Differences in lesion interpretation between radiologists in two countries: Lessons from a digital breast tomosynthesis training test set
Introduction In many western countries, there is good evidence documenting the performance of radiologists reading digital breast tomosynthesis (DBT) images. However, the diagnostic efficiency of Chinese radiologists using DBT, particularly type of errors being made and type of cancers being missed,...
Gespeichert in:
| Veröffentlicht in: | Asia-Pacific journal of clinical oncology 2022-08, Vol.18 (4), p.441-447 |
|---|---|
| Hauptverfasser: | , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 447 |
|---|---|
| container_issue | 4 |
| container_start_page | 441 |
| container_title | Asia-Pacific journal of clinical oncology |
| container_volume | 18 |
| creator | Li, Tong Gandomkar, Ziba Trieu, Phuong Dung (Yun) Lewis, Sarah J. Brennan, Patrick C. |
| description | Introduction
In many western countries, there is good evidence documenting the performance of radiologists reading digital breast tomosynthesis (DBT) images. However, the diagnostic efficiency of Chinese radiologists using DBT, particularly type of errors being made and type of cancers being missed, is understudied. This study aims to investigate the pattern of diagnostic errors across different lesion types produced by Chinese radiologists diagnosing from DBT images. Australian radiologists will be used as a benchmark.
Methods
Twelve Chinese radiologists read a DBT test set and located each perceived cancer lesion. True positives, false positives (FP), true negatives and false negatives (FN) were generated. The same test set was also read by 14 Australian radiologists. Z‐scores and Pearson correlations were used to compare interpretation of lesions and identification of normal appearances between two groups of radiologists.
Results
Architectural distortions (p |
| doi_str_mv | 10.1111/ajco.13686 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2601483719</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2721673805</sourcerecordid><originalsourceid>FETCH-LOGICAL-c2646-6d0464fe0293ce182cd2b6474cc333d7b600407fda54600502a9dc28f46293ac3</originalsourceid><addsrcrecordid>eNp9kUtLAzEQxxdRsD4ufoKAFxGqeW1215vUN4Ve9BzS7GxN2SY1k1L6EfzWplY8eHAu8x_mNw_4F8UZo1csx7WZ23DFhKrVXjFglRTDqlRi_1eX5WFxhDinVDS8YYPi8851HUTwFpA4T3pAF3xWCeIyQjJpW04hrQE8iaZ1oQ8zh-mbTutAbFj5FB3gDRkDYvBIuhgWxJDWzVwyPZlGMJhICouAG5_e8wkkKRrnnZ-RBLmHkE6Kg870CKc_-bh4e7h_HT0Nx5PH59HteGi5kmqoWiqV7IDyRlhgNbctnypZSWuFEG01VZRKWnWtKWWWJeWmaS2vO6nyhLHiuLjY7V3G8LHKx_XCoYW-Nx7CCjVXlMlaVKzJ6PkfdB5W0efvNK84U5WoaZmpyx1lY0CM0OlldAsTN5pRvXVFb13R365kmO3gteth8w-pb19Gk93MF8qhkao</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2721673805</pqid></control><display><type>article</type><title>Differences in lesion interpretation between radiologists in two countries: Lessons from a digital breast tomosynthesis training test set</title><source>Wiley Online Library Journals Frontfile Complete</source><creator>Li, Tong ; Gandomkar, Ziba ; Trieu, Phuong Dung (Yun) ; Lewis, Sarah J. ; Brennan, Patrick C.</creator><creatorcontrib>Li, Tong ; Gandomkar, Ziba ; Trieu, Phuong Dung (Yun) ; Lewis, Sarah J. ; Brennan, Patrick C.</creatorcontrib><description>Introduction
In many western countries, there is good evidence documenting the performance of radiologists reading digital breast tomosynthesis (DBT) images. However, the diagnostic efficiency of Chinese radiologists using DBT, particularly type of errors being made and type of cancers being missed, is understudied. This study aims to investigate the pattern of diagnostic errors across different lesion types produced by Chinese radiologists diagnosing from DBT images. Australian radiologists will be used as a benchmark.
Methods
Twelve Chinese radiologists read a DBT test set and located each perceived cancer lesion. True positives, false positives (FP), true negatives and false negatives (FN) were generated. The same test set was also read by 14 Australian radiologists. Z‐scores and Pearson correlations were used to compare interpretation of lesions and identification of normal appearances between two groups of radiologists.
Results
Architectural distortions (p < .001) and stellate masses (p = .02) were more difficult for Chinese radiologists to correctly diagnose compared to their Australian counterparts. Chinese readers categorised more FPs as discrete masses (p < .001) and fewer FPs as architectural distortions (p < .001) comparing with Australian radiologists. The percentages of FN for each cancer case were not correlated (r = 0.37, p = .18) but the percentages of FP for each normal case were moderately correlated (r = 0.52, p = .02) between two groups of readers.
Conclusions
Architectural distortions and stellate masses were challenging to Chinese radiologists when reading DBT. Our findings proposed the need of development of training and education programs focussing on imaging cases tailored for specific groups of readers with certain interpretation patterns.</description><identifier>ISSN: 1743-7555</identifier><identifier>EISSN: 1743-7563</identifier><identifier>DOI: 10.1111/ajco.13686</identifier><language>eng</language><publisher>Chichester: Wiley Subscription Services, Inc</publisher><subject>Breast ; breast cancer ; breast image reading ; diagnostic errors ; Lesions ; mammography ; radiologist ; Training</subject><ispartof>Asia-Pacific journal of clinical oncology, 2022-08, Vol.18 (4), p.441-447</ispartof><rights>2021 John Wiley & Sons Australia, Ltd.</rights><rights>2022 John Wiley & Sons Australia, Ltd.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c2646-6d0464fe0293ce182cd2b6474cc333d7b600407fda54600502a9dc28f46293ac3</citedby><cites>FETCH-LOGICAL-c2646-6d0464fe0293ce182cd2b6474cc333d7b600407fda54600502a9dc28f46293ac3</cites><orcidid>0000-0001-7021-6331 ; 0000-0003-4956-765X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fajco.13686$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fajco.13686$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27903,27904,45553,45554</link.rule.ids></links><search><creatorcontrib>Li, Tong</creatorcontrib><creatorcontrib>Gandomkar, Ziba</creatorcontrib><creatorcontrib>Trieu, Phuong Dung (Yun)</creatorcontrib><creatorcontrib>Lewis, Sarah J.</creatorcontrib><creatorcontrib>Brennan, Patrick C.</creatorcontrib><title>Differences in lesion interpretation between radiologists in two countries: Lessons from a digital breast tomosynthesis training test set</title><title>Asia-Pacific journal of clinical oncology</title><description>Introduction
In many western countries, there is good evidence documenting the performance of radiologists reading digital breast tomosynthesis (DBT) images. However, the diagnostic efficiency of Chinese radiologists using DBT, particularly type of errors being made and type of cancers being missed, is understudied. This study aims to investigate the pattern of diagnostic errors across different lesion types produced by Chinese radiologists diagnosing from DBT images. Australian radiologists will be used as a benchmark.
Methods
Twelve Chinese radiologists read a DBT test set and located each perceived cancer lesion. True positives, false positives (FP), true negatives and false negatives (FN) were generated. The same test set was also read by 14 Australian radiologists. Z‐scores and Pearson correlations were used to compare interpretation of lesions and identification of normal appearances between two groups of radiologists.
Results
Architectural distortions (p < .001) and stellate masses (p = .02) were more difficult for Chinese radiologists to correctly diagnose compared to their Australian counterparts. Chinese readers categorised more FPs as discrete masses (p < .001) and fewer FPs as architectural distortions (p < .001) comparing with Australian radiologists. The percentages of FN for each cancer case were not correlated (r = 0.37, p = .18) but the percentages of FP for each normal case were moderately correlated (r = 0.52, p = .02) between two groups of readers.
Conclusions
Architectural distortions and stellate masses were challenging to Chinese radiologists when reading DBT. Our findings proposed the need of development of training and education programs focussing on imaging cases tailored for specific groups of readers with certain interpretation patterns.</description><subject>Breast</subject><subject>breast cancer</subject><subject>breast image reading</subject><subject>diagnostic errors</subject><subject>Lesions</subject><subject>mammography</subject><subject>radiologist</subject><subject>Training</subject><issn>1743-7555</issn><issn>1743-7563</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><recordid>eNp9kUtLAzEQxxdRsD4ufoKAFxGqeW1215vUN4Ve9BzS7GxN2SY1k1L6EfzWplY8eHAu8x_mNw_4F8UZo1csx7WZ23DFhKrVXjFglRTDqlRi_1eX5WFxhDinVDS8YYPi8851HUTwFpA4T3pAF3xWCeIyQjJpW04hrQE8iaZ1oQ8zh-mbTutAbFj5FB3gDRkDYvBIuhgWxJDWzVwyPZlGMJhICouAG5_e8wkkKRrnnZ-RBLmHkE6Kg870CKc_-bh4e7h_HT0Nx5PH59HteGi5kmqoWiqV7IDyRlhgNbctnypZSWuFEG01VZRKWnWtKWWWJeWmaS2vO6nyhLHiuLjY7V3G8LHKx_XCoYW-Nx7CCjVXlMlaVKzJ6PkfdB5W0efvNK84U5WoaZmpyx1lY0CM0OlldAsTN5pRvXVFb13R365kmO3gteth8w-pb19Gk93MF8qhkao</recordid><startdate>202208</startdate><enddate>202208</enddate><creator>Li, Tong</creator><creator>Gandomkar, Ziba</creator><creator>Trieu, Phuong Dung (Yun)</creator><creator>Lewis, Sarah J.</creator><creator>Brennan, Patrick C.</creator><general>Wiley Subscription Services, Inc</general><scope>AAYXX</scope><scope>CITATION</scope><scope>7TO</scope><scope>H94</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-7021-6331</orcidid><orcidid>https://orcid.org/0000-0003-4956-765X</orcidid></search><sort><creationdate>202208</creationdate><title>Differences in lesion interpretation between radiologists in two countries: Lessons from a digital breast tomosynthesis training test set</title><author>Li, Tong ; Gandomkar, Ziba ; Trieu, Phuong Dung (Yun) ; Lewis, Sarah J. ; Brennan, Patrick C.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2646-6d0464fe0293ce182cd2b6474cc333d7b600407fda54600502a9dc28f46293ac3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Breast</topic><topic>breast cancer</topic><topic>breast image reading</topic><topic>diagnostic errors</topic><topic>Lesions</topic><topic>mammography</topic><topic>radiologist</topic><topic>Training</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Li, Tong</creatorcontrib><creatorcontrib>Gandomkar, Ziba</creatorcontrib><creatorcontrib>Trieu, Phuong Dung (Yun)</creatorcontrib><creatorcontrib>Lewis, Sarah J.</creatorcontrib><creatorcontrib>Brennan, Patrick C.</creatorcontrib><collection>CrossRef</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Asia-Pacific journal of clinical oncology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Li, Tong</au><au>Gandomkar, Ziba</au><au>Trieu, Phuong Dung (Yun)</au><au>Lewis, Sarah J.</au><au>Brennan, Patrick C.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Differences in lesion interpretation between radiologists in two countries: Lessons from a digital breast tomosynthesis training test set</atitle><jtitle>Asia-Pacific journal of clinical oncology</jtitle><date>2022-08</date><risdate>2022</risdate><volume>18</volume><issue>4</issue><spage>441</spage><epage>447</epage><pages>441-447</pages><issn>1743-7555</issn><eissn>1743-7563</eissn><abstract>Introduction
In many western countries, there is good evidence documenting the performance of radiologists reading digital breast tomosynthesis (DBT) images. However, the diagnostic efficiency of Chinese radiologists using DBT, particularly type of errors being made and type of cancers being missed, is understudied. This study aims to investigate the pattern of diagnostic errors across different lesion types produced by Chinese radiologists diagnosing from DBT images. Australian radiologists will be used as a benchmark.
Methods
Twelve Chinese radiologists read a DBT test set and located each perceived cancer lesion. True positives, false positives (FP), true negatives and false negatives (FN) were generated. The same test set was also read by 14 Australian radiologists. Z‐scores and Pearson correlations were used to compare interpretation of lesions and identification of normal appearances between two groups of radiologists.
Results
Architectural distortions (p < .001) and stellate masses (p = .02) were more difficult for Chinese radiologists to correctly diagnose compared to their Australian counterparts. Chinese readers categorised more FPs as discrete masses (p < .001) and fewer FPs as architectural distortions (p < .001) comparing with Australian radiologists. The percentages of FN for each cancer case were not correlated (r = 0.37, p = .18) but the percentages of FP for each normal case were moderately correlated (r = 0.52, p = .02) between two groups of readers.
Conclusions
Architectural distortions and stellate masses were challenging to Chinese radiologists when reading DBT. Our findings proposed the need of development of training and education programs focussing on imaging cases tailored for specific groups of readers with certain interpretation patterns.</abstract><cop>Chichester</cop><pub>Wiley Subscription Services, Inc</pub><doi>10.1111/ajco.13686</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0001-7021-6331</orcidid><orcidid>https://orcid.org/0000-0003-4956-765X</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1743-7555 |
| ispartof | Asia-Pacific journal of clinical oncology, 2022-08, Vol.18 (4), p.441-447 |
| issn | 1743-7555 1743-7563 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2601483719 |
| source | Wiley Online Library Journals Frontfile Complete |
| subjects | Breast breast cancer breast image reading diagnostic errors Lesions mammography radiologist Training |
| title | Differences in lesion interpretation between radiologists in two countries: Lessons from a digital breast tomosynthesis training test set |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-27T15%3A37%3A28IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Differences%20in%20lesion%20interpretation%20between%20radiologists%20in%20two%20countries:%20Lessons%20from%20a%20digital%20breast%20tomosynthesis%20training%20test%20set&rft.jtitle=Asia-Pacific%20journal%20of%20clinical%20oncology&rft.au=Li,%20Tong&rft.date=2022-08&rft.volume=18&rft.issue=4&rft.spage=441&rft.epage=447&rft.pages=441-447&rft.issn=1743-7555&rft.eissn=1743-7563&rft_id=info:doi/10.1111/ajco.13686&rft_dat=%3Cproquest_cross%3E2721673805%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2721673805&rft_id=info:pmid/&rfr_iscdi=true |