Screening and Prevention

The digital and film examinations for each woman were independently interpreted by two radiologists, one reader for each examination. Readers rated the mammograms using a seven-point malignancy scale suitable for receiver-operating-characteristic (ROC) analysis and the classification of the Breast Imaging Reporting and Data System (BIRADS) and recorded whether they recommended that additional tests be performed. A score of 1 on the seven-point malignancy scale indicates a result that is definitely not malignant, a score of 2 findings that are almost definitely not malignant, a score of 3 findings that are probably not malignant, a score of 4 findings that may be malignant, a score of 5 findings that are probably malignant, a score of 6 findings that are almost definitely malignant, and a score of 7 findings that are definitely malignant. A BIRADS score of 0 indicates incomplete data, a score of 1 negative results, a score of 2 benign findings, a score of 3 findings that are probably benign, a score of 4 the presence of a suspicious-appearing abnormality, and a score of 5 findings highly suggestive of cancer.

 

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