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Reader bias in breast cancer screening related to cancer prevalence and artificial intelligence decision support-a reader study.

Al-Bazzaz H, Janicijevic M, Strand F. Reader bias in breast cancer screening related to cancer prevalence and artificial intelligence decision support—a reader study. Eur Radiol. 2024;34(8):5415-5424. doi:10.1007/s00330-023-10514-5.

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October 9, 2024
Al-Bazzaz H, Janicijevic M, Strand F. Eur Radiol. 2024;34(8):5415-5424.
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Artificial intelligence (AI) can support mammography reading in several ways, including as a second reader and via decision support. In this study, 758 mammograms were read by human radiologists with no AI support and read again 6 weeks later, this time with the AI-predicted diagnosis of positive or negative for cancer. AI support resulted in a decrease in sensitivity and increase in specificity compared to human-only reading. The prevalence of cancer in the sample was higher than in the general population (1:1 cancer to healthy ratio), which also affected the readers' accuracy.

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Al-Bazzaz H, Janicijevic M, Strand F. Reader bias in breast cancer screening related to cancer prevalence and artificial intelligence decision support—a reader study. Eur Radiol. 2024;34(8):5415-5424. doi:10.1007/s00330-023-10514-5.