Analysis of the current state of breast cancer diagnosis in Bulgaria using artificial intelligence analysis software

Authors

  • D. Dimitrov Department of surgical oncology, University Hospital “Georgi Stranski”, Department of Propedeutics of surgical diseases, Medical University – Pleven, Pleven, Bulgaria Author
  • Martin Karamanliev Department of surgical oncology, University Hospital “Georgi Stranski”, Department of Propedeutics of surgical diseases, Medical University – Pleven, Pleven, Bulgaria Author https://orcid.org/0000-0001-5166-0752
  • I. Petrova Department of surgical oncology, University Hospital “Georgi Stranski”, Department of Propedeutics of surgical diseases, Medical University – Pleven, Pleven, Bulgaria Author
  • M. Shoshkova Department of surgical oncology, University Hospital “Georgi Stranski”, Department of Propedeutics of surgical diseases, Medical University – Pleven, Pleven, Bulgaria Author
  • D. Boychev Business development, Sqilline, Sofia, Bulgaria Author

DOI:

https://doi.org/10.5281/zenodo.1486644

Keywords:

breast cancer, platform “Danny”, artificial intelligence, frozen section, biopsy, coreneedle biopsy

Abstract

Breast cancer (BC) is a socially important disease. According to GLOBOCAN for 2020, breast cancer ranks first in the world in the incidence of new cases in both sexes (11.7%) and fourth in mortality (6.9%). According to the latest data from the Bulgarian Cancer Registry from 2015, BC ranks first in the incidence of new cases in women with 26.8% and is first in mortality in women with 17.4%. Data from January 2019 to May 2023 on a national-wide basis were analyzed. Electronic information submitted by hospitals after patient dehospitalization available on the Danny platform by Sqilline is used. It is a software solution that brings together and harmonizes diverse data sources from oncology, cardiology, and other practices using artificial intelligence.
A total of 12,989 surgical interventions were performed during the period into clinical pathway (CP) 193 and clinacal pathway (CP) 194 with patients diagnosed with ICD C50. Breast biopsy was performed in 8,673 patients as follows: coreneedle biopsy (CNB) in 4,915 patients (56.67%), excisional biopsy in 3,051 patients (35.18%), and section was performed in 5,982 patients (46.05%), detected by searching for the keyword "гефрир" in the text of the documents.
In Bulgaria, there are still difficulties in achieving comparable rates of core-needle biopsy for the diagnosis of breast cancer and unacceptably high rates of the use of frozen section in the diagnosis of breast cancer.
The aim of this study is to investigate whether the standards in breast cancer diagnosis in Bulgaria are being met using artificial intelligence analysis software.

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Published

01.06.2023

Issue

Section

ORIGINAL ARTICLES

How to Cite

Dimitrov, D., Karamanliev, M., Petrova, I., Shoshkova, M., & Boychev, D. (2023). Analysis of the current state of breast cancer diagnosis in Bulgaria using artificial intelligence analysis software. Surgery, 87(2), 74-81. https://doi.org/10.5281/zenodo.1486644