Performance of Screening Mammography: A Report of the Alliance for Breast Cancer Screening in Korea.
10.3348/kjr.2016.17.4.489
- Author:
Eun Hye LEE
1
;
Keum Won KIM
;
Young Joong KIM
;
Dong Rock SHIN
;
Young Mi PARK
;
Hyo Soon LIM
;
Jeong Seon PARK
;
Hye Won KIM
;
You Me KIM
;
Hye Jung KIM
;
Jae Kwan JUN
Author Information
1. Department of Radiology, Bucheon Hospital, Soonchunhyang University College of Medicine, Bucheon 14584, Korea.
- Publication Type:Original Article
- Keywords:
Breast;
Breast neoplasms;
Mammography;
Mass screening
- MeSH:
Breast Neoplasms*;
Breast*;
Early Detection of Cancer;
Female;
Humans;
Korea*;
Mammography*;
Mass Screening*;
Retrospective Studies;
Sensitivity and Specificity
- From:Korean Journal of Radiology
2016;17(4):489-496
- CountryRepublic of Korea
- Language:English
-
Abstract:
OBJECTIVE: To analyze the diagnostic accuracy and trend in screening mammography in Korea. MATERIALS AND METHODS: We retrospectively linked the information from hospitals participating in the Alliance of Breast Cancer Screening in Korea (ABCS-K) and the database of the National Cancer Screening Program. We calculated performance indicators, including the recall rate, cancer detection rate (CDR), positive predictive value (PPV), sensitivity, specificity, false-positive rate (FPR), and interval cancer rate (ICR). Changes in the performance indicators were calculated as the annual percent change with 95% confidence interval (CI). RESULTS: We enrolled 128756 cases from 10 hospitals from 2005 to 2010. The recall rate was 19.1% with a downward trend over time (-12.1% per year; 95% CI, -15.9 to -8.2). The CDR was 2.69 per 1000 examinations, without a significant trend. The PPV was 1.4% with an upward trend (20.8% per year; 95% CI, 15.2 to 26.7). The sensitivity was 86.5% without a significant trend, whereas the specificity was 81.1% with an upward trend (3.3% per year; 95% CI, 2.1 to 4.5). The FPR was 18.9% with a downward trend (-12.4% per year; 95% CI, -16.2 to -8.4). The ICR was 0.5 per 1000 negative examinations without a significant trend. There were institutional variations in the diagnostic accuracy and trend except for the CDR, sensitivity, and ICR. CONCLUSION: The sensitivity and CDR of screening mammography in the ABCS-K from 2005 to 2010 were compatible with those for Western women. The recall rate, PPV and specificity, however, were suboptimal, although they showed significant improvements over this period. A further analysis is required to explain institutional variations.
