Journal article
Blinded review of retrospectively visible unreported breast cancers : An eye-position analysis
Radiology, Vol.221(1), pp.122-129
2001
DOI: 10.1148/radiol.2211001507
PMID: 11568329
Abstract
PURPOSE: To determine whether unreported retrospectively identified cancers on mammograms receive prolonged visual attention and can be reliably detected in a blinded review.
MATERIALS AND METHODS: Four experienced mammographers performed a blinded review of a test set of 20 retrospective cases where the cancer was not detected until the next mammographic evaluation, 10 prospective cases where the cancer was initially detected, and 10 cancer-free cases. Two views were digitized and displayed on a workstation. The experiment consisted of an initial impression, during which eye position was monitored, and a final impression, during which viewers zoomed on regions of interest and localized suspicious lesions. Eye-position data were analyzed to determine whether retrospectively visible cancers attracted attention to the same degree as prospectively visible cancers. The initial impression used 1,000 msec as the eye-fixation dwell criterion for detecting a lesion.
RESULTS: Initially, 70% of retrospective cancers and 50% of prospective cancers did not attract prolonged visual attention. In prospective cases, detailed examination significantly improved the mean receiver operating characteristic area, from .73 to .88 (P < .01), but in retrospective cases, the mean receiver operating characteristic area barely increased, from .60 to .68, due to a high true-positive–to–false-positive ratio.
CONCLUSION: At blinded review, detection of retrospectively visible cancers was significantly inferior to that of prospective cancers. It cannot be assumed that retrospectively identified cancers are intrinsically detectable, because they do not draw prolonged visual attention during visual search for breast cancers.
Details
- Title: Subtitle
- Blinded review of retrospectively visible unreported breast cancers : An eye-position analysis
- Creators
- Calvin F NODINE - Pendengas Laboratory, University of Pennsylvania, Philadelphia, United StatesClaudia MELLO-THOMS - Pendengas Laboratory, University of Pennsylvania, Philadelphia, United StatesSusan P WEINSTEIN - Department of Breast Imaging, University of Pennsylvania, Philadelphia, United StatesHarold L KUNDEL - Pendengas Laboratory, University of Pennsylvania, Philadelphia, United StatesEmily F CONANT - Department of Breast Imaging, University of Pennsylvania, Philadelphia, United StatesRose E HELLER-SAVOY - Department of Breast Imaging, University of Pennsylvania, Philadelphia, United StatesSusan E ROWLINGS - Department of Breast Imaging, University of Pennsylvania, Philadelphia, United StatesJulia A BIRNBAUM - Department of Breast Imaging, University of Pennsylvania, Philadelphia, United States
- Resource Type
- Journal article
- Publication Details
- Radiology, Vol.221(1), pp.122-129
- Publisher
- Radiological Society of North America; Oak Brook, IL
- DOI
- 10.1148/radiol.2211001507
- PMID
- 11568329
- ISSN
- 0033-8419
- eISSN
- 1527-1315
- Language
- English
- Date published
- 2001
- Academic Unit
- Roy J. Carver Department of Biomedical Engineering; Radiology
- Record Identifier
- 9984051767002771
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