"CADEAT": considerations on the use of CAD (computer-aided diagnosis) in mammography.
Computer-aided diagnosis (CAD) has been extensively reported to increase sensitivity by about 10% when added to a single reading while increasing recall rate by 12%, and its current use can be safely recommended in clinical practice. CAD has been suggested as a possible alternative to conventional double reading in screening. Uncontrolled comparison is consistent and suggests that CAD is comparable to double reading in incremental cancer detection rate (CAD +10.6%, double reading +9.1%) and possibly better in recall rate (CAD +12.5%, double reading +28.8%). However, controlled studies comparing single reading + CAD to conventional double reading are not consistent and on average suggest a lower cancer detection rate (-5.1%) and a lower recall rate (-9.8%) for CAD. Scientific evidence is not sufficient for a safe recommendation of single reading + CAD as a current alternative to conventional double reading.
Sezione di Studio di Senologia, Società Italiana di Radiologia Medica, Milano, Italy.
Chersevani
R
R
Ciatto
S
S
Del Favero
C
C
Frigerio
A
A
Giordano
L
L
Giuseppetti
G
G
Naldoni
C
C
Panizza
P
P
Petrella
M
M
Saguatti
G
G
D001943:Breast Neoplasms / Q000000981:diagnostic imaging*; D003936:Diagnosis, Computer-Assisted; D005260:Female; D006801:Humans; D008327:Mammography / Q000379:methods*