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Breast screening: PERFORMS identifies key mammographic training needs.

H J Scott1, A G Gale

  • 1Applied Vision Research Centre, Loughborough University, Garendon Wing, Loughborough, LE11 3TU, UK. H.Scott@lboro.ac.uk

The British Journal of Radiology
|January 9, 2007
PubMed
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Advanced practitioners and radiologists showed no significant differences in breast cancer screening performance on challenging cases. This suggests dedicated occupational group training is not required for these film-readers.

Area of Science:

  • Radiology and Medical Imaging
  • Public Health Screening Programs
  • Oncology

Background:

  • The UK Breast Screening Programme expanded its age range to 70 years.
  • There is a declining number of specialized radiologists in breast cancer screening.
  • Radiographers are increasingly trained as advanced practitioners to support film-reading.

Purpose of the Study:

  • To investigate occupational group differences in film-reading skills between advanced practitioners and radiologists.
  • To identify specific areas of difficulty in breast cancer screening cases.
  • To determine if tailored training sets are needed for different film-reading groups.

Main Methods:

  • Analysis of performance data from the Personal Performance in Mammographic Screening (PERFORMS) scheme.

Related Experiment Videos

  • Comparison of film-reader performance against a panel of experienced radiologists' benchmark.
  • Matched design study controlling for experience and case volume, comparing ~400 film readers (radiologists and advanced practitioners) on 180 cases.

    • Main Results:

    • No significant differences were found in case classification or feature type errors between advanced practitioners and radiologists.
    • Performance on challenging breast screening cases was comparable between the two occupational groups.
    • The study identified types of cases suitable for advanced mammographic training.

    Conclusions:

    • Advanced practitioners and radiologists demonstrate equivalent performance in mammographic screening.
    • Dedicated, occupation-specific training programs for film-readers are not currently indicated.
    • Current quality assurance measures are effective in maintaining comparable skill levels across film-reading professions.