and emotional distress for patients, as well as increased healthcare costs. All these events can erode patient trust in the healthcare system and in individual healthcare providers. This can have negative implications for patient compliance with screening and treatment recommendations, as well as overall health outcomes. Moreover, misdiagnosis can also result in legal consequences for healthcare providers, including medical malpractice lawsuits and disciplinary action by licensing boards. Conclusion and relevance: To minimize the risk of misdiagnosis in breast imaging, it is important for healthcare providers to use appropriate imaging techniques and interpret images accurately and consistently. This requires ongoing training and education for radiologists and other healthcare providers, as well as collaboration and communication among healthcare providers to ensure that patients receive appropriate and timely care. If a misdiagnosis does occur, it is important for healthcare providers to communicate with patients and provide appropriate follow-up care to minimize the potential implications of the misdiagnosis. This may include repeat imaging, additional biopsies or other procedures, and referral to specialists for further evaluation and management. Key Points: Question What factors most contribute to and what implications stem from misdiagnosis in breast imaging? Findings Ongoing training and education for radiologists and other healthcare providers, as well as interdisciplinary collaboration and communication, is paramount. Clinical relevance Misdiagnosis in breast imaging can have significant implications for patients, healthcare providers, and the entire healthcare system. © The Author(s), under exclusive licence to European Society of Radiology 2024.
Keywords: adult; middle aged; review; nuclear magnetic resonance imaging; follow up; breast cancer; diagnostic imaging; breast neoplasms; europe; health care cost; radiologist; mammography; diagnostic errors; artificial intelligence; breast tumor; diagnosis; echography; patient compliance; diagnostic error; distress syndrome; health care personnel; medical specialist; health care system; anxiety; malpractice; delayed diagnosis; law suit; mri; ultrasonography; patient referral; emotional stress; misdiagnosis; prevention and control; unnecessary procedure; procedures; clinical significance; humans; human; female; mri scanner
Journal Title: European Radiology
Volume: 35
Issue: 5
ISSN: 0938-7994
Publisher: Springer  
Date Published: 2025-05-01
Start Page: 2387
End Page: 2396
Language: English
DOI: 10.1007/s00330-024-11128-1
PUBMED: 39545978
PROVIDER: scopus
DOI/URL:
Notes: The MSK Cancer Center Support Grant (P30 CA008748) is acknowledge in the PDF -- Source: Scopus
Altmetric
Citation Impact
BMJ Impact Analytics
MSK Authors