Table 1. Inter-observer variability at single reading by eight radiologists (A–H): mammography screening outcome at 2-year follow-up.
A | B | C | D | E | F | G | H | Total | |
---|---|---|---|---|---|---|---|---|---|
Total readings, no. (%) | 23 872 (11.3) | 28 244 (13.3) | 26 874 (12.7) | 26 754 (12.6) | 26 101 (12.3) | 28 317 (13.3) | 25 541 (12.0) | 26 483 (12.5) | 212 186 |
1st reading, no. (%) | 10 178 (42.6) | 11 614 (41.1) | 12 708 (47.3) | 11 403 (42.6) | 14 493 (55.5) | 16 467 (58.2) | 15 696 (61.5) | 13 534 (51.1) | 106 093 |
2nd reading, no. (%) | 13 694 (57.4) | 16 630 (58.9) | 14 166 (52.7) | 15 351 (57.4) | 11 608 (44.5) | 11 850 (41.8) | 9845 (38.5) | 12 949 (48.9) | 106 093 |
No. of referrals (%) | 96 (0.9) | 147 (1.3) | 141 (1.1) | 158 (1.4) | 224 (1.5) | 188 (1.1) | 200 (1.3) | 161 (1.2) | 1315 (1.2) |
Screen-detected cancers, no. (%) | 35 | 57 | 64 | 57 | 66 | 80 | 76 | 57 | 492 |
CDR, per 1000 women (95% CI) | 3.44 (2.30–4.58) | 4.91 (3.64–6.18) | 5.04 (3.81–6.27) | 5.00 (3.70–6.29) | 4.55 (3.46–5.65) | 4.86 (3.80–5.92) | 4.84 (3.76–5.93) | 4.21 (3.12–5.30) | 4.64 (4.23–5.05) |
Non-screen-detected cancers, no. | 33 | 32 | 36 | 19 | 29 | 41 | 41 | 47 | 278 |
Cancer prevalence, per 1000 women (95% CI) | 6.68 (6.20–7.17) | 7.66 (7.18–8.15) | 7.87 (7.40–8.34) | 6.66 (6.12–7.12) | 6.55 (6.15–6.96) | 7.35 (6.15–6.96) | 7.45 (7.04–7.87) | 7.68 (7.24–8.13) | 7.26 (7.10–7.41) |
Sensitivity, % (95% CI) | 51.5 (39.6–63.3) | 64.0 (54.1–74.0) | 64.0 (54.6–73.4) | 75.0 (65.3–84.7) | 69.5 (60.2–78.7) | 66.1 (57.7–74.5) | 65.0 (56.3–73.6) | 54.8 (45.2–64.4) | 63.9 (60.5–67.3) |
Specificity, % (95% CI) | 99.4 (99.2–99.5) | 99.2 (99.1–99.4) | 99.4 (99.3–99.5) | 99.1 (98.9–99.3) | 98.9 (98.7–99.1) | 99.3 (99.2–99.5) | 99.2 (99.1–99.3) | 99.2 (99.1–99.4) | 99.2 (99.1–99.3) |
PPV, % (95% CI) | 36.5 (26.8–46.1) | 3 8.8 (30.9–46.7) | 45.4 (37.2–53.6) | 36.1 (28.6–43.6) | 29.5 (23.5–35.4) | 42.6 (35.5–49.6) | 38.0 (31.3–44.7) | 35.4 (28.0–42.8) | 37.4 (34.8–40.0) |
CDR=cancer detection rate; CI=confidence interval; PPV=positive predictive value of referral.