Is single reading with computer-aided detection (CAD) as good as double reading in mammography screening? A systematic review.

摘要: In accordance with European guidelines, mammography screening comprises independent readings by two breast radiologists (double reading). CAD (computer-aided detection) has been suggested to complement or replace one of the readers (single reading + CAD). The aim this systematic review is address following question: Is reading mammographic x-ray images a single radiologist together at least as accurate double reading? electronic literature search included databases Pub Med, EMBASE and Cochrane Library. Two reviewers assessed abstracts full-text articles. 1049 were identified, which 996 excluded reference inclusion exclusion criteria; 53 articles for eligibility. Finally, four in qualitative analysis, GRADE synthesis. scientific evidence insufficient determine whether accuracy reading + CAD equivalent that obtained standard practice, i.e. where independently read images.