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ARTICLE |

Radiology FREE

Ronald G. Evens, MD
JAMA. 1995;273(21):1720-1721. doi:10.1001/jama.1995.03520450090047
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Mammography continues to be an important and controversial topic in diagnostic imaging. Last year's Contempo issue reported on the debate on whether women younger than 50 years should undergo screening—a debate that continues in 1995. A recent report1 finds that radiologists' interpretation of mammograms can differ, sometimes substantially. That radiologists' opinions differ and interpretive skills vary is not unexpected, but when this is reported about a procedure that is recommended for screening of all women older than 50 years and younger women who are at risk, it becomes newsworthy and of interest to the public, as well as the profession. On a positive note, this same report focuses attention on the need to improve the professional aspect of mammography screening, certainly at least as important as improving the technical performance of the procedure that has received the most attention during the past few years. It is an important challenge

REFERENCES

Elmore JG, Wells CK, Lee CH, Howard DH, Feinstein AR.  Variability in radiologist's interpretation of mammograms. N Engl J Med . 1994;;331:1493-1499.
Kopans DB.  The accuracy of mammographic interpretation. N Engl J Med . 1994;; 331:1521-1522.
Thurfjell EL, Lernevall KA, Taube AAS, et al.  Benefit of independent double reading in a population based mammography screening program. Radiology . 1994;; 191:241-244.
Lindfors KK, Rosenquist CJ.  Needle core biopsy guided with mammography: a study of cost-effectiveness. Radiology . 1994;;190:217-222.
Marin LM, Veith FJ, Panetta TF, et al.  Transluminally placed endovascular stented graft repair for arterial trauma. J Vase Surg . 1994;;20:466-473.
Dake MD, Miller DC, Semba CP, et al.  Transluminal placement of endovascular stent-grafts for the treatment of descending thoracic aortic aneurysms. N Engl J Med . 1994;;331:1729-1734.
Brink JA, Heiken JP, Semenkovich J, et al.  Abnormalities of the diaphragm and adjacent structure: finding's on multiplanar spiral CT scans. AJR Am J Roentgenol . 1994;;163:307-310.
Zeman RK, Davros WJ, Berman P, et al.  Three dimension models of the abdominal vascular base on helical CT: usefulness in patients with pancreatic neoplasm. AJR Am J Roentgenol . 1994;;162:1425-1429.
Frank MS, Jost RG, Molina PL, et al.  High resolution computer display of portable, digital, and chest radiographs of adults: suitability for interpretation. AJR Am J Roentgenol . 1993;;160:473-477.
Wu Y, Doik K, Metz CE, et al.  Simulation studies of data classification by artificial neural networks: potential applications in medical imaging and decision making. J Digit Imaging . 1993;;6:117-125.
Reinus WR, Wilson AJ, Kalman B, Kuasny S.  Diagnosis of focal bone lesions using neural networks. Invest Radiol . 1994;;2:606-611.
Cradduck TD.  The wide world of Internet. J Nucl Med . 1994;;35:30N-34N.
Forman HP, Heiken JP, Brink JA, et al.  CT screening for co-morbid disease in patients with prostatic carcinoma: is it cost-effective? AJR Am J Roentgenol . 1994;; 162:1125-1128.
Schwartz LB, Panageas E, Lange R, et al.  Female pelvis: impact of MR imaging on treatment decisions and net-cost analysis. Radiology . 1994;;192:55-60.

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Elmore JG, Wells CK, Lee CH, Howard DH, Feinstein AR.  Variability in radiologist's interpretation of mammograms. N Engl J Med . 1994;;331:1493-1499.
Kopans DB.  The accuracy of mammographic interpretation. N Engl J Med . 1994;; 331:1521-1522.
Thurfjell EL, Lernevall KA, Taube AAS, et al.  Benefit of independent double reading in a population based mammography screening program. Radiology . 1994;; 191:241-244.
Lindfors KK, Rosenquist CJ.  Needle core biopsy guided with mammography: a study of cost-effectiveness. Radiology . 1994;;190:217-222.
Marin LM, Veith FJ, Panetta TF, et al.  Transluminally placed endovascular stented graft repair for arterial trauma. J Vase Surg . 1994;;20:466-473.
Dake MD, Miller DC, Semba CP, et al.  Transluminal placement of endovascular stent-grafts for the treatment of descending thoracic aortic aneurysms. N Engl J Med . 1994;;331:1729-1734.
Brink JA, Heiken JP, Semenkovich J, et al.  Abnormalities of the diaphragm and adjacent structure: finding's on multiplanar spiral CT scans. AJR Am J Roentgenol . 1994;;163:307-310.
Zeman RK, Davros WJ, Berman P, et al.  Three dimension models of the abdominal vascular base on helical CT: usefulness in patients with pancreatic neoplasm. AJR Am J Roentgenol . 1994;;162:1425-1429.
Frank MS, Jost RG, Molina PL, et al.  High resolution computer display of portable, digital, and chest radiographs of adults: suitability for interpretation. AJR Am J Roentgenol . 1993;;160:473-477.
Wu Y, Doik K, Metz CE, et al.  Simulation studies of data classification by artificial neural networks: potential applications in medical imaging and decision making. J Digit Imaging . 1993;;6:117-125.
Reinus WR, Wilson AJ, Kalman B, Kuasny S.  Diagnosis of focal bone lesions using neural networks. Invest Radiol . 1994;;2:606-611.
Cradduck TD.  The wide world of Internet. J Nucl Med . 1994;;35:30N-34N.
Forman HP, Heiken JP, Brink JA, et al.  CT screening for co-morbid disease in patients with prostatic carcinoma: is it cost-effective? AJR Am J Roentgenol . 1994;; 162:1125-1128.
Schwartz LB, Panageas E, Lange R, et al.  Female pelvis: impact of MR imaging on treatment decisions and net-cost analysis. Radiology . 1994;;192:55-60.
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