Abstract:
:The authors conducted a complete audit of results of 38,633 mammographic examinations performed by 12 general radiologists during a 2-year period with a computerized reporting system. During this period, 11 group members attended 17 dedicated mammography courses. Audit results were analyzed for each radiologist and the entire group. In the 2nd year, the number of breast cancers diagnosed increased 50% (from 121 to 181), with a 6.5% increase in patient volume. Sensitivity increased from 80% to 87%, and there was no change in the positive predictive value of 32%. Median tumor size and node positivity decreased. Most major variables of population and technical factors were unchanged. Diagnostic approach was altered during the 2nd year, as shown by a 50% increase in the use of spot compression, magnification views, and sonography. Analysis of each radiologist's performance before and after attending mammography courses showed similar changes. These data suggest that dedicated mammography courses can help improve radiologists' performance and alter their interpretive approach.
journal_name
Radiologyjournal_title
Radiologyauthors
Linver MN,Paster SB,Rosenberg RD,Key CR,Stidley CA,King WVdoi
10.1148/radiology.184.1.1609100subject
Has Abstractpub_date
1992-07-01 00:00:00pages
39-43issue
1eissn
0033-8419issn
1527-1315journal_volume
184pub_type
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