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Surgical and Radiology Trainees’ Proficiency in Reading Mammograms: the Importance of Education for Cancer Localisation
Medical imaging with mammography plays a very important role in screening and diagnosis of breast cancer, Australia’s most common female cancer. The visualisation of cancers on mammograms often forms a diagnosis and guidance for radiologists and breast surgeons, and education platforms that provide...
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Published in: | Journal of cancer education 2024-04, Vol.39 (2), p.186-193 |
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description | Medical imaging with mammography plays a very important role in screening and diagnosis of breast cancer, Australia’s most common female cancer. The visualisation of cancers on mammograms often forms a diagnosis and guidance for radiologists and breast surgeons, and education platforms that provide real cases in a simulated testing environment have been shown to improve observer performance for radiologists. This study reports on the performance of surgical and radiology trainees in locating breast cancers. An enriched test set of 20 mammography cases (6 cancer and 14 cancer free) was created, and 18 surgical trainees and 32 radiology trainees reviewed the cases via the Breast Screen Reader Assessment Strategy (BREAST) platform and marked any lesions identifiable. Further analysis of performance with high- and low-density cases was undertaken, and standard metrics including sensitivity and specificity. Radiology trainees performed significantly better than surgical trainees in terms of specificity (0.72 vs. 0.35;
P
< 0.01). No significant differences were observed between the surgical and radiology trainees in sensitivity or lesion sensitivity. Mixed results were obtained with participants regarding breast density, with higher density cases generally having lower performance. The higher specificity of the radiology trainees compared to the surgical trainees likely represents less exposure to negative mammography cases. The use of high-fidelity simulated self-test environments like BREAST is able to benchmark, understand and build strategies for improving cancer education in a safe environment, including identifying challenging scenarios like breast density for enhanced training. |
doi_str_mv | 10.1007/s13187-023-02393-7 |
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P
< 0.01). No significant differences were observed between the surgical and radiology trainees in sensitivity or lesion sensitivity. Mixed results were obtained with participants regarding breast density, with higher density cases generally having lower performance. The higher specificity of the radiology trainees compared to the surgical trainees likely represents less exposure to negative mammography cases. The use of high-fidelity simulated self-test environments like BREAST is able to benchmark, understand and build strategies for improving cancer education in a safe environment, including identifying challenging scenarios like breast density for enhanced training.</description><identifier>ISSN: 0885-8195</identifier><identifier>EISSN: 1543-0154</identifier><identifier>DOI: 10.1007/s13187-023-02393-7</identifier><identifier>PMID: 38100062</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Benchmarking ; Biomedical and Life Sciences ; Biomedicine ; Biopsy ; Breast cancer ; Breast Neoplasms - diagnostic imaging ; Breast Neoplasms - surgery ; Breast surgery ; Cancer ; Cancer Research ; Female ; Humans ; Internship and Residency ; Localization ; Lumpectomy ; Mammography ; Mammography - methods ; Mastectomy ; Medical education ; Medical imaging ; Mortality ; Pharmacology/Toxicology ; Radiology ; Radiology - education ; Surgeons ; Trainees ; Womens health</subject><ispartof>Journal of cancer education, 2024-04, Vol.39 (2), p.186-193</ispartof><rights>Crown 2023</rights><rights>2023. Crown.</rights><rights>Crown 2023. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c370t-6e2e075e4559a1202eb2c315d73605cc844f0b2242dcfe2d0f22bd78671b96073</cites><orcidid>0000-0002-4791-9845</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38100062$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wells, J. B.</creatorcontrib><creatorcontrib>Lewis, S. J.</creatorcontrib><creatorcontrib>Barron, M.</creatorcontrib><creatorcontrib>Trieu, P. D.</creatorcontrib><title>Surgical and Radiology Trainees’ Proficiency in Reading Mammograms: the Importance of Education for Cancer Localisation</title><title>Journal of cancer education</title><addtitle>J Canc Educ</addtitle><addtitle>J Cancer Educ</addtitle><description>Medical imaging with mammography plays a very important role in screening and diagnosis of breast cancer, Australia’s most common female cancer. The visualisation of cancers on mammograms often forms a diagnosis and guidance for radiologists and breast surgeons, and education platforms that provide real cases in a simulated testing environment have been shown to improve observer performance for radiologists. This study reports on the performance of surgical and radiology trainees in locating breast cancers. An enriched test set of 20 mammography cases (6 cancer and 14 cancer free) was created, and 18 surgical trainees and 32 radiology trainees reviewed the cases via the Breast Screen Reader Assessment Strategy (BREAST) platform and marked any lesions identifiable. Further analysis of performance with high- and low-density cases was undertaken, and standard metrics including sensitivity and specificity. Radiology trainees performed significantly better than surgical trainees in terms of specificity (0.72 vs. 0.35;
P
< 0.01). No significant differences were observed between the surgical and radiology trainees in sensitivity or lesion sensitivity. Mixed results were obtained with participants regarding breast density, with higher density cases generally having lower performance. The higher specificity of the radiology trainees compared to the surgical trainees likely represents less exposure to negative mammography cases. 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B.</creatorcontrib><creatorcontrib>Lewis, S. J.</creatorcontrib><creatorcontrib>Barron, M.</creatorcontrib><creatorcontrib>Trieu, P. D.</creatorcontrib><collection>Springer Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of cancer education</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wells, J. B.</au><au>Lewis, S. J.</au><au>Barron, M.</au><au>Trieu, P. 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This study reports on the performance of surgical and radiology trainees in locating breast cancers. An enriched test set of 20 mammography cases (6 cancer and 14 cancer free) was created, and 18 surgical trainees and 32 radiology trainees reviewed the cases via the Breast Screen Reader Assessment Strategy (BREAST) platform and marked any lesions identifiable. Further analysis of performance with high- and low-density cases was undertaken, and standard metrics including sensitivity and specificity. Radiology trainees performed significantly better than surgical trainees in terms of specificity (0.72 vs. 0.35;
P
< 0.01). No significant differences were observed between the surgical and radiology trainees in sensitivity or lesion sensitivity. Mixed results were obtained with participants regarding breast density, with higher density cases generally having lower performance. The higher specificity of the radiology trainees compared to the surgical trainees likely represents less exposure to negative mammography cases. The use of high-fidelity simulated self-test environments like BREAST is able to benchmark, understand and build strategies for improving cancer education in a safe environment, including identifying challenging scenarios like breast density for enhanced training.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>38100062</pmid><doi>10.1007/s13187-023-02393-7</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-4791-9845</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Benchmarking Biomedical and Life Sciences Biomedicine Biopsy Breast cancer Breast Neoplasms - diagnostic imaging Breast Neoplasms - surgery Breast surgery Cancer Cancer Research Female Humans Internship and Residency Localization Lumpectomy Mammography Mammography - methods Mastectomy Medical education Medical imaging Mortality Pharmacology/Toxicology Radiology Radiology - education Surgeons Trainees Womens health |
title | Surgical and Radiology Trainees’ Proficiency in Reading Mammograms: the Importance of Education for Cancer Localisation |
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