THE ROLE OF RADIOGRAPHERS IN THE ERA OF AI-ASSISTED MAMMOGRAPHY: OPPORTUNITIES, CHALLENGES, AND EVOLVING RESPONSIBILITIES

Authors

  • Mansi Gaud MSc Medical Imaging Technology, Department of Paramedical Sciences, Jamia Hamdard, New Delhi, India
  • Kajol Kritika MSc Medical Imaging Technology, Department of Paramedical Sciences, Jamia Hamdard, New Delhi, India.
  • Anita Devi MSc Medical Imaging Technology, Department of Paramedical Sciences, Jamia Hamdard, New Delhi, India
  • Rumisa Yaqoob MSc Medical Imaging Technology, Department of Paramedical Sciences, Jamia Hamdard, New Delhi, India.
  • Zeba Shamim MSc Medical Imaging Technology, Department of Paramedical Sciences, Jamia Hamdard, New Delhi, India.
  • Mohd Abdullah Siddiqui Clinical Instructor, Department of Paramedical Sciences, Jamia Hamdard, New Delhi, India.

Keywords:

Artificial intelligence, mammography, radiographers, breast imaging, machine learning, deep learning, image quality, workflow optimization, professional roles, ethics

Abstract

Abstract Views: 71

The use of artificial intelligence (AI) in mammography is a powerful trend that has the potential to completely change the field of breast imaging, offering the possibilities of increasing the accuracy of diagnosis, making the workflow more efficient, and extending the role of radiographers. The entire process of handling medical imaging begins when machine learning and deep learning algorithms enable image acquisition and quality assessment combined with lesion detection and case prioritization which results in decreased recall rates and reduced radiographer workloads. The author of this review looks at the changing roles of radiographers who are working with AI in the field of mammography and stresses the demand for professionals to change and collaborate with other areas of the medical industry. Improved image quality and consistency are the main benefits along with receiving the support of the decision-making process with real-time performance feedback, and having a larger career role in AI workflow management, quality assurance, and research participation. Through responsible and collaborative use of AI, radiographers can not only elevate clinical practice but also participate in improving breast cancer detection and providing evidence-based, patient-centred imaging services. The paper presents multiple opportunities and challenges together with new responsibilities which radiologists must assume to implement AI technology in mammography work while providing essential guidance for clinical practice and educational development and policy creation.

References

Ma ZQ, Zhang Y, Mao X, Tapia J, Hall P. First mammography screening participation and breast cancer incidence and mortality in the subsequent 25 years: population based cohort study. BMJ. 2025;390:e085029.

Ramli H, et al. Comparative analysis of diagnostic performance in mammography: impact of AI assistance. Eur Radiol. 2025;35(4):221–229.

Lång K, Dustler M, Dahlblom V, Åkesson A, Andersson I, Zackrisson S. Identifying normal mammograms in a large screening population using artificial intelligence. Eur Radiol. 2021;31(3):1687–1692. doi:10.1007/s00330-020-07165-1.

Eisemann N, et al.Nationwide real-world implementation of AI for cancer detection in population-based mammography screening.Nat Med. 2024;30:341–350. doi:10.1038/s41591024-03408-6.

McKinney SM, Sieniek M, Godbole V, et al. International evaluation of an AI system for breast cancer screening. Nature. 2020;577:89–94.

Lee CI, MacDonald R, Meghani V, Cevik C, et al. Artificial intelligence assistance for women who had spot compression view: reducing recall rates for digital mammography. Eur Radiol. 2023;33(6):3738–3745.7.

Spuur KM, Singh CL, Al Mousa D, Chau MT. Automated software evaluation in screening mammography: a scoping review of image quality and technique assessment. Curr Oncol. 2025;32(10):571. doi:10.3390/curroncol32100571

Al Mohammad B, Aldaradkeh A, Gharaibeh M, Reed W. Assessing radiologists’ and radiographers’ perceptions on artificial intelligence integration: opportunities and challenges. British Journal of Radiology. 2024 Apr 1;97(1156):763-9.

Keshavarz P, Mohammadigoldar Z, Bedayat A, Raman SS, Tai R. Artificial Intelligence Education in Radiology Training: A Systematic Review of Effectiveness, Barriers, and Future Directions. Academic Radiology. 2025 Nov 15.

Esteva A, Robicquet A, Ramsundar B, Kuleshov V, DePristo M, Chou K, Cui C, Corrado G, Thrun S, Dean J. A guide to deep learning in healthcare. Nature medicine. 2019 Jan;25(1):24-9..

Hosny A, Parmar C, Quackenbush J, Schwartz LH, Aerts HJ. Artificial intelligence in radiology. Nature Reviews Cancer. 2018 Aug;18(8):500-10.

Lundervold AS, Lundervold A. An overview of deep learning in medical imaging focusing on MRI. Zeitschrift fuer medizinische Physik. 2019 May 1;29(2):102-27.

European Society of Radiology (ESR) communications@ myesr. org Neri Emanuele de Souza Nandita Brady Adrian Bayarri Angel Alberich Becker Christoph D. Coppola Francesca Visser Jacob. What the radiologist should know about artificial intelligence–an ESR white paper.

Insights into imaging. 2019 Apr 4;10(1):44.

McBee MP, Awan OA, Colucci AT, Ghobadi CW, Kadom N, Kansagra AP, Tridandapani S, Auffermann WF. Deep learning in radiology. Academic radiology. 2018 Nov 1;25(11):1472-80.

Topol EJ. High-performance medicine: the convergence of human and artificial intelligence. Nature medicine. 2019 Jan;25(1):44-56.

Tang A, Tam R, Cadrin-Chênevert A, Guest W, Chong J, Barfett J, Chepelev L, Cairns R, Mitchell JR, Cicero MD, Poudrette MG. Canadian Association of Radiologists white paper on artificial intelligence in radiology. Canadian Association of Radiologists Journal. 2018 May;69(2):120-35.

Dromain C, Boyer B, Ferre R, Canale S, Delaloge S, Balleyguier C. Computed-aided diagnosis (CAD) in the detection of breast cancer. European journal of radiology. 2013 Mar 1;82(3):417-23.

Gur D, Sumkin JH, Rockette HE, Ganott M, Hakim C, Hardesty L, Poller WR, Shah R, Wallace L. Changes in breast cancer detection and mammography recall rates after the introduction of a computer-aided detection system. Journal of the National Cancer Institute. 2004 Feb 4;96(3):185-90.

Lehman CD, Wellman RD, Buist DS, Kerlikowske K, Tosteson AN, Miglioretti DL, Breast Cancer Surveillance Consortium. Diagnostic accuracy of digital screening mammography with and without computer-aided detection. JAMA internal medicine. 2015 Nov 1;175(11):1828-37.

Rodriguez-Ruiz A, Lång K, Gubern-Merida A, Broeders M, Gennaro G, Clauser P, Helbich TH, Chevalier M, Tan T, Mertelmeier T, Wallis MG. Stand-alone artificial intelligence for breast cancer detection in mammography: comparison with 101 radiologists. JNCI: Journal of the National Cancer Institute. 2019 Sep 1;111(9):916-22.

McKinney SM, Sieniek M, Godbole V, Godwin J, Antropova N, Ashrafian H, Back T, Chesus M, Corrado GS, Darzi A, Etemadi M. International evaluation of an AI system for breast cancer screening. Nature. 2020 Jan 2;577(7788):89-94.

Abeelh EA, Abuabeileh Z, AbuAbeileh Z. Screening Mammography and Artificial Intelligence: A Comprehensive Systematic Review. Cureus. 2025 Feb 20;17(2).

Schaffter T, Buist DS, Lee CI, Nikulin Y, Ribli D, Guan Y, Lotter W, Jie Z, Du H, Wang S, Feng J. Evaluation of combined artificial intelligence and radiologist assessment to interpret screening mammograms. JAMA network open. 2020 Mar 2;3(3):e200265-.

Freer TW, Ulissey MJ. Screening mammography with computer-aided detection: prospective study of 12,860 patients in a community breast center. Radiology. 2001;220(3):781–786.

Nishikawa RM, Schmidt RA, Linver MN, Edwards AV, Papaioannou J, Stull MA. Clinically missed cancer: how effectively can radiologists use computer-aided detection?. American Journal of Roentgenology. 2012 Mar;198(3):708-16.

Shen L, Margolies LR, Rothstein JH, Fluder E, McBride R, Sieh W. Deep learning to improve breast cancer detection on screening mammography. Sci Rep. 2019;9:12495.

Yala A, Lehman C, Schuster T, Portnoi T, Barzilay R. A deep learning mammography-based model for improved breast cancer risk prediction. Radiology. 2019;292(1):60–66.

Rodríguez-Ruiz A, Krupinski E, Mordang JJ, et al. Detection of breast cancer with mammography: effect of an artificial intelligence support system. Radiology. 2019;290(2):305– 314.

30.Badawy E, Attyia MM, Messiha M, Hamed ST, Elmesidy DS. Advancing mammography: evaluating the performance of artificial intelligence in estimating mammographic breast density. Egyptian Journal of Radiology and Nuclear Medicine. 2025 Nov 21;56(1):217.

Wӧstmann T, Bӧhnke A, Piel S, Rexer-Normann K. Patient perceptions of communication with diagnostic radiographers. Radiography. 2019;25(4):333–338.

Pollard N, Lincoln M, Nisbet G, Penman M. Patient perceptions of communication with diagnostic radiographers. Radiography. 2019 Nov 1;25(4):333-8.

Pape R, West C, Zheng X, Carstens A, Cowling C. A qualitative study of mammography best practice positioning for female body habitus and breast tissue inclusion in Australia. Radiography. 2025 May 1;31(3):102945.

Richli Meystre N, Henner A, Sà dos Reis C, Strøm B, Pires Jorge JA, Kukkes T, Metsälä E. Characterization of radiographers’ mammography practice in five European countries: a pilot study. Insights into imaging. 2019 Mar 13;10(1):31.

Reis C, Pascoal A, Sakellaris T, Koutalonis M. Quality assurance and quality control in mammography: a review of available guidance worldwide. Insights into imaging. 2013 Oct;4(5):539-53.

Fausto AM, Lopes MC, De Sousa MC, Furquim TA, Mol AW, Velasco FG. Optimization of image quality and dose in digital mammography. Journal of digital imaging. 2017 Apr;30(2):18596.

Torres-Mejía G, Smith RA, Carranza-Flores MD, Bogart A, Martínez-Matsushita L, Miglioretti DL, Kerlikowske K, Ortega-Olvera C, Montemayor-Varela E, Angeles-Llerenas A, Bautista-Arredondo S. Radiographers supporting radiologists in the interpretation of screening mammography: a viable strategy to meet the shortage in the number of radiologists. BMC cancer. 2015 May 16;15(1):410.

Lee S, Kim EK, Chung SY, Shin HJ. Efficient collaboration between radiologists using the PACS-integrated refer function to reduce communication times. Journal of Digital Imaging. 2023 Oct;36(5):1995-2002.

Sexauer R, Riehle F, Borkowski K, Ruppert C, Potthast S, Schmidt N. Enhancing breast positioning quality through real-time AI feedback. European Radiology. 2025 Jul 15:1-9.

Gennaro G, Povolo L, Del Genio S, Ciampani L, Fasoli C, Carlevaris P, Petrioli M, Masiero T, Maggetto F, Caumo F. Using automated software evaluation to improve the performance of breast radiographers in tomosynthesis screening. European Radiology. 2024 Jul;34(7):4738-49.

Yun H, Noh S, Cho H, Ko EY, Yang Z, Woo OH. AI-Driven quality assurance in mammography: Enhancing quality control efficiency through automated phantom image evaluation in South Korea. Plos one. 2025 Sep 8;20(9):e0330091.

Hardy M, Harvey H. Artificial intelligence in diagnostic imaging: impact on the radiography profession. The British journal of radiology. 2020 Apr 1;93(1108):20190840.

Doherty G, McLaughlin L, Hughes C, McConnell J, Bond R, McFadden S. Radiographer Education and Learning in Artificial Intelligence (REAL-AI): A survey of radiographers, radiologists, and students’ knowledge of and attitude to education on AI. Radiography. 2024 Dec 1;30:79-87.

van de Venter R, Skelton E, Matthew J, Woznitza N, Tarroni G, Hirani SP, Kumar A, Malik R, Malamateniou C. Artificial intelligence education for radiographers, an evaluation of a UK postgraduate educational intervention using participatory action research: a pilot study. Insights into imaging. 2023 Feb 3;14(1):25.

Stogiannos N, Georgiadou E, Rarri N, Malamateniou C. Ethical AI: a qualitative study exploring ethical challenges and solutions on the use of AI in medical imaging. European Journal of Radiology Artificial Intelligence. 2025 Jan 1;1:100006.

45. Malamateniou C, McFadden S, McQuinlan Y, England A, Woznitza N, Goldsworthy S, Currie C, Skelton E, Chu KY, Alware N, Matthews P. Artificial intelligence: guidance for clinical imaging and therapeutic radiography professionals, a summary by the Society of Radiographers AI working group. Radiography. 2021 Nov 1;27(4):1192-202.

Walsh G, Stogiannos N, Ohene-Botwe B, McHugh K, Spurge A, Potts B, Gibson C, Tam W, O’Sullivan C, Quinsten AS, Gorga RG. R-AI-diographers: investigating the perceived impact of artificial intelligence on radiographers' careers, roles, and professional identity in the UK. Frontiers in digital health. 2025 Dec 8;7.

Kim YS, Jang MJ, Lee SH, Kim SY, Ha SM, Kwon BR, Moon WK, Chang JM. Use of artificial intelligence for reducing unnecessary recalls at screening mammography: a simulation study. Korean Journal of Radiology. 2022 Oct 21;23(12):1241.

Akudjedu TN, Torre S, Khine R, et al. Radiographers’ perceptions of artificial intelligence integration in radiography: implications for role development and career progression. J Med Imaging Radiat Sci. 2023;54(1):104–116.

Rainey C, Bond R, McConnell J, Hughes C, Kumar D, McFadden S. Reporting radiographers’ interaction with Artificial Intelligence—How do different forms of AI feedback impact trust and decision switching?. PLOS Digital Health. 2024 Aug 7;3(8):e0000560.

Doherty G, McLaughlin L, Hughes C, McConnell J, Bond R, McFadden S. Radiographer Education and Learning in Artificial Intelligence (REAL-AI): A survey of radiographers, radiologists, and students’ knowledge of and attitude to education on AI. Radiography. 2024 Dec 1;30:79-87.

Al Mohammad B, Aldaradkeh A, Gharaibeh M, Reed W. Assessing radiologists’ and radiographers’ perceptions on artificial intelligence integration: opportunities and challenges.

British Journal of Radiology. 2024 Apr 1;97(1156):763-9.

Aldhafeeri FM. Navigating the ethical landscape of artificial intelligence in radiography: a cross-sectional study of radiographers’ perspectives. BMC Medical Ethics. 2024 May 11;25(1):52.

BhARAdwAj S, VAIdyA S, PARIhAR PS. A Review on Navigating Ethical Challenges in Modern Radiology: Balancing Artificial Intelligence Integration and Patient Privacy. Journal of Clinical & Diagnostic Research. 2025 Jun 1;19(6).

Goisauf M, Cano Abadía M. Ethics of AI in radiology: a review of ethical and societal implications. Frontiers in big Data. 2022 Jul 14;5:850383.

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Published

2026-02-20

How to Cite

Mansi Gaud, Kajol Kritika, Anita Devi, Rumisa Yaqoob, Zeba Shamim, & Mohd Abdullah Siddiqui. (2026). THE ROLE OF RADIOGRAPHERS IN THE ERA OF AI-ASSISTED MAMMOGRAPHY: OPPORTUNITIES, CHALLENGES, AND EVOLVING RESPONSIBILITIES. Advances in Clinical Medical Research, 7(1), 1–7. Retrieved from https://acmrjournal.com/index.php/ACMR/article/view/104