Analysis of Participant Factors That Affect the Diagnostic Performance of Screening Mammography: A Report of the Alliance for Breast Cancer Screening in Koreaopen access
- Authors
- Kim, Young Joong; Lee, Eun Hye; Jun, Jae Kwan; Shin, Dong-Rock; Park, Young Mi; Kim, Hye-Won; Kim, Youme; Kim, Keum Won; Lim, Hyo Soon; Park, Jeong Seon; Kim, Hye Jung; Jo, Hye-Mi
- Issue Date
- Jul-2017
- Publisher
- KOREAN RADIOLOGICAL SOC
- Keywords
- Screening mammography; Cancer detection rates; Audit; National mammography database
- Citation
- KOREAN JOURNAL OF RADIOLOGY, v.18, no.4, pp.624 - 631
- Indexed
- SCIE
SCOPUS
KCI
- Journal Title
- KOREAN JOURNAL OF RADIOLOGY
- Volume
- 18
- Number
- 4
- Start Page
- 624
- End Page
- 631
- URI
- https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/152011
- DOI
- 10.3348/kjr.2017.18.4.624
- ISSN
- 1229-6929
- Abstract
- Objective
To analyze participant factors that affect the diagnostic performance of screening mammography.
Materials and Methods
We enrolled 128756 cases from 10 hospitals between 2005 and 2010. We analyzed recall rate, cancer detection rate (CDR) per 1000 examinations, positive predictive value (PPV), sensitivity, specificity, false positive rate (FPR), and interval cancer rate (ICR) per 1000 negative examinations according to participant factors including age, breast density, and number of visit to the same institution, and adjusted for confounding variables.
Results
Increasing age improved recall rates (27.4% in 40's, 17.5% in 50's, 11.1% in 60's, and 8.6% in 70's), CDR (2.7, 3.2, 2.0, and 2.4), PPV (1.0, 1.8, 1.8, and 2.8%), sensitivity (81.3, 88.8, 90.3, and 94.7%), specificity (72.7, 82.7, 89.0, and 91.7%), and FPR (27.3, 17.3, 11.0, and 8.4%) (p < 0.05). Higher breast density impaired recall rates (4.0% in P1, 9.0% in P2, 28.9% in P3, and 27.8% in P4), PPV (3.3, 2.3, 1.2, and 1.3%), specificity (96.1, 91.2, 71.4, and 72.5%), and FPR (3.9, 8.9, 28.6, and 27.6%) (p < 0.001). It also increased CDR (1.3, 2.1, 3.3, and 3.6) and ICR (0.2, 0.3, 0.6, and 1.6) (p < 0.05). Successive visits to the same institution improved recall rates (20.9% for one visit, 10.7% for two visits, 7.7% for more than three visits), PPV (1.6, 2.8, and 2.7%), specificity (79.4, 89.6, and 92.5%), and FPR (20.6, 10.4, and 7.5%) (p < 0.001).
Conclusion
Young age and dense breasts negatively affected diagnostic performance in mammography screening, whereas successive visits to the same institution had a positive effect. Examinee education for successive visits to the same institution would improve the diagnostic performance.
- Files in This Item
-
- Appears in
Collections - 서울 의과대학 > 서울 영상의학교실 > 1. Journal Articles
![qrcode](https://api.qrserver.com/v1/create-qr-code/?size=55x55&data=https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/152011)
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.