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Reader practice in mammography screen reporting in Australia.

W Reed1, A Poulos, M Rickard

  • 1Discipline of Medical Radiation Sciences, Faculty of Health Sciences, The University of Sydney, Sydney, New South Wales, Australia. w.reed@usyd.edu.au

Journal of Medical Imaging and Radiation Oncology
|December 17, 2009
PubMed
Summary
This summary is machine-generated.

Mammography reader variability impacts screening programs. This study surveyed Australian readers, finding that concentration lapses are common and methods to improve focus are needed for better mammography reporting.

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Area of Science:

  • Radiology
  • Medical Imaging
  • Public Health

Background:

  • Reader variability in mammography reporting affects screening program effectiveness.
  • Ensuring consistent and accurate interpretation of screening mammograms is crucial for early cancer detection.

Purpose of the Study:

  • To explore mammography reader practices in Australia.
  • To identify factors influencing reader concentration and attention during screening mammogram interpretation.

Main Methods:

  • An original questionnaire was distributed to Australian screen mammography readers.
  • A 71% response rate was achieved from 83 participants.
  • Data collected included reader demographics, reporting volume, session duration, and self-assessed concentration levels.

Main Results:

  • Most readers were experienced (over 10 years), reporting >5000 mammograms annually.
  • A majority reported that concentration varied during sessions, with low positive findings contributing to lapses.
  • 94% of participants agreed that methods to maximize concentration should be explored.

Conclusions:

  • Significant variability exists in mammography reader practices and concentration levels.
  • Environmental and workload factors negatively influence reader attention.
  • Further investigation into adverse influences on concentration during mammography screening is warranted to improve reporting accuracy.