Computer-aided preoperative diagnosis of microcalcifications on mammograms.

Purpose: To evaluate of a computer-aided method for differentiating malignant from benign clustered microcalcifications. Material and Methods: Our material was 350 suspicious microcalcifications on mammograms from 330 female patients who underwent breast biopsy (after hook wire localization and unde...

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Publicado en:Acta Radiologica Vol. 44; no. 1; pp. 43 - 47
Autores principales: Kouskos, E., Markopoulos, C., Revenas, K., Koufopoulos, K., Kyriakou, V., Gogas, J.
Formato: research Journal Article
Publicado: Sage Publications Inc. Jan2003
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jan2003
      vid: 44
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        10.1034/j.1600-0455.2003.00008.x
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        atl: Computer-aided preoperative diagnosis of microcalcifications on mammograms.
      aug:
        au:
          Kouskos, E.
          Markopoulos, C.
          Revenas, K.
          Koufopoulos, K.
          Kyriakou, V.
          Gogas, J.
      sug:
        subj:
          Breast Diseases
          Breast Neoplasms
          Diagnosis, Computer Assisted Methods
          Preoperative Care Methods
          Mammography Methods
          Calcinosis
          Aged
          Breast Neoplasms Pathology
          Sensitivity and Specificity
          ROC Curve
          Middle Age
          Calcinosis Pathology
          Adult
          Human
          Reproducibility of Results
          Female
          Diagnosis, Differential
          Breast Diseases Pathology
          Validation Studies
          Comparative Studies
          Evaluation Research
          Multicenter Studies
          Aged: 65+ years
          Middle Aged: 45-64 years
          Adult: 19-44 years
          Female
      ab: Purpose: To evaluate of a computer-aided method for differentiating malignant from benign clustered microcalcifications. Material and Methods: Our material was 350 suspicious microcalcifications on mammograms from 330 female patients who underwent breast biopsy (after hook wire localization and under mammographic guidance). The histologic findings were malignant in 140 cases (40%) and benign in 210 cases (60%). Those clusters were manually detected, computer-aided analyzed and quantitatively estimated. Besides computer analysis, 3 physicians-observers (2 radiologists and 1 breast surgeon) evaluated the malignant or benign nature of the clustered microcalcifications. The performance of the artificial network, each observer and the three observers as a group was evaluated by receiver operating characteristics (ROC) curves. Results: Comparison of the ROC curves revealed the following AUC values (area under the curve): computer - 0.950, physician 1 - 0.815, physician 2 - 0.830, physician 3 - 0.830, and physicians as a group - 0.825. The results, compared by the student t-test for paired data, showed a statistically significant difference between computer analysis and physicians' performance, independently and as a group. Conclusion: Our study showed that computer analysis achieved statistically significantly better performance than that of physicians in the classification of malignant and benign calcifications.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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