{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T09:05:36Z","timestamp":1787994336787,"version":"build-2784847793"},"reference-count":28,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2016,4,6]],"date-time":"2016-04-06T00:00:00Z","timestamp":1459900800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001026","name":"National Breast Cancer Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001026","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Med Imag Rad Onc"],"published-print":{"date-parts":[[2016,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>The detection of breast cancer is somewhat limited by human factors, and thus there is a need to improve reader performance. This study assesses whether radiologists who regularly undertake the education in the form of the Breast Reader Assessment Strategy (<jats:styled-content style=\"fixed-case\">BREAST<\/jats:styled-content>) demonstrate any changes in mammography interpretation performance over time.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In 2011, 2012 and 2013, 14 radiologists independently assessed a year\u2010specific <jats:styled-content style=\"fixed-case\">BREAST<\/jats:styled-content> mammographic test\u2010set. Radiologists read a different single test\u2010set once each year, with each comprising 60 digital mammogram cases. Radiologists marked the location of suspected lesions without computer\u2010aided diagnosis (<jats:styled-content style=\"fixed-case\">CAD<\/jats:styled-content>) and assigned a confidence rating of 2 for benign and 3\u20135 for malignant lesions. The mean sensitivity, specificity, location sensitivity, <jats:styled-content style=\"fixed-case\">JAFROC FOM<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">ROC AUC<\/jats:styled-content> were calculated. A Kruskal\u2013Wallis test was used to compare the readings for the 14 radiologists across the 3 years. Wilcoxon signed rank test was used to assess comparison between pairs of years. Relationships between changes in performance and radiologist characteristics were examined using a Spearman's test.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Significant increases were noted in mean sensitivity (<jats:italic>P<\/jats:italic>\u00a0=\u00a00.01), specificity (<jats:italic>P<\/jats:italic>\u00a0=\u00a00.01), location sensitivity (<jats:italic>P<\/jats:italic>\u00a0=\u00a00.001) and <jats:styled-content style=\"fixed-case\">JAFROC FOM<\/jats:styled-content> (<jats:italic>P<\/jats:italic>\u00a0=\u00a00.001) between 2011 and 2012. Between 2012 and 2013, significant improvements were noted in mean sensitivity (<jats:italic>P<\/jats:italic>\u00a0=\u00a00.003), specificity (<jats:italic>P<\/jats:italic>\u00a0=\u00a00.002), location sensitivity (<jats:italic>P<\/jats:italic>\u00a0=\u00a00.02), <jats:styled-content style=\"fixed-case\">JAFROC FOM<\/jats:styled-content> (<jats:italic>P<\/jats:italic>\u00a0=\u00a00.005) and <jats:styled-content style=\"fixed-case\">ROC AUC<\/jats:styled-content> (<jats:italic>P<\/jats:italic>\u00a0=\u00a00.008). No statistically significant correlations were shown between the levels of improvement and radiologists' characteristics.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Radiologists' who undertake the <jats:styled-content style=\"fixed-case\">BREAST<\/jats:styled-content> programme demonstrate significant improvements in test\u2010set performance during a 3\u2010year period, highlighting the value of ongoing education through the use of test\u2010set.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1754-9485.12461","type":"journal-article","created":{"date-parts":[[2016,4,10]],"date-time":"2016-04-10T15:43:09Z","timestamp":1460302989000},"page":"352-358","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":35,"title":["Impact of Breast Reader Assessment Strategy on mammographic radiologists' test reading performance"],"prefix":"10.1111","volume":"60","author":[{"given":"Wasfi 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