An Evaluation of Stereoscopic Digital Mammography for Earlier Detection of Breast Cancer and Reduced Rate of Recall

Abstract

The goal of this project is to evaluate, in a screening context, stereoscopic digital mammography versus standard (non-stereo) digital mammography for earlier detection of breast lesions during screening and for reduction in the rate of patient recall for further work-up. As of July 2007, 1093 patients at elevated risk for the development of breast cancer have been enrolled. Each patient receives both a standard screening examination and a stereoscopic screening examination which are read independently by different radiologists. If a suspicious finding is reported from either reading, the patient is recalled for standard clinical workup examinations, which form the basis for lesion truth. Compared to standard digital mammography, stereo mammography is significantly reducing false positive lesion detections by 48% (p< 0.0001), and significantly reducing false negative reports by 40% (p< 0.06). ROC analysis of the readers' judgments of the likelihood that a finding is real show significantly greater accuracy for stereo, Az = 0.78, than for standard, Az = 0.55 (p=0.0001).

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Document Details

Document Type
Technical Report
Publication Date
Aug 01, 2007
Accession Number
ADA474572

Entities

People

  • David J. Getty

Organizations

  • BBN Technologies

Tags

Communities of Interest

  • Biomedical

DTIC Thesaurus Topics

  • Accuracy
  • Breast Cancer
  • Computer Graphics
  • Detection
  • Detectors
  • Diagnostic Imaging
  • Human-Machine Interaction
  • Imaging Techniques
  • Medical Personnel
  • Mental Processes
  • Physicians
  • Radiography
  • Standards
  • Three Dimensional
  • Tomography
  • Two Dimensional
  • X-Ray Computed Tomography

Fields of Study

  • Medicine

Readers

  • Computer Vision.
  • Oncology and Biomarker-Based Cancer Detection.