Radiologists' interpretive skills in screening vs. diagnostic mammography: are they related? - PubMed - NCBI

Radiologists' interpretive skills in screening vs. diagnostic mammography: are they related? - PubMed - NCBI

Clin Imaging. 2016 Nov - Dec;40(6):1096-1103. doi: 10.1016/j.clinimag.2016.06.014. Epub 2016 Jul 1.

Radiologists' interpretive skills in screening vs. diagnostic mammography: are they related?

Elmore JG1, Cook AJ2, Bogart A3, Carney PA4, Geller BM5, Taplin SH6, Buist DS2, Onega T7, Lee CI8, Miglioretti DL9.

Author information

Abstract

PURPOSE:

This study aims to determine whether radiologists who perform well in screening also perform well in interpreting diagnostic mammography.

MATERIALS AND METHODS:

We evaluated the accuracy of 468 radiologists interpreting 2,234,947 screening and 196,164 diagnostic mammograms. Adjusting for site, radiologist, and patient characteristics, we identified radiologists with performance in the highest tertile and compared to those with lower performance.

RESULTS:

A moderate correlation was noted for radiologists' accuracy when interpreting screening versus their accuracy on diagnostic examinations: sensitivity (rspearman=0.51, 95% CI: 0.22, 0.80; P=.0006) and specificity (rspearman=0.40, 95% CI: 0.30, 0.49; P<.0001).

CONCLUSION:

Different educational approaches to screening and diagnostic imaging should be considered.

Copyright © 2016 Elsevier Inc. All rights reserved.

KEYWORDS:

Diagnostic mammography; Interpretive performance; Screening mammography; Sensitivity; Specificity

PMID:

 

27438069

 

PMCID:

 

PMC5159253

 [Available on 2017-11-01]

 

DOI:

 

10.1016/j.clinimag.2016.06.014

[Indexed for MEDLINE]