{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T19:36:06Z","timestamp":1790019366909,"version":"4.0.1"},"reference-count":26,"publisher":"Oxford University Press (OUP)","issue":"1180","license":[{"start":{"date-parts":[[2026,2,16]],"date-time":"2026-02-16T00:00:00Z","timestamp":1771200000000},"content-version":"vor","delay-in-days":1,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,4,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Breast cancer is not just a disease; it is a global crisis that continues to claim lives, especially in low- and middle-income countries (LMICs), where late-stage diagnosis is the norm rather than the exception. Unlike high-income countries (HICs), where early detection has significantly improved survival rates, women in LMICs face an uphill battle against fragmented healthcare systems, limited diagnostic tools, cultural barriers, and financial constraints. The very technologies that revolutionized screening in HICs remain out of reach for many, leaving millions vulnerable to preventable deaths. This article calls for bold leadership and coordinated global efforts to ensure that every woman, regardless of geography or socio-economic status, has access to life-saving early detection and treatment, in addition to highlighting the urgent need for equitable breast cancer screening in LMICs and exploring innovative approaches that have the potential to transform early detection and improve outcomes. Decentralized diagnostic hubs, artificial intelligence (AI)-powered imaging, mobile screening units, and public-private partnerships are emerging as viable solutions to bridge the gap. Moreover, creative financing models and culturally tailored awareness campaigns offer hope for overcoming financial and social barriers. We can drive a paradigm shift towards equity in cancer care by reimagining breast cancer screening through technology and community engagement.<\/jats:p>","DOI":"10.1093\/bjr\/tqag033","type":"journal-article","created":{"date-parts":[[2026,2,16]],"date-time":"2026-02-16T04:28:54Z","timestamp":1771216134000},"page":"603-608","source":"Crossref","is-referenced-by-count":4,"title":["From struggle to strength: transforming breast cancer screening for women in low- and middle-income countries"],"prefix":"10.1093","volume":"99","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4736-6723","authenticated-orcid":false,"given":"Dina H","family":"Salama","sequence":"first","affiliation":[{"name":"Radiology and Medical Imaging Technology Department, Misr University for Science and Technology , Giza Governorate 3237101,","place":["Egypt"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0761-290X","authenticated-orcid":false,"given":"Bibb","family":"Allen","sequence":"additional","affiliation":[{"name":"President, International Society of Radiology , Reston, VA 20191,","place":["United States"]},{"name":"Department of Radiology, Grandview Medical Center , Birmingham , AL 35243,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0415-0586","authenticated-orcid":false,"given":"Guy","family":"Frija","sequence":"additional","affiliation":[{"name":"Department of Radiology (Service d\u2019Imagerie M\u00e9dicale), Paris Cit\u00e9 University , Paris 75006,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8270-5597","authenticated-orcid":false,"given":"Andrea","family":"Rockall","sequence":"additional","affiliation":[{"name":"Department of Surgery and Cancer, Faculty of Medicine, Imperial College London , London, W2 1NY,","place":["United Kingdom"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Boris","family":"Biljacic","sequence":"additional","affiliation":[{"name":"Department of Radiology, School of Medicine, University of Zagreb , Zagreb 10000,","place":["Croatia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7402-6014","authenticated-orcid":false,"given":"Miriam","family":"Mikhail","sequence":"additional","affiliation":[{"name":"Nuclear Medicine and Diagnostic Imaging Section, Division of Human Health, International Atomic Energy Agency , Vienna A-1400,","place":["Austria"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-1340-7824","authenticated-orcid":false,"given":"Youssef","family":"Nassef","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Misr University for Science and Technology , Giza 12566,","place":["Egypt"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher Charles Konrad","family":"Marton","sequence":"additional","affiliation":[{"name":"Division of Human Health, International Atomic Energy Agency , Vienna A-1400,","place":["Austria"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diana","family":"Paez","sequence":"additional","affiliation":[{"name":"Nuclear Medicine and Diagnostic Imaging Section, Division of Human Health, International Atomic Energy Agency , Vienna A-1400,","place":["Austria"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,2,15]]},"reference":[{"key":"2026041221033604000_tqag033-B1","doi-asserted-by":"publisher","first-page":"102114","DOI":"10.1016\/j.eclinm.2023.102114","article-title":"A paradigm shift in point-of-care imaging in low-income and middle-income countries","volume":"62","author":"Frija","year":"2023","journal-title":"EClinicalMedicine"},{"key":"2026041221033604000_tqag033-B2","doi-asserted-by":"publisher","first-page":"31","DOI":"10.1016\/j.ejrad.2019.03.020","article-title":"Improvement of early detection of breast cancer through collaborative multi-country efforts: observational clinical study","volume":"115","author":"Aribal","year":"2019","journal-title":"Eur J Radiol"},{"key":"2026041221033604000_tqag033-B3","doi-asserted-by":"publisher","first-page":"127","DOI":"10.1016\/j.ejmp.2017.12.021","article-title":"Improvement of early detection of breast cancer through collaborative multi-country efforts: medical physics component","volume":"48","author":"Mora","year":"2018","journal-title":"Phys Med"},{"key":"2026041221033604000_tqag033-B4","doi-asserted-by":"publisher","first-page":"473","DOI":"10.1093\/rpd\/ncu205","article-title":"Latin American dose survey results in mammography studies under IAEA programme: radiological protection of patients in medical exposures (TSA3)","volume":"163","author":"Mora","year":"2015","journal-title":"Radiat Prot Dosimetry"},{"key":"2026041221033604000_tqag033-B5","doi-asserted-by":"publisher","first-page":"229","DOI":"10.3322\/caac.21834","article-title":"Global cancer statistics 2022: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries","volume":"74","author":"Bray","year":"2024","journal-title":"CA Cancer J Clin"},{"key":"2026041221033604000_tqag033-B6","doi-asserted-by":"publisher","first-page":"1918","DOI":"10.1001\/jama.2024.5534","article-title":"Screening for breast cancer: US Preventive Services Task Force recommendation statement","volume":"331","author":"Nicholson","year":"2024","journal-title":"JAMA"},{"key":"2026041221033604000_tqag033-B7","doi-asserted-by":"publisher","first-page":"1841","DOI":"10.1016\/S0140-6736(24)00752-9","article-title":"Charlotte Coles: collaborating to tackle breast cancer inequities","volume":"403","author":"Samarasekera","year":"2024","journal-title":"Lancet"},{"key":"2026041221033604000_tqag033-B8","doi-asserted-by":"publisher","first-page":"e136","DOI":"10.1016\/S1470-2045(20)30751-8","article-title":"Lancet Oncology Commission on medical imaging and nuclear medicine","volume":"22","author":"Hricak","year":"2021","journal-title":"Lancet Oncol"},{"key":"2026041221033604000_tqag033-B9","doi-asserted-by":"publisher","first-page":"107","DOI":"10.1016\/j.ghj.2018.04.009","article-title":"Public-private partnerships in breast cancer care: enhancing healthcare delivery in low-resource settings","volume":"10","author":"Stewart","journal-title":"Glob Heal J"},{"key":"2026041221033604000_tqag033-B10","doi-asserted-by":"publisher","first-page":"30","DOI":"10.1016\/j.canep.2020.02.001","article-title":"Breast cancer screening challenges in Africa: what needs to be done?","volume":"45","author":"Stewart","journal-title":"Cancer Epidemiol"},{"key":"2026041221033604000_tqag033-B11","doi-asserted-by":"publisher","first-page":"23","DOI":"10.1007\/s12553-020-00322-0","article-title":"Addressing digital divides: digital health technologies for breast cancer screening in resource-poor settings","volume":"31","author":"Nguyen","journal-title":"Health Technol"},{"key":"2026041221033604000_tqag033-B12","doi-asserted-by":"publisher","first-page":"1154","DOI":"10.1038\/s41591-025-03502-3","article-title":"Global patterns and trends in breast cancer incidence and mortality across 185 countries","volume":"31","author":"Kim","year":"2025","journal-title":"Nat Med"},{"key":"2026041221033604000_tqag033-B13","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1200\/GO.19.00028","article-title":"Disparities in breast cancer care in low-resource settings: addressing challenges in Sub-Saharan Africa","volume":"5","author":"Berman","journal-title":"Glob Oncol"},{"key":"2026041221033604000_tqag033-B14","author":"World Health Organization","year":"2025"},{"key":"2026041221033604000_tqag033-B15","article-title":"Strengthening comprehensive clinical audits in diagnostic radiology: the IAEA-QUAADRIL methodology","author":"Delis","year":"2019","journal-title":"European Congress of Radiology-EuroSafe Imaging 2019"},{"key":"2026041221033604000_tqag033-B16","doi-asserted-by":"publisher","first-page":"101","DOI":"10.1186\/s12992-020-00569-1","article-title":"The importance of developing sustainable, inclusive breast cancer screening programs in LMICs","volume":"16","author":"Adams","journal-title":"Glob Heal"},{"key":"2026041221033604000_tqag033-B17","doi-asserted-by":"publisher","first-page":"123","DOI":"10.1016\/j.aij.2018.07.006","article-title":"The role of AI in breast cancer screening for low-income countries: opportunities and challenges","volume":"2","author":"Brown","journal-title":"AI Healthc"},{"key":"2026041221033604000_tqag033-B18","doi-asserted-by":"publisher","first-page":"12","DOI":"10.1016\/j.ghr.2020.02.003","article-title":"Cultural perspectives on breast cancer screening in LMICs: impact of social norms and perceptions","volume":"5","author":"Wang","journal-title":"Glob Heal Res"},{"key":"2026041221033604000_tqag033-B19","doi-asserted-by":"publisher","first-page":"756","DOI":"10.1016\/S2214-109X(22)00174-5","article-title":"Women\u2019s leadership in advancing breast cancer care in LMICs","volume":"10","author":"Ahmed","journal-title":"Lancet Glob Heal"},{"key":"2026041221033604000_tqag033-B20","doi-asserted-by":"publisher","first-page":"45","DOI":"10.1016\/j.phrp.2021.01.009","article-title":"Sustainability in breast cancer care: the role of partnerships between international organizations and local health systems","volume":"42","author":"Hussein","journal-title":"Public Heal Policy"},{"key":"2026041221033604000_tqag033-B21","doi-asserted-by":"publisher","first-page":"421","DOI":"10.1177\/0020731419853029","article-title":"The role of mobile health clinics in improving access to breast cancer screening in underserved communities","volume":"49","author":"Otoo","journal-title":"Int J Heal Serv"},{"key":"2026041221033604000_tqag033-B22","doi-asserted-by":"publisher","first-page":"12","DOI":"10.1007\/s10900-020-00866-w","article-title":"Overcoming barriers to early detection: the role of community health workers in breast cancer screening in low-income countries","volume":"46","author":"Lang","journal-title":"J Community Health"},{"key":"2026041221033604000_tqag033-B23","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s13561-020-00244-x","article-title":"Crowdfunding as a solution for improving breast cancer care in low-income communities","volume":"10","author":"Sandhu","journal-title":"Health Econ Rev"},{"key":"2026041221033604000_tqag033-B24","doi-asserted-by":"publisher","first-page":"167","DOI":"10.2147\/MDER.S160205","article-title":"Portable ultrasound devices for low-resource settings: potential for revolutionizing breast cancer care","volume":"11","author":"Chen","journal-title":"Med Devices"},{"key":"2026041221033604000_tqag033-B25","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1177\/2055207619866549","article-title":"AI-powered tools for breast cancer detection: a future solution for low-resource settings","volume":"5","author":"Singh","journal-title":"Digit Heal"},{"key":"2026041221033604000_tqag033-B26","doi-asserted-by":"publisher","first-page":"1895","DOI":"10.1016\/S0140-6736(24)00747-5","article-title":"The Lancet Breast Cancer Commission","volume":"403","author":"Coles","year":"2024","journal-title":"Lancet"}],"container-title":["British Journal of Radiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/bjr\/advance-article-pdf\/doi\/10.1093\/bjr\/tqag033\/66919955\/tqag033.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/bjr\/article-pdf\/99\/1180\/603\/66919955\/tqag033.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/bjr\/article-pdf\/99\/1180\/603\/66919955\/tqag033.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T01:03:44Z","timestamp":1776042224000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/bjr\/article\/99\/1180\/603\/8487162"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,15]]},"references-count":26,"journal-issue":{"issue":"1180","published-online":{"date-parts":[[2026,2,15]]},"published-print":{"date-parts":[[2026,4,1]]}},"URL":"https:\/\/doi.org\/10.1093\/bjr\/tqag033","relation":{},"ISSN":["0007-1285","1748-880X"],"issn-type":[{"value":"0007-1285","type":"print"},{"value":"1748-880X","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,4]]},"published":{"date-parts":[[2026,2,15]]}}}