Interobserver reliability of automated breast volume scanner (ABVS) interpretation and agreement of ABVS findings with hand held breast ultrasound (HHUS), mammography and pathology results

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Interobserver reliability of automated breast volume scanner (ABVS) interpretation and agreement of ABVS findings with hand held breast ultrasound (HHUS), mammography and pathology results. / Golatta, Michael; Franz, Dorothea; Harcos, Aba; Junkermann, Hans; Rauch, Geraldine; Scharf, Alexander; Schuetz, Florian; Sohn, Christof; Heil, Joerg.

In: EUR J RADIOL, Vol. 82, No. 8, 08.2013, p. e332-6.

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@article{d724ebb5086f4715a97e45443d10a247,
title = "Interobserver reliability of automated breast volume scanner (ABVS) interpretation and agreement of ABVS findings with hand held breast ultrasound (HHUS), mammography and pathology results",
abstract = "OBJECTIVES: Handheld breast ultrasound (HHUS) lacks standardization and reproducibility. The automated breast volume scanner (ABVS) could overcome this limitation. To analyze the interobserver reliability of ABVS and the agreement with HHUS, mammography and pathology is the aim of this study.METHODS: All 42 study participants (=84 breasts) received an ABVS examination in addition to the conventional breast diagnostic work-up. 25 breasts (30%) showed at least one lesion. The scans were interpreted by six breast diagnostic specialists blinded to results of breast imaging and medical history. 32 lesions received histological work-up: 20 cancers were detected. We used kappa statistics to interpret agreement between examiners and diagnostic instruments.RESULTS: On the basis of the Breast Imaging Reporting and Data System (BI-RADS) classification of the 84 breasts an agreement (defined as ≥4 of 6 examiners) was achieved in 63 cases (75%) (mk=0.35) and even improved when dichotomizing the interpretation in benign (BI-RADS 1, 2) and suspicious (BI-RADS 4, 5) to 98% (mk=0.52). Agreement of ABVS examination to HHUS, mammography and pathology was fair to substantial depending on the specific analysis.CONCLUSIONS: The development of an ABVS seems to be a promising diagnostic method with a good interobserver reliability, as well as a comparable good test criteria as HHUS.",
keywords = "Adult, Aged, Aged, 80 and over, Algorithms, Breast Neoplasms, Female, Humans, Image Enhancement, Image Interpretation, Computer-Assisted, Imaging, Three-Dimensional, Middle Aged, Observer Variation, Pattern Recognition, Automated, Point-of-Care Systems, Reproducibility of Results, Sensitivity and Specificity, Tumor Burden, Ultrasonography, Mammary, Comparative Study, Journal Article",
author = "Michael Golatta and Dorothea Franz and Aba Harcos and Hans Junkermann and Geraldine Rauch and Alexander Scharf and Florian Schuetz and Christof Sohn and Joerg Heil",
note = "Copyright {\textcopyright} 2013 Elsevier Ireland Ltd. All rights reserved.",
year = "2013",
month = aug,
doi = "10.1016/j.ejrad.2013.03.005",
language = "English",
volume = "82",
pages = "e332--6",
journal = "EUR J RADIOL",
issn = "0720-048X",
publisher = "Elsevier",
number = "8",

}

RIS

TY - JOUR

T1 - Interobserver reliability of automated breast volume scanner (ABVS) interpretation and agreement of ABVS findings with hand held breast ultrasound (HHUS), mammography and pathology results

AU - Golatta, Michael

AU - Franz, Dorothea

AU - Harcos, Aba

AU - Junkermann, Hans

AU - Rauch, Geraldine

AU - Scharf, Alexander

AU - Schuetz, Florian

AU - Sohn, Christof

AU - Heil, Joerg

N1 - Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.

PY - 2013/8

Y1 - 2013/8

N2 - OBJECTIVES: Handheld breast ultrasound (HHUS) lacks standardization and reproducibility. The automated breast volume scanner (ABVS) could overcome this limitation. To analyze the interobserver reliability of ABVS and the agreement with HHUS, mammography and pathology is the aim of this study.METHODS: All 42 study participants (=84 breasts) received an ABVS examination in addition to the conventional breast diagnostic work-up. 25 breasts (30%) showed at least one lesion. The scans were interpreted by six breast diagnostic specialists blinded to results of breast imaging and medical history. 32 lesions received histological work-up: 20 cancers were detected. We used kappa statistics to interpret agreement between examiners and diagnostic instruments.RESULTS: On the basis of the Breast Imaging Reporting and Data System (BI-RADS) classification of the 84 breasts an agreement (defined as ≥4 of 6 examiners) was achieved in 63 cases (75%) (mk=0.35) and even improved when dichotomizing the interpretation in benign (BI-RADS 1, 2) and suspicious (BI-RADS 4, 5) to 98% (mk=0.52). Agreement of ABVS examination to HHUS, mammography and pathology was fair to substantial depending on the specific analysis.CONCLUSIONS: The development of an ABVS seems to be a promising diagnostic method with a good interobserver reliability, as well as a comparable good test criteria as HHUS.

AB - OBJECTIVES: Handheld breast ultrasound (HHUS) lacks standardization and reproducibility. The automated breast volume scanner (ABVS) could overcome this limitation. To analyze the interobserver reliability of ABVS and the agreement with HHUS, mammography and pathology is the aim of this study.METHODS: All 42 study participants (=84 breasts) received an ABVS examination in addition to the conventional breast diagnostic work-up. 25 breasts (30%) showed at least one lesion. The scans were interpreted by six breast diagnostic specialists blinded to results of breast imaging and medical history. 32 lesions received histological work-up: 20 cancers were detected. We used kappa statistics to interpret agreement between examiners and diagnostic instruments.RESULTS: On the basis of the Breast Imaging Reporting and Data System (BI-RADS) classification of the 84 breasts an agreement (defined as ≥4 of 6 examiners) was achieved in 63 cases (75%) (mk=0.35) and even improved when dichotomizing the interpretation in benign (BI-RADS 1, 2) and suspicious (BI-RADS 4, 5) to 98% (mk=0.52). Agreement of ABVS examination to HHUS, mammography and pathology was fair to substantial depending on the specific analysis.CONCLUSIONS: The development of an ABVS seems to be a promising diagnostic method with a good interobserver reliability, as well as a comparable good test criteria as HHUS.

KW - Adult

KW - Aged

KW - Aged, 80 and over

KW - Algorithms

KW - Breast Neoplasms

KW - Female

KW - Humans

KW - Image Enhancement

KW - Image Interpretation, Computer-Assisted

KW - Imaging, Three-Dimensional

KW - Middle Aged

KW - Observer Variation

KW - Pattern Recognition, Automated

KW - Point-of-Care Systems

KW - Reproducibility of Results

KW - Sensitivity and Specificity

KW - Tumor Burden

KW - Ultrasonography, Mammary

KW - Comparative Study

KW - Journal Article

U2 - 10.1016/j.ejrad.2013.03.005

DO - 10.1016/j.ejrad.2013.03.005

M3 - SCORING: Journal article

C2 - 23540947

VL - 82

SP - e332-6

JO - EUR J RADIOL

JF - EUR J RADIOL

SN - 0720-048X

IS - 8

ER -