Radiologists' interpretive skills in screening vs. diagnostic mammography: are they related?

详细信息    查看全文

• 作者：Joann G. Elmore^a ; ^{jelmore@u.washington.edu" class="auth_mail" title="E-mail the corresponding author} ; Andrea J. Cook^b ; Andy Bogart^c ; Patricia A. Carney^d ; Berta M. Geller^e ; Stephen H. Taplin^f ; Diana S.M. Buist^b ; Tracy Onega^g ; Christoph I. Lee^h ; ⁱ ; Diana L. Miglioretti^b ; ^j
• 关键词：Screening mammography ; Diagnostic mammography ; Interpretive performance ; Sensitivity ; Specificity
• 刊名：Clinical Imaging
• 出版年：2016
• 出版时间：November-December 2016
• 年：2016
• 卷：40
• 期：6
• 页码：1096-1103
• 全文大小：657 K

文摘

This study aims to determine whether radiologists who perform well in screening also perform well in interpreting diagnostic mammography.

Materials and methods

We evaluated the accuracy of 468 radiologists interpreting 2,234,947 screening and 196,164 diagnostic mammograms. Adjusting for site, radiologist, and patient characteristics, we identified radiologists with performance in the highest tertile and compared to those with lower performance.

Results

A moderate correlation was noted for radiologists' accuracy when interpreting screening versus their accuracy on diagnostic examinations: sensitivity (r_spearman=0.51, 95% CI: 0.22, 0.80; P=.0006) and specificity (r_spearman=0.40, 95% CI: 0.30, 0.49; P<.0001).

Conclusion

Different educational approaches to screening and diagnostic imaging should be considered.