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BMC Medical Imaging
Published in: BMC Medical Imaging 1/2012

Open Access 01-12-2012 | Research article

Is single reading with computer-aided detection (CAD) as good as double reading in mammography screening? A systematic review

Authors: Edward Azavedo, Sophia Zackrisson, Ingegerd Mejàre, Marianne Heibert Arnlind

Published in: BMC Medical Imaging | Issue 1/2012

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Abstract

Background

In accordance with European guidelines, mammography screening comprises independent readings by two breast radiologists (double reading). CAD (computer-aided detection) has been suggested to complement or replace one of the two readers (single reading + CAD).
The aim of this systematic review is to address the following question: Is the reading of mammographic x-ray images by a single breast radiologist together with CAD at least as accurate as double reading?

Methods

The electronic literature search included the databases Pub Med, EMBASE and The Cochrane Library. Two independent reviewers assessed abstracts and full-text articles.

Results

1049 abstracts were identified, of which 996 were excluded with reference to inclusion and exclusion criteria; 53 full-text articles were assessed for eligibility. Finally, four articles were included in the qualitative analysis, and one in a GRADE synthesis.

Conclusions

The scientific evidence is insufficient to determine whether the accuracy of single reading + CAD is at least equivalent to that obtained in standard practice, i.e. double reading where two breast radiologists independently read the mammographic images.
Appendix
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Metadata
Title
Is single reading with computer-aided detection (CAD) as good as double reading in mammography screening? A systematic review
Authors
Edward Azavedo
Sophia Zackrisson
Ingegerd Mejàre
Marianne Heibert Arnlind
Publication date
01-12-2012
Publisher
BioMed Central
Published in
BMC Medical Imaging / Issue 1/2012
Electronic ISSN: 1471-2342
DOI
https://doi.org/10.1186/1471-2342-12-22

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