| Time to diagnosis and performance levels during repeat interpretations of digital breast tomosynthesis: preliminary observations. | |
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MedLine Citation:
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PMID: 20036584 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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RATIONALE AND OBJECTIVES: To compare time to interpretation and diagnostic performance levels during repeat readings of full-field digital mammography (FFDM) and digital breast tomosynthesis (DBT) in a retrospective study. MATERIALS AND METHODS: Three experienced radiologists twice interpreted 125 selected examinations, 35 with verified cancers and 90 negative for cancer during a period of 22 months using FFDM alone followed by a combined FFDM + DBT mode. Changes in time to "review and rate" these examinations as well as in diagnostic performance levels where assessed. A fixed-effect analysis accounting for cross-correlation due to the review of the same examinations by the same readers was performed. RESULTS: The total (combined) time to review and rate an examination increased on average by 33% between the first and second readings of the same examinations (P < .001). Radiologists reduced their time to review FFDM before making the DBT available for viewing. However, they spent more time reviewing the combined FFDM + DBT mode. The recall rates for examinations depicting cancer remained largely unchanged. Among the groups of examinations with concordant and discordant recall recommendations during the two readings only the group examinations that were "newly recalled" during repeat reading, took significantly longer (P < .01). CONCLUSION: DBT-based breast imaging may ultimately result in a substantial increase in performance; however, without efficiency improvements DBT may take longer to interpret. Addition of "false-positive recalls" was most strongly associated with increase in interpretation time while elimination of "false-positive recalls" did not require longer interpretation time. |
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Authors:
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Margarita L Zuley; Andriy I Bandos; Gordon S Abrams; Cathy Cohen; Christiane M Hakim; Jules H Sumkin; John Drescher; Howard E Rockette; David Gur |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't Date: 2009-12-29 |
Journal Detail:
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Title: Academic radiology Volume: 17 ISSN: 1878-4046 ISO Abbreviation: Acad Radiol Publication Date: 2010 Apr |
Date Detail:
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Created Date: 2010-03-08 Completed Date: 2010-06-08 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9440159 Medline TA: Acad Radiol Country: United States |
Other Details:
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Languages: eng Pagination: 450-5 Citation Subset: IM |
Copyright Information:
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Copyright 2010 AUR. Published by Elsevier Inc. All rights reserved. |
Affiliation:
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Department of Radiology, Magee-Womens Hospital, University of Pittsburgh, Pittsburgh, PA 15213, USA. zuleyml@upmc.edu |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Breast Neoplasms
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epidemiology*,
radiography* Female Humans Male Observer Variation Pennsylvania / epidemiology Professional Competence / statistics & numerical data* Reproducibility of Results Sensitivity and Specificity Time Factors Tomography, X-Ray Computed / methods* Workload / statistics & numerical data* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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