title: Is film-reading performance related to the number of films read? The Scottish experience.
abstract: OBJECTIVE
  To determine whether a drop-off in reading performance occurred with high-volume caseloads in Scotland.
  
  
  METHODS
  The reading performance figures for all eligible film readers over a 36 month period were reviewed to determine the number of films read as first and second reader, the recall rates, the cancers detected, and the cancers missed by each reader.
  
  
  RESULTS
  During the 3 year period, screen-reading volumes varied from 7009 to 53,598. There were six low-volume readers, 16 medium-volume readers, and 15 high-volume readers (>25,000 cases in the 3 year period). No statistically significant differences were found in the first read specificity or the recall rate between the three groups.
  
  
  CONCLUSIONS
  The present results do not support the suggestion that reading performance drops off with a three year case volume of greater than 25,000 reads.
authors.affiliation: North East Scotland Breast Screening Centre, Aberdeen, UK. address: k.duncan@nhs.net
authors.forename: K A
authors.initials: KA
authors.lastname: Duncan
authors.forename: N W
authors.initials: NW
authors.lastname: Scott
mesh_terms: D016477:Artifacts; D001943:Breast Neoplasms / Q000000981:diagnostic imaging*; D002983:Clinical Competence / Q000592:standards* / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D008297:Male; D015588:Observer Variation; D017410:Practice Guidelines as Topic; D011856:Radiographic Image Enhancement; D011857:Radiographic Image Interpretation, Computer-Assisted / Q000379:methods*; D011871:Radiology / Q000592:standards* / Q000706:statistics & numerical data; D015203:Reproducibility of Results; D012606:Scotland; D012680:Sensitivity and Specificity