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Clinical Imaging of Microwave Mammography
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The National Mammography Database: Preliminary Data.

Cindy S Lee1, Mythreyi Bhargavan-Chatfield2, Elizabeth S Burnside3

  • 11 Department of Radiology and Biomedical Imaging, University of California San Francisco, 505 Parnassus Ave, Rm L374, San Francisco, CA 94143-0628.

AJR. American Journal of Roentgenology
|February 12, 2016
PubMed
Summary
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The National Mammography Database (NMD) successfully collected data from over 3 million screening mammograms, proving its feasibility for auditing facilities and providing benchmark data. Performance metrics showed no significant variation across practice types, settings, regions, or volumes.

Area of Science:

  • Radiology and Imaging
  • Public Health
  • Biostatistics

Background:

  • The National Mammography Database (NMD) collects crucial data on screening mammography practices.
  • Understanding mammography performance metrics is vital for early breast cancer detection and quality assurance.
  • Existing data sources like the Breast Cancer Surveillance Consortium (BCSC) provide benchmarks for comparison.

Purpose of the Study:

  • To assess the feasibility of data collection for the National Mammography Database (NMD).
  • To compare NMD data with Breast Cancer Surveillance Consortium (BCSC) findings.
  • To analyze trends and practice-level variations in mammography performance over time.

Main Methods:

  • Analysis of data from 90 mammography facilities within the NMD registry.
Keywords:
medical auditingnational mammography databaseperformance benchmarksscreening mammography

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  • Inclusion of demographic, clinical, interpretation, and biopsy outcome data.
  • Calculation of key performance metrics: cancer detection rate, recall rate, and positive predictive values (PPV2, PPV3).

    • Main Results:

    • Successfully analyzed 3,181,437 screening mammograms from January 2008 to December 2012.
    • Established mean performance metrics: cancer detection rate (3.43/1000), recall rate (10%), PPV2 (18.5%), PPV3 (29.2%).
    • Found no statistically significant performance differences based on practice type, setting, region, or volume; NMD metrics align with BCSC data.

    Conclusions:

    • The NMD is the fastest-growing mammography registry in the US, offering nationwide performance metrics.
    • The study confirms the NMD's feasibility for auditing mammography facilities.
    • The NMD provides essential, current benchmark data for ongoing quality assessment in mammography.