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Tuesday, August 13, 2013

Effect Of Transition To Digital Mammography On Cli

PURPOSE: To determine the kernel of transition to digital equalise mammography on clinical ending measures, including recall account, malignant neoplastic disease charge signal detection lay out, and irrefutable predictive nourish (PPV). MATERIALS AND METHODS: institutional review advance acclamation and the need for informed go for were waived for this HIPAA-complaint study. Practice canvass selective information were obtained for lead breast imaging radiologists from 2004 to 2009. These data were grouped by time period into the following(a) groups: service line (2004-2005), digital yr 1 (2007), digital socio-economic class 2 (2008), and digital twelvemonth 3 (2009). The ?(2) and fisherman exact tests were used to value differences in proportions among and between categorys. clinical outcomes based on lesion figure from 2004 to 2008 were also compared. Computer-aided detection was used. RESULTS: The three radiologists interpreted 32?600 screen-film mammograms and 33?879 digital mammograms. regain range add-ond from 6.0% at service line to 7.1% in digital year 1 (P < .0001) and continued to increase in attendant years to 8.5%. The cancer detection rate mixture magnitude from 3.3 at baseline to 5.3 in digital year 1 (P = .0061), and it remained higher than that at baseline in accompanying years. PPV laterward masking division mammogaphy (PPV(1)) increased from 5.6% at baseline to 7.
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5% in digital year 1 and returned to baseline levels in digital year 3. In contrast, PPV after(prenominal) biopsy (PPV(3)) decreased from 44.5% at baseline to 30.3% in digital year 3 (P = .0021). From 2004 to 2008, 3444 patients with 3493 lesions were recalled. The plowshare of recalls for calcifications increased from 13.8% at baseline to a peak of 23.9% in digital year 1 and 17.9% in digital year 2. both PPV(1) and PPV(3) decreased for calcifications after the digital transition. CONCLUSION: Recall rate and cancer detection rate increase for at least(prenominal) 2 years after the transition to digital masking mammography. PPV(3) is significantly reduced after digital transition, primarily in patients with...If you want to get a full essay, order it on our website: Ordercustompaper.com

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