The Role of Imaging in Health Screening: Screening for Specific Conditions

David H Ballard; Kirsteen R Burton; Nikita Lakomkin; Shannon Kim; Prabhakar Rajiah; Midhir J Patel; Parisa Mazaheri; Gary J Whitman

doi:10.1016/j.acra.2020.03.039

The Role of Imaging in Health Screening: Screening for Specific Conditions

Acad Radiol. 2021 Apr;28(4):548-563. doi: 10.1016/j.acra.2020.03.039. Epub 2020 May 11.

Authors

David H Ballard¹, Kirsteen R Burton², Nikita Lakomkin³, Shannon Kim⁴, Prabhakar Rajiah⁵, Midhir J Patel⁶, Parisa Mazaheri⁷, Gary J Whitman⁸

Affiliations

¹ Mallinckrodt Institute of Radiology, Washington University School of Medicine, 510 S. Kingshighway Blvd; Campus Box 8131, St. Louis, MO 63110. Electronic address: davidballard@wustl.edu.
² Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario.
³ Icahn School of Medicine at Mount Sinai; New York, New York.
⁴ Department of Radiology, Eastern Virginia Medical School Norfolk, Virginia.
⁵ Department of Radiology, Mayo Clinic, Rochester, Minnesota.
⁶ AdventHealth Imaging; Orlando, Florida.
⁷ Mallinckrodt Institute of Radiology, Washington University School of Medicine, 510 S. Kingshighway Blvd; Campus Box 8131, St. Louis, MO 63110.
⁸ Department of Breast Imaging, The University of Texas MD Anderson Cancer Center; Houston, Texas.

Abstract

There are well-established and emerging screening examinations aimed at identifying malignant and nonmalignant conditions at early, treatable stages. The Radiology Research Alliance's "Role of Imaging in Health Screening" Task Force provides a comprehensive review of specific imaging-based screening examinations. This work reviews and serves as a reference for screening examinations for breast and colon cancer in a healthy population along with screening for lung cancer, hepatocellular carcinoma, and the use of whole body magnetic resonance imaging in at-risk individuals. American College of Radiology scoring systems, along with case-based examples, are included to illustrate the different disease entities. The future of screening is discussed, particularly in the context of artificial intelligence.

Keywords: Breast cancer screening; CT colonography; Imaging screening; Lung cancer screening; Whole body MRI.

Publication types

Research Support, N.I.H., Extramural
Review

MeSH terms

Artificial Intelligence
Humans
Liver Neoplasms*
Magnetic Resonance Imaging*
Mass Screening
Whole Body Imaging

Grants and funding

T32 EB021955/EB/NIBIB NIH HHS/United States