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</li> <li class="tag__item"> <a class="tag__link" href="/pulmonary/specialty.aspx?id=1012">Pulmonary and Critical Care</a> </li> <li class="tag__item"> <a class="tag__link" href="/radiology/specialty.aspx?id=1013">Radiology</a> </li> </ul> </div> <h1 class="content-header__heading" itemprop="name">Radiology Is Underrepresented on Websites of Lung Cancer Screening Programs</h1> <div class="content-header__metadata"> <p class="content-metadata"> <span class="content-metadata__media -journal">Journal</span> <time class="date" datetime="2022-12-02" itemprop="datePublished">Published on December 2, 2022 </time> </p> <p data-module="share-links"> </p> <p class="citation"> Originally published on <cite itemprop="citation"><a href="https://www.clinicalimaging.org/article/S0899-7071(22)00070-5/fulltext">Clinical Imaging</a></cite> </p> </div> </div> </header> <div class="-padding--vertical -padding--horizontal"> <div class="layout-columns -width--wide -centered"> <div class="layout-columns__main"> <div class="layout-columns__main__content"> <div class="content-summary"> <h3 class="content-summary__heading">Key findings</h3> <ul> <li>This study examined radiology representation in the text, images, and videos on 257 websites publicizing lung cancer screening (LCS) services, and it assessed the multimedia and multilingual content of the sites</li> <li>Only 48% of the websites analyzed included references to radiologists or radiology as a specialty, and radiologists were identified by name on only 18% of websites and were represented in images or video on only 14%</li> <li>Websites most frequently mentioned only radiologists' role in interpreting CT scans (35%), with only 5% stating they provide follow-up and management recommendations</li> <li>37% of LCS websites had no images, 74% included no videos, only 3% included any material written in languages other than English, and only 15% had first-person patient stories or narratives related to LCS</li> <li>Enhancing the profile of radiology on LCS websites should improve trust in screening programs as well as educate patients and the public about the specialty's key contributions to patient care</li> </ul> </div> <p>Only 1 in 20 eligible U.S. adults undergo <a title="Advances in lung cancer" href="https://advances.massgeneral.org/oncology/topic.aspx?id=1098">lung cancer</a> screening (LCS), according to a 2020 report in the<span> </span><a title="State Variation in Low-Dose Computed Tomography Scanning for Lung Cancer Screening in the United States" href="https://academic.oup.com/jnci/article/113/8/1044/5970481" target="_blank" rel="noopener noreferrer"><em>Journal of the National Cancer Institute</em></a><em>.</em><span> </span>Given the popularity of internet searches for health information, LCS programs need to maintain high-quality websites that provide information about the rationale for LCS, eligibility criteria, the logistics of screening, and the healthcare professionals 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Flores, MD" href="https://advances.massgeneral.org/contributors/contributor.aspx?id=1746">Efren J. Flores, MD</a>, an officer of Radiology Community Health Improvement and Equity in the<span> </span><a title="The Department of Radiology at Mass General" href="https://www.massgeneral.org/imaging/">Department of Radiology</a><span> </span>at Massachusetts General Hospital, and colleagues have determined radiology is poorly represented on LCS program websites, reinforcing the longstanding lack of public awareness of the central roles of radiologists in health care. In<span> </span><a title="United States lung cancer screening program websites: radiology representation, multimedia and multilingual content" href="https://www.clinicalimaging.org/article/S0899-7071%2822%2900070-5/fulltext" target="_blank" rel="noopener noreferrer"><em>Clinical Imaging</em></a>, they also note limited multimedia and multilingual content of these websites, which might act as barriers to LCS participation for many individuals.</p> <h2>Methods</h2> <p>The team searched Google on September 15, 2018, using the terms "lung cancer screening," "low dose CT screening," and "lung screening." 257 unique U.S. LCS program websites were identified: 19% hosted by academic practices, 24% by community practices, 38% by hybrid practices, and 20% by "other" practices.</p> <p>Each website was randomly assigned to and reviewed by one of nine thoracic radiologists with expertise in LCS.</p> <h2>Radiology Representation</h2> <p>Mentions of radiology and radiologists were low across metrics:</p> <ul> <li>Proportion of websites that mentioned radiologists or radiology as a specialty in text, images, or video—48%</li> <li>Mean percentage of sentences devoted to radiology as a percentage of total sentences—3% per site</li> <li>Proportion of sites that mentioned radiologists by name—18%</li> <li>Proportion of sites that represented radiologists in images or videos—14%</li> </ul> <p>The sites most frequently mentioned only radiologists' role in interpreting low-dose CT scans (35%), and only 5% said they provide follow-up and management recommendations.</p> <h2>Other Content Issues</h2> <ul> <li>Images—37% of sites had no images, and only 27% had more than one</li> <li>Videos—74% of sites had no videos, and only 4% had more than one</li> <li>Language—97% of sites were written only in English without supplemental material in any other language</li> <li>Accessibility—No site had materials specifically designed for people with impaired vision</li> <li>Patient engagement—Only 15% of sites included first-person patient narratives related to LCS</li> </ul> <h2>Relevance to Patient Care</h2> <p>Radiologists are essential to organizing, executing, and sustaining LCS programs. Enhancing the profile of radiology on LCS websites will help educate patients and the public about the specialty's key functions and improve trust in screening programs.</p> <figure class="stat" data-plaintext="48% of websites about lung cancer screening programs did not mention radiologists or radiology as a specialty" data-module="stat"><span class="stat__number"><span data-stat-number="">48</span>%</span> <figcaption class="stat__caption">of websites about lung cancer screening programs did not mention radiologists or radiology as a specialty</figcaption> <p data-module="share-links"></p> </figure> <figure class="stat" data-plaintext="95% of websites about lung cancer screening programs failed to say radiologists provide follow-up and management recommendations" data-module="stat"><span class="stat__number"><span data-stat-number="">95</span>%</span> <figcaption class="stat__caption">of websites about lung cancer screening programs failed to say radiologists provide follow-up and management recommendations</figcaption> <p data-module="share-links"></p> </figure><p class="fat-link__wrapper u-text-right"> <a class="fat-link -caret -large" href="https://www.clinicalimaging.org/article/S0899-7071(22)00070-5/fulltext">view original journal article <em>Subscription may be required</em></a> </p> <div class="article-attribution" itemscope itemtype="http://schema.org/ScholarlyArticle"> <p class="article-attribution__logo" itemscope itemtype="http://schema.org/Periodical"> <a href="https://www.clinicalimaging.org/article/S0899-7071(22)00070-5/fulltext"> <span class="a11y-sr-only" itemprop="name">Clinical Imaging</span> </a> </p> <p class="article-attribution__metadata" itemscope itemtype="http://schema.org/PublicationIssue"> <span> Journal Article Published: <time datetime="2022-03-13" itemprop="datePublished">March 13, 2022</time> </span> </p> </div> <p class="cta">Learn more about the <a href="https://www.massgeneral.org/imaging">Department of Radiology</a></p> <p class="cta">Refer a patient to the <a href="https://www.massgeneral.org/imaging/appointments-and-referrals">Department of Radiology</a></p> </div> </div> <aside class="layout-columns__sidebar -article__contributors"> <div class="layout-columns__sidebar__content"> <div class="profile-compact__wrapper"> <p class="u-no-margin"> <strong>Contributors</strong> </p> <div class="profile -compact" itemscope itemtype="http://schema.org/Person"> <div class="profile__content"> <h3 class="profile__name" itemprop="name"> <a href="/contributors/contributor.aspx?id=1746" itemprop="url">Efren J. Flores, MD ›</a></h3><p class="profile__title" itemprop="jobTitle">Officer of Radiology Community Health Improvement and Equity, Massachusetts General Hospital</p> </div> <p class="profile__image"> <img alt="Dr. Flores" itemprop="image" srcset="/assets/images/contributors/flores-fren_advances.png, /assets/images/contributors/flores-fren_advances_2x.png 2x" src="/assets/images/contributors/flores-fren_advances.png"> </p> </div> </div> </div> </aside> <section class="topics-layout -article__related"> <div class="topics-layout__inner"> <div class="topics-layout__sidebar"> <h2 class="section-heading">Related topics</h2> </div> <div class="topics-layout__main"> <ul class="topics-list" data-module="topics-list"> <li><a href="/oncology/topic.aspx?id=1098">Lung Cancer</a></li> </ul> </div> </div> </section> <section class="-padding--horizontal -padding--vertical -article__related"> <div class="layout-columns -width--wide -centered"> <div class="layout-columns__pod--half"> <div class="content-tease" itemscope itemtype="http://schema.org/ScholarlyArticle"> <p class="content-tease__topic"> <span class="highlight">Related</span> </p> <h3 class="content-tease__heading" itemprop="name"> <a href="/radiology/journal.aspx?id=1774" itemprop="url">Some Physicians Knowingly Order Guideline-Discordant Lung Cancer Screening</a> </h3> <p itemprop="description"> <p>Massachusetts General Hospital researchers found that for a small fraction of patients, lung cancer screening examinations were ordered knowingly outside of U.S. guidelines, including for never smokers, motivated in part by cancer risk perceptions.</p></p> <p class="content-tease__related"> <a href="/oncology/topic.aspx?id=1098" itemprop="relatedLink">Lung Cancer</a>, <a href="/oncology/specialty.aspx?id=1008" itemprop="relatedLink">Oncology</a>, <a href="/radiology/specialty.aspx?id=1013" itemprop="relatedLink">Radiology</a>, <a href="/radiology/topic.aspx?id=1092" itemprop="relatedLink">Thoracic Imaging</a> </p> <p class="content-metadata"> <span class="content-metadata__media -journal">Journal</span> <time class="date" datetime="2020-12-22" itemprop="datePublished">December 22, 2020</time> </p> </div> </div> <div class="layout-columns__pod--half"> <div class="content-tease" itemscope itemtype="http://schema.org/ScholarlyArticle"> <p class="content-tease__topic"> <span class="highlight">Related</span> </p> <h3 class="content-tease__heading" itemprop="name"> <a href="/radiology/journal.aspx?id=2042" itemprop="url">Editorial: Increasing Lung Cancer Screening in the Hispanic/Latino(a) Community</a> </h3> <p itemprop="description"> <p>Efrén J. Flores, MD, of the Department of Radiology, and colleagues urge radiologists to regard the new U.S. Preventive Services Task Force guidelines for lung cancer screening as a catalyst to improve screening of <span>Hispanic/Latino(a)</span>communities—and all other patient populations.</p></p> <p class="content-tease__related"> <a href="/research-and-innovation/topic.aspx?id=1099" itemprop="relatedLink">Equity and Inclusion</a>, <a href="/oncology/specialty.aspx?id=1008" itemprop="relatedLink">Oncology</a>, <a href="/pulmonary/specialty.aspx?id=1012" itemprop="relatedLink">Pulmonary and Critical Care</a>, <a href="/radiology/specialty.aspx?id=1013" itemprop="relatedLink">Radiology</a> </p> <p class="content-metadata"> <span class="content-metadata__media -journal">Journal</span> <time class="date" datetime="2021-09-08" itemprop="datePublished">September 8, 2021</time> </p> </div> </div> </div> </section> </div> </div> </article> </div> </main>  <footer class="site-footer"> <div 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