Mammography reading with computer-aided detection (CAD): Performance of different readers

Susan M. Astley, Stephen W. Duffy, Caroline R. M. Boggis, Mary Wilson, Nicky B. Barr, Ursula M. Beetles, Miriam A. Griffiths, Anil Jain, Jill Johnson, Rita M. Roberts, Heather Deans, Karen Duncan, Geeta Iyengar, Olorunsola Agbaje, Pamela M. Griffiths, Magnus A. McGee, Maureen Grace Charles Gillan, Fiona Jane Gilbert

Research output: Chapter in Book/Report/Conference proceedingPublished conference contribution


Computer-aided detection (CAD) systems place prompts in digital images to attract readers' attention to potential malignancies. A reader must then decide whether or not prompted regions correspond to genuine abnormalities and has the option of disregarding falsely prompted regions. In this paper we investigate different readers' performance with CAD in the context of breast screening. In a retrospective study, eight consultant radiologists each read over 1000 screening mammograms comprising normal cases, screen detected cancer cases and cases that were detected as cancers subsequently. We present their results in terms of cancer detection and recall rates, and relate this to their previous experience of film reading. Our results show that the detection of cancers did not differ significantly between readers, although more experienced film readers were less likely to recommend that normal cases should be recalled.

Original languageEnglish
Title of host publicationDigital Mammography
EditorsSusan M. Astley, Michael Brady, Chris Rose, Rever Zwiggelaar
Place of PublicationBerlin, Germany
PublisherSpringer Science+Business Media
Number of pages8
ISBN (Print)3540356258, 978-3540356257
Publication statusPublished - 2006
Event8th International Workshop on Digital Mammography - Manchester, United Kingdom
Duration: 18 Jun 200621 Jun 2006

Publication series

NameLecture Notes in Computer Science
PublisherSpringer Science+Business Media
ISSN (Print)0302-9743


Conference8th International Workshop on Digital Mammography
Country/TerritoryUnited Kingdom


  • screening mammography


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