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2 March 2011Time of day does not affect radiologists' accuracy in breast lesion
detection
Mammographic image reporting accuracy among radiologists varies. This study examines whether radiologists' accuracy
in detecting breast lesions varies at different times throughout the day. Observers comprised of 69 experienced breast
radiologists who reviewed 50 mammograms, consisting of 4 images each, of which 15 cases were abnormal. All the
observers were grouped and assigned a specific hour, starting at 7:00am and finishing 8:00pm. They were asked to detect
the lesion if present and mark their confidence rating (1-5) in a provided booklet. Demographic details were recorded
including age, experience and average number of mammographic readings undertaken per year. Radiologists'
performance was measured and compared in terms of sensitivity, specificity and receiver operating characteristic (ROC)
scores. Kruskal-Wallis methods with Dunn's post-hoc test was performed. Mean ROC scores demonstrated no
significant differences (p≥0.46) between groups performing at different times of the day. Also, no significant differences
were noted for sensitivity (p≥0.78) or specificity (p≥0.99) when groups were compared with each other. The findings
from the study suggest that although radiologists' performance varies slightly throughout the day, the exact time of day
has no significant effect on radiologists' detection accuracy. The results found suggest further studies are required for
these to investigate this effect.
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Muhammad Al-s'adi, Mark F. McEntee, Elaine Ryan, "Time of day does not affect radiologists' accuracy in breast lesion detection," Proc. SPIE 7966, Medical Imaging 2011: Image Perception, Observer Performance, and Technology Assessment, 796608 (2 March 2011); https://doi.org/10.1117/12.877972