“…The remaining study characteristics comprised of two audits 16,17 , two systematic reviews 18,19 and one observational epidemiological study. 20 There were, only five prospective studies [21][22][23][24][25] predominantly looking at the effect of arbitration or consensus, the remainder focused on the transition from screen film mammography to digital mammography 26 , comparison of current reading protocols to CAD assisted reading 27 , impact on the number of readers 28,7 and comparison of conventional Full Field Digital Mammography with tomosynthesis. [29][30][31] Two systematic reviews 18,19 were incorporated as arbitration or consensus was integrated within the reporting process although their primary remit was comparison of reading strategies i.e.…”