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Effect of human variability on independent double reading in screening mammography.

Publication ,  Journal Article
Beam, CA; Sullivan, DC; Layde, PM
Published in: Acad Radiol
November 1996

RATIONALE AND OBJECTIVES: To demonstrate the range of gains and losses that radiologists might experience from independent double reading in screening mammography. METHODS: From a national random sample of radiologists, the authors formed 131 pairs. For each radiologist, the authors analyzed the increase relative to his or her individual true-positive rate (TPR) or false-positive rate (FPR), number of additional cancers detected, and change to negative biopsy rate that would result from independent double reading after pairing. RESULTS: The average radiologist can expect an 8%-14% gain in TPR and a 4%-10% increase in FPR with pairing. For some radiologists, double reading increased the TPR with a small concomitant increase in FPR. Other radiologists, however, realized small gains in TPR with large increases in FPR. Adding the reading from a more experienced radiologist did not necessarily improve the TPR of a radiologist with less experience. CONCLUSION: Radiologists can form complementary and noncomplementary pairs for double reading. Use of this procedure must be decided on an individual basis.

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Published In

Acad Radiol

DOI

ISSN

1076-6332

Publication Date

November 1996

Volume

3

Issue

11

Start / End Page

891 / 897

Location

United States

Related Subject Headings

  • Observer Variation
  • Nuclear Medicine & Medical Imaging
  • Mass Screening
  • Mammography
  • Humans
  • Female
  • False Positive Reactions
  • False Negative Reactions
  • Breast Neoplasms
  • 3202 Clinical sciences
 

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Beam, C. A., Sullivan, D. C., & Layde, P. M. (1996). Effect of human variability on independent double reading in screening mammography. Acad Radiol, 3(11), 891–897. https://doi.org/10.1016/s1076-6332(96)80296-0
Beam, C. A., D. C. Sullivan, and P. M. Layde. “Effect of human variability on independent double reading in screening mammography.Acad Radiol 3, no. 11 (November 1996): 891–97. https://doi.org/10.1016/s1076-6332(96)80296-0.
Beam CA, Sullivan DC, Layde PM. Effect of human variability on independent double reading in screening mammography. Acad Radiol. 1996 Nov;3(11):891–7.
Beam, C. A., et al. “Effect of human variability on independent double reading in screening mammography.Acad Radiol, vol. 3, no. 11, Nov. 1996, pp. 891–97. Pubmed, doi:10.1016/s1076-6332(96)80296-0.
Beam CA, Sullivan DC, Layde PM. Effect of human variability on independent double reading in screening mammography. Acad Radiol. 1996 Nov;3(11):891–897.
Journal cover image

Published In

Acad Radiol

DOI

ISSN

1076-6332

Publication Date

November 1996

Volume

3

Issue

11

Start / End Page

891 / 897

Location

United States

Related Subject Headings

  • Observer Variation
  • Nuclear Medicine & Medical Imaging
  • Mass Screening
  • Mammography
  • Humans
  • Female
  • False Positive Reactions
  • False Negative Reactions
  • Breast Neoplasms
  • 3202 Clinical sciences