{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T17:43:48Z","timestamp":1777484628355,"version":"3.51.4"},"reference-count":28,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2025,4,18]],"date-time":"2025-04-18T00:00:00Z","timestamp":1744934400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,4,18]],"date-time":"2025-04-18T00:00:00Z","timestamp":1744934400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["P30 CA008748"],"award-info":[{"award-number":["P30 CA008748"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["R21 CA239784"],"award-info":[{"award-number":["R21 CA239784"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Cancer Control"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This institutional review board-approved prospective multi-institutional single-arm clinical trial (\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"https:\/\/clinicaltrials.gov\/\">ClinicalTrials.gov<\/jats:ext-link>\n                      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\u00a0year for the trainees to complete active training and patient recruitment and another 1\u00a0year for patient follow-up. Primary outcome measures include trainees\u2019 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.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10732748251334435","type":"journal-article","created":{"date-parts":[[2025,4,19]],"date-time":"2025-04-19T07:29:01Z","timestamp":1745047741000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"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"],"prefix":"10.1177","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5660-6242","authenticated-orcid":false,"given":"Adeleye Dorcas","family":"Omisore","sequence":"first","affiliation":[{"name":"Obafemi Awolowo University"},{"name":"Breast Imaging Society of Nigeria"},{"name":"African Research Group for Oncology"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adedeji Ayoola","family":"Egberongbe","sequence":"additional","affiliation":[{"name":"Breast Imaging Society of Nigeria"},{"name":"African Research Group for Oncology"},{"name":"Federal Medical Centre"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lydia Eleanor","family":"Pace","sequence":"additional","affiliation":[{"name":"Brigham and Women\u2019s Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sughra","family":"Raza","sequence":"additional","affiliation":[{"name":"Beth Israel Deaconess Medical Center"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rachael Adeyanju","family":"Akinola","sequence":"additional","affiliation":[{"name":"Breast Imaging Society of Nigeria"},{"name":"Lagos State University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Millicent Olubunmi","family":"Obajimi","sequence":"additional","affiliation":[{"name":"Breast Imaging Society of Nigeria"},{"name":"University of Ibadan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Varadan","family":"Sevilimedu","sequence":"additional","affiliation":[{"name":"Memorial Sloan Kettering Cancer Center"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yolanda","family":"Bryce","sequence":"additional","affiliation":[{"name":"African Research Group for Oncology"},{"name":"Memorial Sloan Kettering Cancer Center"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Victoria Lee","family":"Mango","sequence":"additional","affiliation":[{"name":"African Research Group for Oncology"},{"name":"Memorial Sloan Kettering Cancer Center"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Olusegun Isaac","family":"Alatise","sequence":"additional","affiliation":[{"name":"African Research Group for Oncology"},{"name":"Obafemi Awolowo University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T. 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