Using computer-aided detection in mammography as a decision support.

Objective: To evaluate an interactive computer-aided detection (CAD) system for reading mammograms to improve decision making.Methods: A dedicated mammographic workstation has been developed in which readers can probe image locations for the presence of CAD information. If present, CAD findings are...

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Publicado en:European Radiology Vol. 20; no. 10; pp. 2323 - 2331
Autores principales: Samulski M, Hupse R, Boetes C, Mus RD, den Heeten GJ, Karssemeijer N, Samulski, Maurice, Hupse, Rianne, Boetes, Carla, Mus, Roel D M, den Heeten, Gerard J, Karssemeijer, Nico
Formato: research Journal Article
Publicado: Springer Nature Oct2010
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Oct2010
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      pub: Springer Nature
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        atl: Using computer-aided detection in mammography as a decision support.
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          Samulski M
          Hupse R
          Boetes C
          Mus RD
          den Heeten GJ
          Karssemeijer N
          Samulski, Maurice
          Hupse, Rianne
          Boetes, Carla
          Mus, Roel D M
          den Heeten, Gerard J
          Karssemeijer, Nico
        affil: Department of Radiology, Radboud University Nijmegen Medical Centre, Geert Grooteplein 10, 6500 HB, Nijmegen, The Netherlands
      sug:
        subj:
          Breast Neoplasms Diagnosis
          Breast Neoplasms Pathology
          Mammography Methods
          Computers and Computerization
          Decision Support Techniques
          Early Detection of Cancer
          False Positive Results
          Human
          Image Processing, Computer Assisted
          Oncology Methods
          Observer Bias
          Specialties, Medical Methods
          Sensitivity and Specificity
          Software
          Time Factors
          User-Computer Interface
      ab: Objective: To evaluate an interactive computer-aided detection (CAD) system for reading mammograms to improve decision making.Methods: A dedicated mammographic workstation has been developed in which readers can probe image locations for the presence of CAD information. If present, CAD findings are displayed with the computed malignancy rating. A reader study was conducted in which four screening radiologists and five non-radiologists participated to study the effect of this system on detection performance. The participants read 120 cases of which 40 cases had a malignant mass that was missed at the original screening. The readers read each mammogram both with and without CAD in separate sessions. Each reader reported localized findings and assigned a malignancy score per finding. Mean sensitivity was computed in an interval of false-positive fractions less than 10%.Results: Mean sensitivity was 25.1% in the sessions without CAD and 34.8% in the CAD-assisted sessions. The increase in detection performance was significant (p = 0.012). Average reading time was 84.7 ± 61.5 s/case in the unaided sessions and was not significantly higher when interactive CAD was used (85.9 ± 57.8 s/case).Conclusion: Interactive use of CAD in mammography may be more effective than traditional CAD for improving mass detection without affecting reading time.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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