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Proceedings Paper

Using BIRADS categories in ROC experiments
Author(s): Maria Kallergi; Marla R. Hersh; Jerry A. Thomas
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Paper Abstract

This paper investigated the use of the Breast Imaging Reporting And Data System (BIRADS) Lexicon in ROC mammography experiments. Analysis was based on data from parallel ROC experiments performed at two Institutions with different readers and databases to compare film to digitized mammography. Seven readers participated in the studies and read approximately 200 cases each in two formats: film and digital or softcopy. Reporting was done using BIRADS categories 1 through 5. Training was done with a separate set of cases and included detailed review of the relationship between BIRADS and a standard ROC discrete 5-point rating scale. The results from both sites showed equivalency between film and softcopy mammography. Decisions using the BIRADS categories showed no unsampled ROC regions and no degenerate data. Fits yielded smooth ROC curves that correlated to clinical practice. In a qualitative evaluation, all observers indicated preference in using the BIRADS classes instead of a discrete or continuous rating scheme. Familiarity with the rating process seems to relieve some of the bias associated with the interpretation of digitized mammograms from computer monitors (softcopy reading). Our results suggested that BIRADS categories can be used in comparative ROC studies because they represent a scale familiar to the reader that can be followed consistently and they provide a rating approach that accounts for both positive and negative cases to be evaluated and categorized.

Paper Details

Date Published: 12 April 2002
PDF: 8 pages
Proc. SPIE 4686, Medical Imaging 2002: Image Perception, Observer Performance, and Technology Assessment, (12 April 2002); doi: 10.1117/12.462701
Show Author Affiliations
Maria Kallergi, Univ. of South Florida and H. Lee Moffitt Cancer and Research Institute Ctr./Univ. of Sout (United States)
Marla R. Hersh, Univ. of South Florida and H. Lee Moffitt Cancer Ctr./Univ. of South Florida (United States)
Jerry A. Thomas, Uniformed Services Univ. of the Health Sciences (United States)


Published in SPIE Proceedings Vol. 4686:
Medical Imaging 2002: Image Perception, Observer Performance, and Technology Assessment
Dev Prasad Chakraborty; Elizabeth A. Krupinski, Editor(s)

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