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The Added Value of Computer-Aided Diagnosis System in Differential Diagnosis of Breast Lesions by Radiologists With Different Experience

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单位: [1]Huazhong Univ Sci & Technol,Dept Med Ultrasound,Sino German Tongji Caritas Res Ctr Ultrasound Med,Tongji Med Coll,Tongji Hosp,1095 Jiefang Ave,Wuhan 430030,Hubei,Peoples R China [2]Huazhong Univ Sci & Technol, Tongji Med Coll, Dept Med Ultrasound, Hubei Canc Hosp, Wuhan, Peoples R China [3]Zhengzhou Univ, Dept Med Ultrasound, Affiliated Hosp 1, Zhengzhou, Peoples R China [4]Julei Technol, Dept Artificial Intelligence, Wuhan, Peoples R China [5]Kliniken Hirslanden Beau Site, Dept Allgemeine Innere Med DAIM, Bern, Switzerland
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关键词: breast mass computer-aided diagnosis differential diagnosis ultrasound

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Objectives To evaluate the value of computer-aided diagnosis system S-Detect (based on deep learning algorithm) in distinguishing benign and malignant breast masses and reducing unnecessary biopsy based on the experience of radiologists. Methods From February 2018 to March 2019, 266 breast masses in 192 women were included in our study. Ultrasound (US) examination, including S-Detect technique, was performed by the radiologist with about 10 years of clinical experience in breast US imaging. US images were analyzed by four other radiologists with different experience in breast imaging (radiologists 1, 2, 3, and 4 with 1, 4, 9, and 20 years, respectively) according to their clinical experience (with and without the results of S-Detect). Diagnostic capabilities and unnecessary biopsy of radiologists and radiologists combined with S-Detect were compared and analyzed. Results After referring to the results of S-Detect, the changes made by less experienced radiologists were greater than experienced radiologists (benign or malignant, 44 vs 22 vs 14 vs 2; unnecessary biopsy, 34 vs 25 vs 10 vs 5). When combined with S-Detect, less experienced radiologists showed significant improvement in accuracy, specificity, positive predictive value, negative predictive value, and area under curve (P < .05), but not for experienced radiologists (P > .05). Similarly, the unnecessary biopsy rate of less experienced radiologists decreased significantly (44.4% vs 32.7%, P = .006; 36.8% vs 28.2%, P = .033), but not for experienced radiologists (P > .05). Conclusions Less experienced radiologists rely more on S-Detect software. And S-Detect can be an effective decision-making tool for breast US, especially for less experienced radiologists.

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出版当年[2021]版:
大类 | 3 区 医学
小类 | 3 区 声学 4 区 核医学
最新[2025]版:
大类 | 3 区 医学
小类 | 3 区 声学 3 区 核医学
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出版当年[2020]版:
Q2 ACOUSTICS Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
最新[2023]版:
Q2 ACOUSTICS Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

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第一作者单位: [1]Huazhong Univ Sci & Technol,Dept Med Ultrasound,Sino German Tongji Caritas Res Ctr Ultrasound Med,Tongji Med Coll,Tongji Hosp,1095 Jiefang Ave,Wuhan 430030,Hubei,Peoples R China
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