Roque Antônio C, André Túlio C S S
Departamento de Física e Matemática, FFCLRP, Universidade de São Paulo, Brazil.
Ann N Y Acad Sci. 2002 Dec;980:83-94. doi: 10.1111/j.1749-6632.2002.tb04890.x.
Computer-aided diagnosis (CAD) systems in mammography have been developed and investigated for several years and recently they have left the research stage to enter the clinical stage. The purpose of this article is to review the present situation of mammography for breast cancer detection and the role played by CAD systems. Results from the recent literature show that CAD systems have the potential to improve the sensitivities of radiologists in the detection of malignant clustered microcalcifications and masses, while keeping specificities at acceptable levels. This leads to the conclusion that CAD systems can be incorporated into clinical practice as a double reading option to radiologists. However, some issues have yet to be tackled for CAD systems to gain better acceptance and more widespread use worldwide.
乳腺钼靶计算机辅助诊断（CAD）系统已开发并研究了数年，最近它们已走出研究阶段，进入临床阶段。本文旨在综述乳腺钼靶用于乳腺癌检测的现状以及CAD系统所起的作用。近期文献的结果表明，CAD系统有潜力提高放射科医生检测恶性簇状微钙化和肿块的敏感度，同时将特异度保持在可接受水平。由此得出结论，CAD系统可作为放射科医生的双重读片选项纳入临床实践。然而，CAD系统要在全球获得更好的接受度和更广泛的应用，仍有一些问题有待解决。
