title: Use of clinical history affects accuracy of interpretive performance of screening mammography.
abstract: OBJECTIVE
  To examine how use of clinical history affects radiologist's interpretation of screening mammography.
  
  
  METHODS
  Using a self-administered survey and actual interpretive performance, we examined associations between use of clinical history and sensitivity, false-positive rate, recall rate, and positive predictive value, after adjusting for relevant covariates using conditional logistic regression.
  
  
  RESULTS
  Of the 216 radiologists surveyed (63.4%), most radiologists reported usually or always using clinical history when interpreting screening mammography. Compared with radiologists who rarely use clinical history, radiologists who usually or always use it had a higher false-positive rate with younger women (10.7 vs. 9.7), denser breast tissue (10.1 for heterogeneously dense to 10.9 for extremely dense vs. 8.9 for fatty tissue), or longer screening intervals (> prior 5 years) (12.5 vs. 10.5). Effect of current hormone therapy (HT) use on false-positive rate was weaker among radiologists who use clinical history compared with those who did not (P=0.01), resulting in fewer false-positive examinations and a nonsignificant lower sensitivity (79.2 vs. 85.2) among HT users.
  
  
  CONCLUSIONS
  Interpretive performance appears to be influenced by patient age, breast density, screening interval, and HT use. This influence does not always result in improved interpretive performance.
authors: Department of Family Medicine, Oregon Health & Science University, Portland, OR 97239-3098, USA. carneyp@ohsu.edu
authors: Patricia A
authors: PA
authors: Carney
authors: Andrea J
authors: AJ
authors: Cook
authors: Diana L
authors: DL
authors: Miglioretti
authors: Stephen A
authors: SA
authors: Feig
authors: Erin Aiello
authors: EA
authors: Bowles
authors: Berta M
authors: BM
authors: Geller
authors: Karla
authors: K
authors: Kerlikowske
authors: Mark
authors: M
authors: Kettler
authors: Tracy
authors: T
authors: Onega
authors: Joann G
authors: JG
authors: Elmore
mesh_terms: D000328:Adult; D000367:Age Factors; D000368:Aged; D001943:Breast Neoplasms / Q000000981:diagnostic imaging; D003625:Data Collection; D005189:False Positive Reactions; D005260:Female; D006801:Humans; D008297:Male; D008327:Mammography / Q000592:standards*; D008487:Medical History Taking; D008875:Middle Aged; D011237:Predictive Value of Tests; D012680:Sensitivity and Specificity