Accuracy of Soft-Copy Digital Mammography versus That of Screen-Film Mammography according to Digital Manufacturer: ACRIN DMIST Retrospective Multireader Study

Purpose: To retrospectively compare the accuracy for cancer diagnosis of digital mammography with soft-copy interpretation with that of screen-film mammography for each digital equipment manufacturer, by using results of biopsy and follow-up as the reference standard. Materials and Methods: The prim...

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Veröffentlicht in:Radiology 2008-04, Vol.247 (1), p.38-48
Hauptverfasser: HENDRICK, R. Edward, COLE, Elodia B, REBNER, Murray, GATSONIS, Constantine, PISANO, Ella D, ACHARYYA, Suddhasatta, MARQUES, COHEN, Michael A, JONG, Roberta A, MAWDSLEY, Gordon E, KANAL, Kalpana M, D'ORSI, Carl J
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container_end_page 48
container_issue 1
container_start_page 38
container_title Radiology
container_volume 247
creator HENDRICK, R. Edward
COLE, Elodia B
REBNER, Murray
GATSONIS, Constantine
PISANO, Ella D
ACHARYYA, Suddhasatta
MARQUES
COHEN, Michael A
JONG, Roberta A
MAWDSLEY, Gordon E
KANAL, Kalpana M
D'ORSI, Carl J
description Purpose: To retrospectively compare the accuracy for cancer diagnosis of digital mammography with soft-copy interpretation with that of screen-film mammography for each digital equipment manufacturer, by using results of biopsy and follow-up as the reference standard. Materials and Methods: The primary HIPAA-compliant Digital Mammographic Imaging Screening Trial (DMIST) was approved by the institutional review board of each study site, and informed consent was obtained. The approvals and consent included use of data for future HIPAA-compliant retrospective research. The American College of Radiology Imaging Network DMIST collected screening mammography studies performed by using both digital and screen-film mammography in 49 528 women (mean age, 54.6 years; range, 19–92 years). Digital mammography systems from four manufacturers (Fischer, Fuji, GE, and Hologic) were used. For each digital manufacturer, a cancer-enriched reader set of women screened with both digital and screen-film mammography in DMIST was constructed. Each reader set contained all cancer-containing studies known for each digital manufacturer at the time of reader set selection, together with a subset of negative and benign studies. For each reader set, six or 12 experienced radiologists attended two randomly ordered reading sessions 6 weeks apart. Each radiologist identified suspicious findings and rated suspicion of breast cancer in identified lesions by using a seven-point scale. Results were analyzed according to digital manufacturer by using areas under the receiver operating characteristic curve (AUCs), sensitivity, and specificity for soft-copy digital and screen-film mammography. Results for Hologic digital are not presented owing to the fact that few cancer cases were available. The implemented design provided 80% power to detect average AUC differences of 0.09, 0.08, and 0.06 for Fischer, Fuji, and GE, respectively. Results: No significant difference in AUC, sensitivity, or specificity was found between Fischer, Fuji, and GE soft-copy digital and screen-film mammography. Large reader variations occurred with each modality. Conclusion: No statistically significant differences were found between soft-copy digital and screen-film mammography for Fischer, Fuji, and GE digital mammography equipment. © RSNA, 2008
doi_str_mv 10.1148/radiol.2471070418
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Edward ; COLE, Elodia B ; REBNER, Murray ; GATSONIS, Constantine ; PISANO, Ella D ; ACHARYYA, Suddhasatta ; MARQUES ; COHEN, Michael A ; JONG, Roberta A ; MAWDSLEY, Gordon E ; KANAL, Kalpana M ; D'ORSI, Carl J</creator><creatorcontrib>HENDRICK, R. Edward ; COLE, Elodia B ; REBNER, Murray ; GATSONIS, Constantine ; PISANO, Ella D ; ACHARYYA, Suddhasatta ; MARQUES ; COHEN, Michael A ; JONG, Roberta A ; MAWDSLEY, Gordon E ; KANAL, Kalpana M ; D'ORSI, Carl J</creatorcontrib><description>Purpose: To retrospectively compare the accuracy for cancer diagnosis of digital mammography with soft-copy interpretation with that of screen-film mammography for each digital equipment manufacturer, by using results of biopsy and follow-up as the reference standard. Materials and Methods: The primary HIPAA-compliant Digital Mammographic Imaging Screening Trial (DMIST) was approved by the institutional review board of each study site, and informed consent was obtained. The approvals and consent included use of data for future HIPAA-compliant retrospective research. The American College of Radiology Imaging Network DMIST collected screening mammography studies performed by using both digital and screen-film mammography in 49 528 women (mean age, 54.6 years; range, 19–92 years). Digital mammography systems from four manufacturers (Fischer, Fuji, GE, and Hologic) were used. For each digital manufacturer, a cancer-enriched reader set of women screened with both digital and screen-film mammography in DMIST was constructed. Each reader set contained all cancer-containing studies known for each digital manufacturer at the time of reader set selection, together with a subset of negative and benign studies. For each reader set, six or 12 experienced radiologists attended two randomly ordered reading sessions 6 weeks apart. Each radiologist identified suspicious findings and rated suspicion of breast cancer in identified lesions by using a seven-point scale. Results were analyzed according to digital manufacturer by using areas under the receiver operating characteristic curve (AUCs), sensitivity, and specificity for soft-copy digital and screen-film mammography. Results for Hologic digital are not presented owing to the fact that few cancer cases were available. The implemented design provided 80% power to detect average AUC differences of 0.09, 0.08, and 0.06 for Fischer, Fuji, and GE, respectively. Results: No significant difference in AUC, sensitivity, or specificity was found between Fischer, Fuji, and GE soft-copy digital and screen-film mammography. Large reader variations occurred with each modality. 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Edward</creatorcontrib><creatorcontrib>COLE, Elodia B</creatorcontrib><creatorcontrib>REBNER, Murray</creatorcontrib><creatorcontrib>GATSONIS, Constantine</creatorcontrib><creatorcontrib>PISANO, Ella D</creatorcontrib><creatorcontrib>ACHARYYA, Suddhasatta</creatorcontrib><creatorcontrib>MARQUES</creatorcontrib><creatorcontrib>COHEN, Michael A</creatorcontrib><creatorcontrib>JONG, Roberta A</creatorcontrib><creatorcontrib>MAWDSLEY, Gordon E</creatorcontrib><creatorcontrib>KANAL, Kalpana M</creatorcontrib><creatorcontrib>D'ORSI, Carl J</creatorcontrib><title>Accuracy of Soft-Copy Digital Mammography versus That of Screen-Film Mammography according to Digital Manufacturer: ACRIN DMIST Retrospective Multireader Study</title><title>Radiology</title><addtitle>Radiology</addtitle><description>Purpose: To retrospectively compare the accuracy for cancer diagnosis of digital mammography with soft-copy interpretation with that of screen-film mammography for each digital equipment manufacturer, by using results of biopsy and follow-up as the reference standard. 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For each reader set, six or 12 experienced radiologists attended two randomly ordered reading sessions 6 weeks apart. Each radiologist identified suspicious findings and rated suspicion of breast cancer in identified lesions by using a seven-point scale. Results were analyzed according to digital manufacturer by using areas under the receiver operating characteristic curve (AUCs), sensitivity, and specificity for soft-copy digital and screen-film mammography. Results for Hologic digital are not presented owing to the fact that few cancer cases were available. The implemented design provided 80% power to detect average AUC differences of 0.09, 0.08, and 0.06 for Fischer, Fuji, and GE, respectively. Results: No significant difference in AUC, sensitivity, or specificity was found between Fischer, Fuji, and GE soft-copy digital and screen-film mammography. Large reader variations occurred with each modality. 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Edward</au><au>COLE, Elodia B</au><au>REBNER, Murray</au><au>GATSONIS, Constantine</au><au>PISANO, Ella D</au><au>ACHARYYA, Suddhasatta</au><au>MARQUES</au><au>COHEN, Michael A</au><au>JONG, Roberta A</au><au>MAWDSLEY, Gordon E</au><au>KANAL, Kalpana M</au><au>D'ORSI, Carl J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Accuracy of Soft-Copy Digital Mammography versus That of Screen-Film Mammography according to Digital Manufacturer: ACRIN DMIST Retrospective Multireader Study</atitle><jtitle>Radiology</jtitle><addtitle>Radiology</addtitle><date>2008-04-01</date><risdate>2008</risdate><volume>247</volume><issue>1</issue><spage>38</spage><epage>48</epage><pages>38-48</pages><issn>0033-8419</issn><eissn>1527-1315</eissn><coden>RADLAX</coden><abstract>Purpose: To retrospectively compare the accuracy for cancer diagnosis of digital mammography with soft-copy interpretation with that of screen-film mammography for each digital equipment manufacturer, by using results of biopsy and follow-up as the reference standard. Materials and Methods: The primary HIPAA-compliant Digital Mammographic Imaging Screening Trial (DMIST) was approved by the institutional review board of each study site, and informed consent was obtained. The approvals and consent included use of data for future HIPAA-compliant retrospective research. The American College of Radiology Imaging Network DMIST collected screening mammography studies performed by using both digital and screen-film mammography in 49 528 women (mean age, 54.6 years; range, 19–92 years). Digital mammography systems from four manufacturers (Fischer, Fuji, GE, and Hologic) were used. For each digital manufacturer, a cancer-enriched reader set of women screened with both digital and screen-film mammography in DMIST was constructed. Each reader set contained all cancer-containing studies known for each digital manufacturer at the time of reader set selection, together with a subset of negative and benign studies. For each reader set, six or 12 experienced radiologists attended two randomly ordered reading sessions 6 weeks apart. Each radiologist identified suspicious findings and rated suspicion of breast cancer in identified lesions by using a seven-point scale. Results were analyzed according to digital manufacturer by using areas under the receiver operating characteristic curve (AUCs), sensitivity, and specificity for soft-copy digital and screen-film mammography. Results for Hologic digital are not presented owing to the fact that few cancer cases were available. The implemented design provided 80% power to detect average AUC differences of 0.09, 0.08, and 0.06 for Fischer, Fuji, and GE, respectively. Results: No significant difference in AUC, sensitivity, or specificity was found between Fischer, Fuji, and GE soft-copy digital and screen-film mammography. Large reader variations occurred with each modality. Conclusion: No statistically significant differences were found between soft-copy digital and screen-film mammography for Fischer, Fuji, and GE digital mammography equipment. © RSNA, 2008</abstract><cop>Oak Brook, IL</cop><pub>Radiological Society of North America</pub><pmid>18372463</pmid><doi>10.1148/radiol.2471070418</doi><tpages>11</tpages><oa>free_for_read</oa></addata></record>
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subjects Adult
Aged
Aged, 80 and over
Area Under Curve
Biological and medical sciences
Breast Neoplasms - diagnostic imaging
Female
Genital system. Mammary gland
Humans
Investigative techniques, diagnostic techniques (general aspects)
Mammography - instrumentation
Medical sciences
Middle Aged
Observer Variation
Radiodiagnosis. Nmr imagery. Nmr spectrometry
Radiographic Image Enhancement - instrumentation
Sensitivity and Specificity
X-Ray Intensifying Screens
title Accuracy of Soft-Copy Digital Mammography versus That of Screen-Film Mammography according to Digital Manufacturer: ACRIN DMIST Retrospective Multireader Study
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