Table 1.
Screen-film mammography | Digital mammography | p valuea | |||
---|---|---|---|---|---|
n | % | n | % | ||
Screened womenb | 39,182 | 43,406 | |||
Screening mammograms | 82,961 | 79,031 | |||
Initial screening | 21,187 | 14,532 | |||
Successive screening | 61,774 | 64,499 | |||
Cancer detection rate | 345 | 0.42 | 339 | 0.43 | 0.685 |
Initial screening | 82 | 0.39 | 80 | 0.55 | 0.024 |
Successive screening | 263 | 0.43 | 259 | 0.40 | 0.503 |
Invasive carcinomas detection rate | 295 | 0.36 | 264 | 0.33 | 0.462 |
Initial screening | 66 | 0.31 | 61 | 0.42 | 0.091 |
Successive screening | 229 | 0.37 | 203 | 0.31 | 0.089 |
In situ carcinoma detection rate | 45 | 0.05 | 70 | 0.09 | 0.010 |
Initial screening | 12 | 0.06 | 18 | 0.12 | 0.031 |
Successive screening | 33 | 0.05 | 52 | 0.08 | 0.063 |
Interval cancer ratec | 114 | 0.14 | 112 | 0.14 | 0.816 |
Initial screening | 39 | 0.18 | 32 | 0.22 | 0.447 |
Successive screening | 75 | 0.12 | 80 | 0.12 | 0.895 |
Recall rate | 4,628 | 5.57 | 3,316 | 4.20 | <0.001 |
Initial screening | 2,331 | 11.00 | 1,705 | 11.73 | 0.032 |
Successive screening | 2,297 | 3.72 | 1,611 | 2.50 | <0.001 |
False-positive for any proceduresd | 3,970 | 4.79 | 2,675 | 3.38 | <0.001 |
Initial screening | 1,872 | 8.84 | 1,165 | 8.02 | 0.006 |
Successive screening | 2,098 | 3.40 | 1,510 | 2.34 | <0.001 |
Sensitivity | 75.16 | 75.17 | 0.960 | ||
Initial screening | 67.77 | 71.43 | 0.877 | ||
Successive screening | 77.81 | 76.40 | 0.921 | ||
Specificity | 95.19 | 96.60 | 0.040 | ||
Initial screening | 91.11 | 91.92 | 0.578 | ||
Successive screening | 96.59 | 97.65 | 0.175 | ||
Positive predictive value | 8.00 | 11.25 | <0.001 | ||
Initial screening | 4.20 | 6.43 | 0.010 | ||
Successive screening | 11.14 | 14.64 | 0.004 |
aChi-square test
bThe total number of screened women is not the sum of women screened with screen-film and full-field digital mammography, because some women were screened during both periods (n = 23,126)
cThe interval cancer rate was calculated as the number of interval cancers over the number of screened women minus women with screen-detected cancer in the same period
dNoninvasive and invasive procedures