Importance of Comparison of Current and Prior Mammograms in Breast Cancer Screening

Roelofs, A.A.J.; Karssemeijer, Nico; Wedekind, Nora; Beck, Christian; Woudenberg, Sander van; Snoeren, Peter R.; Hendriks, Jan H. C. L.; Turco, Marco Rosselli Del; Bjurstam, Nils; Junkermann, H.; Beijerinck, David; Séradour, B.; Evertsz, Carl J. G.

doi:10.1148/radiol.2421050684

Cited by 83 publications

(46 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…If this study is considered to have adequately modelled real world screening then it could be concluded that in the transition to digital breast screening there is no need to digitise the prior mammograms if these can be mounted on a multi-viewer. Roelofs et al 2 provide compelling evidence that performance would be degraded if the prior mammograms were not displayed at all, but only available upon request, and therefore simply providing a light box for radiologists to hang the prior mammograms when they considered them necessary would not provide an acceptable solution. The evidence presented in this paper does not contradict that of Roelofs et al 2 because here the prior mammograms were always displayed in both conditions.…”

Section: Discussionmentioning

confidence: 99%

“…The case set was sufficiently large (162 cases) with 41% malignant cases which is comparable to many other published prospective studies, and in particular this is of the same order of magnitude as the 160 and 198 cases used in similar studies which did find an experimental effect. 2,17 The number of participants could be increased, but due to the characteristics of ROC methodology this would provide only a small increase in power. 18 Therefore, as there is no significant effect, and indeed no trend at all, it can be concluded that the lack of experimental effect is unlikely to be due to the power of the study.…”

Section: Discussionmentioning

confidence: 99%

“…For the first round of digital screening these mammograms will be in film format. Roelofs et al 2 provided evidence that these prior film mammograms should always be displayed, rather than requiring the radiologist to request them only when they feel these are necessary. This study presented a set of 160 mammograms twice, with and without the prior mammograms, and asked participants to identify the cases for which they would request to see the prior mammograms.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

The effect of digitising film prior mammograms on radiologists' performance in breast screening: a JAFROC study

et al. 2009

View full text Add to dashboard Cite

After the introduction of digital mammography the film mammograms from the previous screening round (the prior mammograms) can be displayed in a variety of ways. This paper investigates the performance of radiologists reading digital screening mammograms with the prior mammograms displayed either as film or in digitised format. A set of 162 cases was assembled, each with two view digital mammograms and two view film prior mammograms. Of these cases 66 were malignant as proven by biopsy, and the others were normal or benign. The film prior mammograms were digitised at 75µm. Eight participants, with four to seventeen years experience of reading screening mammograms, each read the mammograms twice; once with the digitised prior mammograms displayed on the digital workstation, and once with the film prior mammograms displayed on an adjacent multi-viewer. The two viewings were at least one month apart. Participants marked the location of abnormalities on a paper copy of the mammograms and rated the probability of malignancy of each abnormality. Participants were video-taped whilst reading the cases to enable analysis of gross eye movements for information regarding the level of use of the prior mammograms. JAFROC analysis showed no difference in performance between the conditions.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

The effect of digitising film prior mammograms on radiologists' performance in breast screening: a JAFROC study

et al. 2009

View full text Add to dashboard Cite

show abstract

“…(10)(11)(12)(13). Prospective studies have shown that even with the availability of prior studies in the majority of patients, recall rates decreased substantially when DBT images were included in the studies being interpreted (5,9,10,14,15).…”

Section: Fundingmentioning

confidence: 99%

Effect of the Availability of Prior Full-Field Digital Mammography and Digital Breast Tomosynthesis Images on the Interpretation of Mammograms

Hakim¹,

Catullo²,

Chough³

et al. 2015

Radiology

View full text Add to dashboard Cite

Purpose:To assess the effect of and interaction between the availability of prior images and digital breast tomosynthesis (DBT) images in decisions to recall women during mammogram interpretation. Materials and Methods:Verbal informed consent was obtained for this HIPAA-compliant institutional review board-approved protocol. Results:Average recall rates in noncancer cases were significantly reduced with the addition of prior FFDM images by 34% (145 of 421) and 32% (106 of 333) without and with DBT images, respectively (P , .001). However, this recall reduction was achieved at the cost of a corresponding 7% (23 of 345) and 4% (14 of 353) reduction in sensitivity (P = .006). In contrast, availability of DBT images resulted in a smaller reduction in recall rates (false-positive interpretations) of 19% (76 of 409) and 26% (71 of 276) without and with prior FFDM images, respectively (P = .001). Availability of DBT images resulted in 4% (15 of 338) and 8% (25 of 322) increases in sensitivity, respectively (P = .007). The effects of the availability of prior FFDM images or DBT images did not significantly change regardless of the sequence in presentation (P = .81 and P = .47 for specificity and sensitivity, respectively). Conclusion:The availability of prior FFDM or DBT images is a largely independent contributing factor in reducing recall recommendations during mammographic interpretation.q RSNA, 2015

show abstract

“…There are many scientific papers which show that using prior mammograms in addition to current mammograms improves mammographer performance [1][2][3] . Furthermore mammographers' performance is improved when prior mammograms are always present rather then present when requested by the mammographer 4 .…”

Section: Introductionmentioning

confidence: 99%

Mammography workstation design: effect on mammographer behaviour and the risk of musculoskeletal disorders

2008

View full text Add to dashboard Cite

In the UK Breast Screening Programme there is a growing transition from film to digital mammography, and consequently a change in mammography workstation ergonomics. This paper investigates the effect of the change for radiologists including their comfort, likelihood of developing musculoskeletal disorders (MSD's), and work practices. Three workstations types were investigated: one with all film mammograms; one with digital mammograms alongside film mammograms from the previous screening round, and one with digital mammograms alongside digitised film mammograms from the previous screening round. Mammographers were video-taped whilst conducting work sessions at each of the workstations. Event based Rapid Upper Limb Assessment (RULA) postural analysis showed no overall increase in MSD risk level in the switch from the film to digital workstation. Average number of visual glances at the prior mammograms per case measured by analysis of recorded video footage showed an increase if the prior mammograms were digitised, rather than displayed on a multi-viewer (p<.05). This finding has potential implications for mammographer performance in the transition to digital mammography in the UK.

show abstract

Importance of Comparison of Current and Prior Mammograms in Breast Cancer Screening

Abstract: Comparison with prior mammograms significantly improves overall performance and can reduce referrals due to nonlesion locations. Limiting the availability of prior mammograms to cases selected by the reader reduces the beneficial effect of prior mammograms.

Cited by 83 publications

References 14 publications

The effect of digitising film prior mammograms on radiologists' performance in breast screening: a JAFROC study

The effect of digitising film prior mammograms on radiologists' performance in breast screening: a JAFROC study

Effect of the Availability of Prior Full-Field Digital Mammography and Digital Breast Tomosynthesis Images on the Interpretation of Mammograms

Mammography workstation design: effect on mammographer behaviour and the risk of musculoskeletal disorders

Contact Info

Product

Resources

About