Evidence map›Paper›PMID 40664864›Full record

ArticleEuropean radiology2026

Enhancing breast positioning quality through real-time AI feedback.

Raphael Sexauer, Friederike Riehle, Karol Borkowski, Carlotta Ruppert, Silke Potthast, Noemi Schmidt

Abstract read
In one paragraph

Article in European radiology, 2026. 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. Article
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

6 authors.

Raphael SexauerDepartment of Radiology and Nuclear Medicine, Kantonsspital Baselland, Liestal, Switzerland. raphael.sexauer@ksbl.ch.ORCID http://orcid.org/0000-0002-9949-7912
Friederike RiehleDepartment of Radiology and Nuclear Medicine, University Hospital Basel, Basel, Switzerland.
Karol Borkowskib-RayZ, Schlieren, Switzerland.
Carlotta Ruppertb-RayZ, Schlieren, Switzerland.
Silke PotthastInstitute of Radiology, Limmatthal Hospital, Schlieren, Switzerland.
Noemi SchmidtDepartment of Radiology and Nuclear Medicine, University Hospital Basel, Basel, Switzerland.

Funding

Gottfried und Julia Bangerter-Rhyner-Stiftung 0152-2023
6 · The paper itself

Abstract

objectivesEnhance mammography quality to increase cancer detection by implementing continuous AI-driven feedback mechanisms, ensuring reliable, consistent, and high-quality screening by the 'Perfect', 'Good', 'Moderate', and 'Inadequate' (PGMI) criteria. MATERIALS AND

methodsTo assess the impact of the AI software 'b-box

resultsA total of 4577 mammograms from 1220 women (mean age: 59, range: 21-94, standard deviation: 11.18) were included. 1728 images were obtained before (A) and 2330 images after the 2021 software implementation (B), along with 269 images in 2022 (C1) and 250 images in 2023 (C2). The results indicated a significant improvement in diagnostic image quality (p < 0.01). The percentage of 'Perfect' examinations rose from 22.34% to 32.27%, while 'Inadequate' images decreased from 13.31% to 5.41% in 2021, continuing the positive trend with 4.46% and 3.20% 'inadequate' images in 2022 and 2023, respectively (p < 0.01).

conclusionUsing a reliable software platform to perform AI-driven quality evaluation in real-time has the potential to make lasting improvements in image quality, support radiographers' professional growth, and elevate institutional quality standards and documentation simultaneously. KEY POINTS: Question How can AI-powered quality assessment reduce inadequate mammographic quality, which is known to impact sensitivity and increase the risk of interval cancers? Findings AI implementation decreased 'inadequate' mammograms from 13.31% to 3.20% and substantially improved parenchyma visualization, with consistent subgroup trends. Clinical relevance By reducing 'inadequate' mammograms and enhancing imaging quality, AI-driven tools improve diagnostic reliability and support better outcomes in breast cancer screening.

Indexed as

Artificial IntelligenceBreast NeoplasmsMammographyPatient PositioningAdultAgedAged, 80 and overFeedbackFemaleHumansMiddle AgedQuality ImprovementSoftwareYoung AdultBreast neoplasmsDeep learningFeedbackMammographyQuality improvement

Identifiers

PMID40664864
PMCPMC12712050

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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.