Evidence map›Paper›PMID 40209572›Full record

ArticleEuropean journal of cancer (Oxford, England : 1990)2025

Global disparities in artificial intelligence-based mammogram interpretation for breast cancer: A scientometric analysis of representation, trends, and equity.

Isabele A Miyawaki, Imon Banerjee, Felipe Batalini, Carlos A Campello Jorge, Leo A Celi, Marisa Cobanaj, Edward C Dee, Judy W Gichoya, Zaphanlene Kaffey, Maxwell R Lloyd and 3 more

Abstract read
In one paragraph

Article in European journal of cancer (Oxford, England : 1990), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Reporting of race and ethnicity in studies of artificial intelligence in pediatric urology A secondary analysis of the AI-PEDURO online repository.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2026
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Isabele A MiyawakiDepartment of Medicine, Federal University of Parana, Curitiba, Parana, Brazil. Electronic address: isabeleayumi@ufpr.br.
Imon BanerjeeDepartment of Radiology, Mayo Clinic, Phoenix, AZ, USA; School of Computing and Augmented Intelligence, Arizona State University, AZ, USA; Arizona Advanced AI (A3I) Hub, Mayo Clinic, Phoenix, AZ, USA.
Felipe BataliniDepartment of Oncology, Mayo Clinic, Phoenix, AZ, USA.
Carlos A Campello JorgeDepartment of Radiology, University of Michigan, Ann Arbor, MI, USA.
Leo A CeliDepartment of Medicine, Beth Israel Deaconess Medical Center, Boston, MA, USA; Laboratory for Computational Physiology, Massachusetts Institute of Technology, Cambridge, MA, USA; Department of Biostatistics, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Marisa CobanajOncoRay - National Center for Radiation Research in Oncology, Faculty of Medicine, Dresden, Germany.
Edward C DeeDepartment of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Judy W GichoyaDepartment of Radiology, Emory University School of Medicine, Atlanta, GA, USA.
Zaphanlene KaffeyDepartment of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Maxwell R LloydDepartment of Medicine, Beth Israel Deaconess Medical Center, Boston, MA, USA.
Lucas McCullumDepartment of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA; UT MD Anderson Cancer Center UTHealth Houston Graduate School of Biomedical Sciences, Houston, USA.
Sruthi RanganathanDepartment of Medicine, University of Cambridge, Cambridge, United Kingdom.
Chiara CortiBreast Oncology Program, Dana-Farber Brigham Cancer Center, Boston, MA, USA; Harvard Medical School, Boston, MA, USA; Division of New Drugs and Early Drug Development for Innovative Therapies, European Institute of Oncology, IRCCS, Milan, Italy; Department of Oncology and Hematology-Oncology (DIPO), University of Milan, Milan, Italy.

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
SCH: Personalized Rescheduling of Adaptive Radiation Therapy for Head & Neck CancerR01CA257814 · NCI · RICE UNIVERSITY · PI FULLER, CLIFTON DAVID, SCHAEFER, ANDREW J · 2021 to 2024
$1.8M
NCI NIH HHS P30 CA008748NCI NIH HHS R01 CA257814
6 · The paper itself

Abstract

backgroundBreast cancer (BC) is the most frequently diagnosed cancer and the leading cause of cancer death among women worldwide. Artificial intelligence (AI) shows promise for improving mammogram interpretation, especially in resource-limited settings. However, concerns remain regarding the diversity of datasets and the representation of researchers in AI model development, which may affect the models' generalizability, fairness, and equity.

methodsWe performed a scientometric analysis of studies published in 2017, 2018, 2022, and 2023 that used screening or diagnostic mammograms for BC detection to train or validate AI algorithms. PubMed (MEDLINE) and EMBASE were searched in July 2024. Data extraction focused on patient cohort sociodemographics (including age and race/ethnicity), geographic distribution (categorized by World Bank country income levels and regions), and author profiles (sex, affiliation, and funding sources).

resultsOf 5774 studies identified, 264 met the inclusion criteria. The number of studies increased from 28 in 2017 to 115 in 2023-a 311 % increase. Despite this growth, only 0-25 % of studies reported race/ethnicity, with most patients identified as Caucasian. Moreover, nearly all patient cohorts originated from high-income countries, with no studies from low-income settings. Author affiliations were predominantly from high-income regions, and gender imbalance was observed among first and last authors.

conclusionThe lack of racial, ethnic, and geographic diversity in both datasets and researcher representation could undermine the generalizability and fairness of AI-based mammogram interpretation. Addressing these disparities through diverse dataset collection and inclusive international collaborations is critical to ensuring equitable improvements in breast cancer care.

Indexed as

Artificial IntelligenceBreast NeoplasmsHealthcare DisparitiesMammographyEarly Detection of CancerFemaleGlobal HealthHealth EquityHumansArtificial intelligenceBreast cancerMammogramMammographyRadiologyScientometric

Identifiers

PMID40209572
PMCPMC12185668

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.