优化对放射科医生双重读取查乳房影像的对
Jessie J J Gommers1, Craig K Abbey1, Fredrik Strand1
1From the Department of Medical Imaging (J.J.J.G., I.S.) and Department for Health Evidence (M.J.M.B.), Radboud University Medical Center, Geert Grooteplein 10, 6525 GA, Post 766, Nijmegen, the Netherlands; Department of Psychological and Brain Sciences, University of California-Santa Barbara, Santa Barbara, Calif (C.K.A.); Department of Oncology-Pathology, Karolinska Institute, Stockholm, Sweden (F.S.); Department of Breast Radiology, Karolinska University Hospital, Stockholm, Sweden (F.S.); Warwick Medical School, University of Warwick, Coventry, United Kingdom (S.T.P., D.J.J.); Section for Breast Cancer Screening, Cancer Registry of Norway, Oslo, Norway (M.L., S.H.); Department of Health and Care Sciences, UiT The Arctic University of Norway, Tromsø, Norway (S.H.); Dutch Expert Center for Screening (LRCB), Nijmegen, the Netherlands (I.S., M.J.M.B.); and Technical Medicine Center, University of Twente, Enschede, the Netherlands (I.S.).
与随机配对相比,基于性能特征的乳房影像查对照放射科医生没有提高准确性. 这项研究发现,在特定和随机配对策略之间,癌症检测或异常解释率没有显著差异.
科学领域:
- 放射学和医学成像学 医学成像学
- 乳腺癌查 乳腺癌查
- 医疗保健服务研究 医疗服务研究
背景情况:
- 目前的做法是随机配对放射科医生进行双读查乳房图.
- 放射科医生的表现各不相同,但最佳的配对策略来提高查准确性仍然是未知的.
- 这项研究解决了优化放射科医生配对的必要性,以改善乳房影像查结果.
研究的目的:
- 为了确定放射科医生的性能特征是否可以为双读查乳房影像提供最佳配对策略.
- 为了调查特定的配对方法是否提高了精确度随机分配在乳房扫描查.
主要方法:
- 从瑞典,英格兰和挪威 (2004-2018) 查乳房镜读数结果的回顾性分析.
- 个人放射科医生癌症检测率 (CDR) 和异常解释率 (AIR) 的计算.
- 随机配对性能与将放射科医生与类似或不相同的CDR和AIR配对的策略进行比较.
主要成果:
- 分析了超过350万张乳房图片.
- 具体的配对策略 (基于CDR和AIR) 与所有国家的随机配对相比,整体AIR或CDR没有显著差异.
- 性能指标保持一致,无论放射科医生是随机配对还是基于特定的性能特征.
结论:
- 基于性能特征 (CDR,AIR) 的放射科医生配对与随机配对相比,不会显著提高查准确性.
- 目前用于双读查乳房影像的随机配对方法似乎与基于绩效的策略一样有效.
- 可能需要进一步的研究来探索其他影响乳房镜检查最佳放射科医生配对的因素.
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