Is it time to stop paying for computer-aided mammography?
Menée aux Etats-Unis à partir de l'analyse de 625 625 mammogrammes réalisés entre 2003 et 2009 sur 323 973 femmes, cette étude évalue l'intérêt d'utiliser une aide logicielle pour améliorer la précision diagnostique d'une mammographie numérique
Computer-aided detection (CAD) is a technology designed to address the problem of screening mammography’s imperfect sensitivity. Now used on over 90% of US mammograms, CAD essentially acts like an automated second reader by marking potentially suspicious spots for radiologists to review before making final recommendations. Early studies suggested that CAD could increase cancer detection rates by 20%.1 But subsequent research suggested little, if any, impact of CAD on cancer detection and raised concerns that CAD may increase recall and biopsy rates.2,3
JAMA Internal Medicine , commentaire, 2014