阅读表现的变化 乳腺癌查 数字乳腺图莫合成检查 序列阅读期间的阅读表现
Craig K Abbey1, Andriy I Bandos1, Mohana K Parthasarathy1
1From the Department of Psychological and Brain Sciences, University of California-Santa Barbara, Santa Barbara, Calif (C.K.A.); Department of Biostatistics, University of Pittsburgh, Pittsburgh, Pa (A.I.B.); Department of Radiology, University of Pittsburgh Medical Center, Magee-Womens Hospital, 300 Halket St, Pittsburgh, PA 15213 (A.I.B., M.L.Z.); and Department of Psychology, University of Nevada-Reno, Reno, Nev (M.K.P., M.A.W.).
Radiology
|November 12, 2024
概括
放射科医生在批次阅读查性乳房造影时显示出更高的准确性和更快的解释时间. 这种感知适应提高了数字乳腺瘤合成查的性能,而不会影响癌症检测灵敏度.
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:
- 研究表明,感知适应发生在分批的乳房图解读过程中,这可能会提高读者表现.
- 了解序列批次阅读中的读器性能变化对于优化选协议至关重要.
研究的目的:
- 分析临床数字乳腺图解合成 (DBT) 查数据,以评估序列批次阅读期间读器性能的变化.
- 评估批量读数对错误阳性率,灵敏度和解释时间的影响.
主要方法:
- 从2018年1月到2019年12月,对121,652次查DBT考试进行了回顾性分析.
- 考试是分批进行的,定义为对读者来说具有较短考试间时间的顺序案例.
- 混合效应模型分析了批次位置的性能和时间,并对混因素进行了调整.
主要成果:
- 经过三次连续检查 (P < .001),未经调整的假阳性率从15.5%显著下降到10.5%,敏感度没有显著变化 (82.6%至84.2%;P = .15).
- 解释时间持续减少,非癌症检查的平均时间从2.8分钟减少到2.2分钟 (P < .001).
- 经过调整后的分析证实,错误阳性率降低了 (11.5%至9.4%) 和解释时间 (3.2至2.7分钟).
结论:
- 放射科医生在DBT查检查的连续批次阅读过程中证明了更好的回忆率和更短的解释时间.
- 该研究表明,感知适应提高了DBT查中的诊断灵敏度而不会产生负面影响的效率.
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