"CADEAT": considerations on the use of CAD (computer-aided diagnosis) in mammography

被引：2

作者：

Chersevani, R. ^{[2
]}

Ciatto, S. ^{[1
]}

Del Favero, C. ^{[3
]}

Frigerio, A. ^{[4
]}

Giordano, L. ^{[5
]}

Giuseppetti, G. ^{[6
]}

Naldoni, C. ^{[7
]}

Panizza, P. ^{[8
]}

Petrella, M. ^{[9
]}

Saguatti, G. ^{[10
]}

机构：

[1] Ist Sci Prevenz Oncol, ISPO, I-50131 Florence, Italy

[2] Soc Italiana Radiol Med, Sez Studio Senol, Milan, Italy

[3] Fdn Don Carlo Gnocchi IRCS, Milan, Italy

[4] AOU S Giovanni Battista, Ctr Riferimento Reg Screening Mammograf, Turin, Italy

[5] AOU S Giovanni Battista, CPO Piemonte, Unita Epidemiol, Turin, Italy

[6] Univ Politecn Marche, Fac Med, Ancona, Italy

[7] Ctr Riferimento & Coordinamento Screening Oncol, Bologna, Italy

[8] Univ Milan, Osped San Raffaele, Dipartimento Radiol, I-20127 Milan, Italy

[9] AUSL 2 Umbria, Programma Aziendale Screening, Perugia, Italy

[10] AUSL, Ctr Senol, Presidio Osped Maggiore, Bologna, Italy

来源：

RADIOLOGIA MEDICA | 2010年 / 115卷 / 04期

关键词：

Breast cancer; Mammography; Diagnosis; Computer aided diagnosis; BREAST-CANCER DETECTION; SCREENING MAMMOGRAMS; RECALL RATES; STANDARD;

D O I：

10.1007/s11547-010-0505-4

中图分类号：

R8 [特种医学]; R445 [影像诊断学];

学科分类号：

1002 ; 100207 ; 1009 ;

摘要：

Computer-aided diagnosis (CAD) has been extensively reported to increase sensitivity by about 10% when added to a single reading while increasing recall rate by 12%, and its current use can be safely recommended in clinical practice. CAD has been suggested as a possible alternative to conventional double reading in screening. Uncontrolled comparison is consistent and suggests that CAD is comparable to double reading in incremental cancer detection rate (CAD +10.6%, double reading +9.1%) and possibly better in recall rate (CAD +12.5%, double reading +28.8%). However, controlled studies comparing single reading + CAD to conventional double reading are not consistent and on average suggest a lower cancer detection rate (-5.1%) and a lower recall rate (-9.8%) for CAD. Scientific evidence is not sufficient for a safe recommendation of single reading + CAD as a current alternative to conventional double reading.

引用

页码：563 / 570

页数：8

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