Using computer-aided detection in mammography as a decision support

作者：Samulski Maurice^*; Hupse Rianne; Boetes Carla; Mus Roel D M; den Heeten Gerard J; Karssemeijer Nico

来源：European Radiology, 2010, 20(10): 2323-2330.

DOI：10.1007/s00330-010-1821-8

• Mammography
• Breast
• Early detection of cancer
• Decision making
• Computer-assisted
• Radiographic image interpretation

To evaluate an interactive computer-aided detection (CAD) system for reading mammograms to improve decision making.
A dedicated mammographic workstation has been developed in which readers can probe image locations for the presence of CAD information. If present, CAD findings are displayed with the computed malignancy rating. A reader study was conducted in which four screening radiologists and five non-radiologists participated to study the effect of this system on detection performance. The participants read 120 cases of which 40 cases had a malignant mass that was missed at the original screening. The readers read each mammogram both with and without CAD in separate sessions. Each reader reported localized findings and assigned a malignancy score per finding. Mean sensitivity was computed in an interval of false-positive fractions less than 10%.
Mean sensitivity was 25.1% in the sessions without CAD and 34.8% in the CAD-assisted sessions. The increase in detection performance was significant (p = 0.012). Average reading time was 84.7 +/- 61.5 s/case in the unaided sessions and was not significantly higher when interactive CAD was used (85.9 +/- 57.8 s/case).
Interactive use of CAD in mammography may be more effective than traditional CAD for improving mass detection without affecting reading time.

• 出版日期2010-10