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Timed efficiency of interpretation of digital and film-screen screening mammograms.

机译:数字和电影银幕乳腺X线照片解释的定时效率。

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OBJECTIVE: Our objective was to compare interpretation speeds for digital and film-screen screening mammograms to test whether other variables might affect interpretation times and thus contribute to the apparent difference in interpretation speed between digital mammograms and film-screen mammograms, and to test whether the use of digital rather than film comparison studies might result in significant time savings. MATERIALS AND METHODS: Four readers were timed in the course of actual clinical interpretation of digital mammograms and film-screen mammograms. Interpretation times were compared for subgroups of studies based on the interpretation of the study by BI-RADS code, the number of images, the presence or absence of comparison studies and the type of comparison study, and whether the radiologist personally selected and hung additional films; the same comparisons were made among individual readers. RESULTS: For all four readers, mean interpretation times were longer for digital mammograms than for film-screen mammograms, with differences ranging from 76 to 202 seconds. The difference in interpretation speed between digital and film-screen mammograms was independent of other variables. Digital mammogram interpretation times were significantly longer than film-screen mammogram interpretation times regardless of whether the digital mammograms were matched with film or digital comparison studies. CONCLUSION: In screening mammography interpretation, digital mammograms take longer to read than film-screen mammograms, independent of other variables. Exclusive use of digital comparison studies may not cause interpretation times to drop enough to approach the interpretation time required for film-screen mammograms.
机译:目的:我们的目的是比较数字和胶片屏幕乳房X线照片的解释速度,以测试其他变量是否可能影响解释时间,从而促进数字乳房X线照片与胶片屏幕X射线照片之间的明显区别,并测试使用数字而不是电影比较研究可能会节省大量时间。材料与方法:在数字化乳腺X线照片和胶片屏幕乳腺X线照片的实际临床解释过程中,安排了四名读者。根据BI-RADS代码对研究的解释,图像数量,比较研究的存在与否以及比较研究的类型以及放射科医生是否亲自选择并悬挂了其他影片,比较了研究亚组的解释时间。 ;各个读者之间进行了相同的比较。结果:对于所有四个阅读器,数字乳房X线照片的平均解释时间比胶片屏幕乳房X射线照片的平均解释时间更长,差异在76到202秒之间。数字和胶片X线摄片之间的解释速度差异与其他变量无关。不管数字化乳腺X线照片是否与胶片或数字比较研究相匹配,数字化乳腺X线照片的解释时间明显比胶片屏幕乳腺X线照片的解释时间长。结论:在乳腺X线摄影筛查解释中,数字乳腺X线照片比胶片乳腺X线照片需要更长的读取时间,而与其他变量无关。专门使用数字比较研究可能不会使解释时间下降到足以接近胶片银幕X线照片所需的解释时间。

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