Online or Offline: Does It Matter? A Review of Existing Interpretation Approaches and Their Effect on Screening Mammography Metrics, Patient Satisfaction, and Cost

Ram, Shruthi; Campbell, T. H.; Lourenço, Ana P.

doi:10.1093/jbi/wbab086

Cited by 6 publications

(2 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…While mammographic screening finds the majority of malignancies with relatively few false-positive findings, there is still considerable room for improvement, including in the reading process. Multiple studies have shown that batch reading improves screening performance, specifically a reduction in radiologists’ false-positive rates, compared to “interrupted” reading that includes other clinical duties (Burnside et al, 2005; Cohen et al, 2021; Ram et al, 2022). This improvement is robust to changes in the technology used to acquire images (screen-film, digital, and digital breast tomosynthesis mammography systems), indicating that the source of these effects lies within the reader.…”

Section: Adaptation To Specialized Environments – the Case Of Medical...mentioning

confidence: 99%

Designing for Sensory Adaptation: What You See Depends on What You’ve Been Looking at - Recommendations, Guidelines and Standards Should Reflect This

Webster,

Parthasarathy,

Zuley

et al. 2023

Policy Insights from the Behavioral and Brain Sciences

View full text Add to dashboard Cite

Sensory systems continuously recalibrate their responses according to the current stimulus environment. As a result, perception is strongly affected by the current and recent context. These adaptative changes affect both sensitivity (e.g., habituating to noise, seeing better in the dark) and appearance (e.g., how things look, what catches attention) and adjust to many perceptual properties (e.g., from light level to the characteristics of someone's face). They therefore have a profound effect on most perceptual experiences, and on how well the senses work in different settings. Characterizing the properties of adaptation, how it manifests, and when it influences perception in modern environments can provide insights into the diversity of human experience. Adaptation could also be leveraged both to optimize perceptual abilities (e.g., in visual inspection tasks like radiology) and to mitigate unwanted consequences (e.g., exposure to potentially unhealthy stimulus environments).

show abstract

Section: Adaptation To Specialized Environments – the Case Of Medical...mentioning

confidence: 99%

Designing for Sensory Adaptation: What You See Depends on What You’ve Been Looking at - Recommendations, Guidelines and Standards Should Reflect This

Webster,

Parthasarathy,

Zuley

et al. 2023

Policy Insights from the Behavioral and Brain Sciences

View full text Add to dashboard Cite

show abstract

“…Batch reading is now common practice for evaluating breast-cancer screening images, with evidence from a variety of clinical studies suggesting that it improves screening performance [1][2][3][4] , even when implemented in an immediate-read 5,6 setting (for a review, see Ram et al 7 ). This has spurred interest in identifying the mechanisms of this improved performance, and characterizing sequential effects within a batch of cases [8][9][10] .…”

Section: Introductionmentioning

confidence: 99%

Cancer-rates in inter-exam-time defined batches of screening DBT images

Abbey,

Bandos,

Parthasarathy

et al. 2024

Medical Imaging 2024: Image Perception, Observer Performance, and Technology Assessment

View full text Add to dashboard Cite

There is currently substantial interest in understanding batch reading to improve performance in breast-cancer screening, and to identify mechanisms of performance. We evaluated batch reading of digital breast tomosynthesis (DBT) images for breast cancer screening using observational data acquired at the University of Pittsburgh Medical Center (UPMC). We studied batches of screen exams that were defined by completion-time differences between sequentially interpreted cases, in which a completion time exceeding a threshold led to defining a new batch. After exclusions the data consisted of 121,652 exams from 15 readers, with a total of 1,081 cancers.We found that the inter-exam time threshold used for batch definition introduces selection bias that had a large impact on the cancer rate in the first case of a batch. For the smallest threshold (< 1 minute), all cases are defined as the first case of a new batch, and the cancer rate was the overall cancer rate of the data, 8.9/1000. As the threshold increased to 4-5 minutes, the cancer rate of the first case in the batch increased to nearly double the overall rate, 16.0/1000. This threshold excluded many non-cancer cases, which are typically read in 2-3 minutes for DBT, while still capturing most cancer cases, which take longer to complete. At a 10-minute completion-time difference, the first-case cancer rate decreased to 12.6/1000, and stabilized. We argue that this increase in cancer rate is likely due to readers terminating batch reading upon encountering a difficult case.Our results demonstrate a clear selection bias in batches defined by inter-exam time, and suggest using cancer rate for adjustment to reduce the effect of this bias.

show abstract

Breast Cancer Screening Interpretation Model: An Opportunity for Optimization of Patient and Practice Outcomes

Elezaby¹,

Narayan

2023

Journal of the American College of Radiology

View full text Add to dashboard Cite

Online or Offline: Does It Matter? A Review of Existing Interpretation Approaches and Their Effect on Screening Mammography Metrics, Patient Satisfaction, and Cost

Cited by 6 publications

References 28 publications

Designing for Sensory Adaptation: What You See Depends on What You’ve Been Looking at - Recommendations, Guidelines and Standards Should Reflect This

Designing for Sensory Adaptation: What You See Depends on What You’ve Been Looking at - Recommendations, Guidelines and Standards Should Reflect This

Cancer-rates in inter-exam-time defined batches of screening DBT images

Breast Cancer Screening Interpretation Model: An Opportunity for Optimization of Patient and Practice Outcomes

Contact Info

Product

Resources

About