Radiologists' interpretive skills in screening vs. diagnostic mammography: are they related?

Joann G. Elmore; Andrea J. Cook; Andy Bogart; Patricia A. Carney; Berta M. Geller; Stephen H. Taplin; Diana S.M. Buist; Tracy Onega; Christoph I. Lee; Diana L. Miglioretti

doi:10.1016/j.clinimag.2016.06.014

Radiologists' interpretive skills in screening vs. diagnostic mammography: are they related?

Joann G. Elmore, Andrea J. Cook, Andy Bogart, Patricia A. Carney, Berta M. Geller, Stephen H. Taplin, Diana S.M. Buist, Tracy Onega, Christoph I. Lee, Diana L. Miglioretti

Family Medicine

Research output: Contribution to journal › Article › peer-review

5 Scopus citations

Abstract

Purpose This study aims to determine whether radiologists who perform well in screening also perform well in interpreting diagnostic mammography. Materials and methods We evaluated the accuracy of 468 radiologists interpreting 2,234,947 screening and 196,164 diagnostic mammograms. Adjusting for site, radiologist, and patient characteristics, we identified radiologists with performance in the highest tertile and compared to those with lower performance. Results A moderate correlation was noted for radiologists' accuracy when interpreting screening versus their accuracy on diagnostic examinations: sensitivity (r_spearman=0.51, 95% CI: 0.22, 0.80; P=.0006) and specificity (r_spearman=0.40, 95% CI: 0.30, 0.49; P<.0001). Conclusion Different educational approaches to screening and diagnostic imaging should be considered.

Original language	English (US)
Pages (from-to)	1096-1103
Number of pages	8
Journal	Clinical Imaging
Volume	40
Issue number	6
DOIs	https://doi.org/10.1016/j.clinimag.2016.06.014
State	Published - Nov 1 2016

Keywords

Diagnostic mammography
Interpretive performance
Screening mammography
Sensitivity
Specificity

ASJC Scopus subject areas

Radiology Nuclear Medicine and imaging

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10.1016/j.clinimag.2016.06.014

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@article{3931daef13f746a5949dede600ef3c82,

title = "Radiologists' interpretive skills in screening vs. diagnostic mammography: are they related?",

abstract = "Purpose This study aims to determine whether radiologists who perform well in screening also perform well in interpreting diagnostic mammography. Materials and methods We evaluated the accuracy of 468 radiologists interpreting 2,234,947 screening and 196,164 diagnostic mammograms. Adjusting for site, radiologist, and patient characteristics, we identified radiologists with performance in the highest tertile and compared to those with lower performance. Results A moderate correlation was noted for radiologists' accuracy when interpreting screening versus their accuracy on diagnostic examinations: sensitivity (rspearman=0.51, 95% CI: 0.22, 0.80; P=.0006) and specificity (rspearman=0.40, 95% CI: 0.30, 0.49; P<.0001). Conclusion Different educational approaches to screening and diagnostic imaging should be considered.",

keywords = "Diagnostic mammography, Interpretive performance, Screening mammography, Sensitivity, Specificity",

author = "Elmore, {Joann G.} and Cook, {Andrea J.} and Andy Bogart and Carney, {Patricia A.} and Geller, {Berta M.} and Taplin, {Stephen H.} and Buist, {Diana S.M.} and Tracy Onega and Lee, {Christoph I.} and Miglioretti, {Diana L.}",

note = "Publisher Copyright: {\textcopyright} 2016 Elsevier Inc.",

year = "2016",

month = nov,

day = "1",

doi = "10.1016/j.clinimag.2016.06.014",

language = "English (US)",

volume = "40",

pages = "1096--1103",

journal = "Clinical Imaging",

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TY - JOUR

T1 - Radiologists' interpretive skills in screening vs. diagnostic mammography

T2 - are they related?

AU - Elmore, Joann G.

AU - Cook, Andrea J.

AU - Bogart, Andy

AU - Carney, Patricia A.

AU - Geller, Berta M.

AU - Taplin, Stephen H.

AU - Buist, Diana S.M.

AU - Onega, Tracy

AU - Lee, Christoph I.

AU - Miglioretti, Diana L.

PY - 2016/11/1

Y1 - 2016/11/1

N2 - Purpose This study aims to determine whether radiologists who perform well in screening also perform well in interpreting diagnostic mammography. Materials and methods We evaluated the accuracy of 468 radiologists interpreting 2,234,947 screening and 196,164 diagnostic mammograms. Adjusting for site, radiologist, and patient characteristics, we identified radiologists with performance in the highest tertile and compared to those with lower performance. Results A moderate correlation was noted for radiologists' accuracy when interpreting screening versus their accuracy on diagnostic examinations: sensitivity (rspearman=0.51, 95% CI: 0.22, 0.80; P=.0006) and specificity (rspearman=0.40, 95% CI: 0.30, 0.49; P<.0001). Conclusion Different educational approaches to screening and diagnostic imaging should be considered.

AB - Purpose This study aims to determine whether radiologists who perform well in screening also perform well in interpreting diagnostic mammography. Materials and methods We evaluated the accuracy of 468 radiologists interpreting 2,234,947 screening and 196,164 diagnostic mammograms. Adjusting for site, radiologist, and patient characteristics, we identified radiologists with performance in the highest tertile and compared to those with lower performance. Results A moderate correlation was noted for radiologists' accuracy when interpreting screening versus their accuracy on diagnostic examinations: sensitivity (rspearman=0.51, 95% CI: 0.22, 0.80; P=.0006) and specificity (rspearman=0.40, 95% CI: 0.30, 0.49; P<.0001). Conclusion Different educational approaches to screening and diagnostic imaging should be considered.

KW - Diagnostic mammography

KW - Interpretive performance

KW - Screening mammography

KW - Sensitivity

KW - Specificity

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JO - Clinical Imaging

JF - Clinical Imaging

IS - 6

ER -

Radiologists' interpretive skills in screening vs. diagnostic mammography: are they related?

Abstract

Keywords

ASJC Scopus subject areas

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