Table 3.
Study | Study design | Population | Mammography vendor | Index test | Comparator | Reference standard |
---|---|---|---|---|---|---|
Pacilè 202030 | Enriched test set MRMC laboratory study, counterbalance design (accuracy of a read) |
240 women from 1 US centre (50.0% cancer), mean age 59 (range 37-85) | NR | 14 MQSA certified radiologists (US) with AI support (MammoScreen version 1, Therapixel, Nice, France); threshold: level of suspicion (0-100) >40 | 14 MQSA certified radiologists (US) without AI support, single reading; threshold: level of suspicion (0-100) >40 | Cancer: histopathology; non-cancer: negative biopsy or negative result at follow-up for ≥18 months |
Rodriguez-Ruiz 201932 | Enriched test set MRMC laboratory study, fully crossed (accuracy of a read) | 240 women (120 from 1 US centre and 120 from 1 German centre; 41.7% cancer), median age 62 (range 39-89) | Hologic 50% Siemens 50% |
14 MQSA certified radiologists (US) with AI support (Transpara version 1.3.0, Screenpoint Medical BV, Nijmegen, the Netherlands); threshold: BI-RADS score ≥3 | 14 MQSA certified radiologists (US) without AI support, single reading; threshold: BI-RADS score ≥3 |
Cancer: histopathology confirmed cancer; false positives: histopathologic evaluation or negative follow-up for ≥1 year; non-cancer: ≥1 year of negative follow-up |
Watanabe 201937 | Enriched test set MRMC laboratory study, first without AI support, then AI aided (accuracy of a read) | 122 women from 1 US centre (73.8% cancer, all false negative mammograms), mean age 65.4 (range 40-90) | NR | 7 MQSA certified radiologists (US) with AI support (cmAssist, CureMetrix, Inc., La Jolla, CA); no threshold | 7 MQSA certified radiologists (US) without AI support, single reading; no threshold | Cancer: biopsy proven cancer; non-cancer: BI-RADS 1 and 2 women with a 2 year follow-up of negative diagnosis |
AI=artificial intelligence; BI-RADS=Breast Imaging-Reporting and Data System; MQSA=Mammography Quality Standards Act; MRMC=multireader multicase; NR=not reported.