Abstract
Clinical performance achieved by adding interpretation of Tomosynthesis images to 2D images (hereinafter 2D+Tomo) was studied. 100 cases who gave written informed consent (ST mode: angular range ±7.5deg, 50 cases and HR mode: ±20deg, 50 cases) were obtained and 7 radiologists interpreted all images. In ST, the sensitivity is significantly increased by 15% (P<.01) and specificity is equivalent (P=.73). In HR, sensitivity of 2D+Tomo against 2D alone is significantly increased by 30% (P<.001) and specificity is significantly decreased by 5% (P<.01). ST, which has higher sensitivity and equivalent specificity, can be used for screening, and HR, which can visualize structures such as lesions in details, can be used for diagnosis. Moreover, specificity enhancement due to inhibition of false positive and sensitivity enhancement are confirmed by trial for appropriate segmentation in Japanese category classification C3. Further detailed clinical performance will be studied such as in ROC analysis with more cases.
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References
Yoshihiro, O., Keiichiro, S., Takaaki, I., Yuichi, H., Toshirou, H.: A newly developed a-Se mammography flat panel detector with high-sensitivity and low image artifact. In: Proc. of SPIE, vol. 8668, 86685V-1–86685V-9 (2013)
Rafferty, E.A., Park, J.M., Philpotts, L.E., Poplack, S.P., Sumkin, J.H., Halpern, E.F., Niklason, L.T.: Assessing Radiologist Performance Using Combined Digital Mammography and Breast Tomosynthesis Compared with Digital Mammography Alone: Results of a Multicenter, Multireader Trial. Radiology 266(1), 104–113 (2013)
Rafferty, E.A., Park, J.M., Philpotts, L.E., Poplack, S.P., Sumkin, J.H., Halpern, E.F., Niklason, L.T.: Diagnostic Accuracy and Recall Rates for Digital Mammography and Digital Mammography Combined With One-View and Two-View Tomosynthesis: Results of an Enriched Reader Study. American Journal of Roentgenology 202(2), 273–281 (2014)
Wallis, M.G., Moa, E., Zanca, F., Leifland, K., Danielsson, M.: Two-View and Single-View Tomosynthesis versus Full-Field Digital Mammography: High-Resolution X-Ray Imaging Observer Study. Radiology 262(3), 788–796 (2012)
Gennaro, G., Toledano, A., di Maggio, C., Baldan, E., Bezzon, E., La Grassa, M., Pescarini, L., Polico, I., Proietti, A., Toffoli, A., Muzzio, P.C.: Digital breast tomosynthesis versus digital mammography: A clinical performance study. European Radiology 20(7), 1545–1553 (2010)
Kopans, D.B.: Digital Breast Tomosynthesis From Concept to Clinical Care. American Journal of Roentgenology 202(2), 299–308 (2014)
Svahn, T.M., Chakraborty, D.P., Ikeda, D., Zackrisson, S., Do, Y., Mattsson, S., Andersson, I.: Breast tomosynthesis and digital mammography: A comparison of diagnostic accuracy. British Journal of Radiology 85(1019), e1074–e1082 (2012)
Hanley, J.A., McNeil, B.: The Meaning and Use of the Area under a Receiver Operating Characteristic (ROC) Cureve. Diagnostic Radiology 143(1), 29–36 (1982)
DBM MRMC 2.2 Build 3, http://metz-roc.uchicago.edu/
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Endo, T. et al. (2014). Clinical Evaluation of Dual Mode Tomosynthesis. In: Fujita, H., Hara, T., Muramatsu, C. (eds) Breast Imaging. IWDM 2014. Lecture Notes in Computer Science, vol 8539. Springer, Cham. https://doi.org/10.1007/978-3-319-07887-8_75
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DOI: https://doi.org/10.1007/978-3-319-07887-8_75
Publisher Name: Springer, Cham
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