title: CAD-aided mammogram training.
abstract: OBJECTIVE
  Although computer-aided detection (CAD) improves the diagnosis rate of early breast cancer, it has not been well integrated into radiology residency and technician training program. Moreover, CAD performance studies ignore the reader's training and experience with CAD. The purpose of this study was to investigate whether CAD training via a cognitive-perceptual based hypermedia program has effects on the performance studies of mammogram reading.
  
  
  METHODS
  Three observers read a pretest set of 80 breast cancer cases (43 negative, 23 benign, and 14 malignant cancer cases). During 4 weeks' training, the observers used a hypermedia instructional program in CAD-aided mammography interpretation. The program includes modules of CAD attention-focusing schemes, CAD procedural knowledge, and case-based simulations in mammography interpretation in consensus with CAD. By the end of the fourth week of the training, they reviewed a posttest set of cases. Data were analyzed with multireader, multicase receiver operating characteristic methods.
  
  
  RESULTS
  Three readers performed better in mammogram reading after training in CAD knowledge than they did before CAD training. CAD training and experience improved the performance of CAD-aided mammography interpretation.
  
  
  CONCLUSIONS
  A statistically significant difference was found in each observer's performance in CAD-aided mammogram reading before and after the training. CAD training will influence the perception, recognition, and interpretation of early breast cancer and CAD performance studies. Furthermore, the young generation of radiologic professionals can have more training in various attention-focusing features, declarative knowledge, procedural knowledge, and conditional knowledge of CAD and incorporate them into their knowledge base and strategic processing for the purpose of improving the accuracy of mammography interpretation performance.
authors.affiliation: University of South Florida, Tampa, 33612-9497, USA.
authors.forename: Ping
authors.initials: P
authors.lastname: Luo
authors.forename: Wei
authors.initials: W
authors.lastname: Qian
authors.forename: Pat
authors.initials: P
authors.lastname: Romilly
mesh_terms: D001943:Breast Neoplasms / Q000175:diagnosis; D002983:Clinical Competence; D003071:Cognition; D003936:Diagnosis, Computer-Assisted; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007396:Internship and Residency; D008327:Mammography; D010465:Perception; D012372:ROC Curve; D011871:Radiology / Q000193:education; D012680:Sensitivity and Specificity; D013647:Task Performance and Analysis