Bazzocchi M, Mazzarella F, Del Frate C, Girometti R, Zuiani C
Institute of Radiology, University of Udine, Via Colugna 50, I-33100 Udine, Italy.
Radiol Med. 2007 Apr;112(3):329-53. doi: 10.1007/s11547-007-0145-5. Epub 2007 Apr 20.
The introduction of systems for automated reading in mammography has been proposed to improve the sensitivity [computer-aided detection (CADe) systems] and, more recently, the specificity [computer-aided diagnosis (CADi) systems] of the test. Only CADe systems have been approved by the U.S. Food and Drug Administration (FDA) and are used in current practice. These systems are still under discussion. Several studies have demonstrated that they are beneficial to inexperienced readers and that, through comparison with the computer, radiologists are led to improve their performance. However, there is still considerable variation among different studies in the level of benefit deriving from CAD. Therefore the role of these systems in clinical practice is still debated, and their real contribution to the overall management of the diagnostic process is not yet clear.
有人提议引入乳腺X线摄影自动阅读系统，以提高检测的敏感性（计算机辅助检测（CADe）系统），最近则是提高特异性（计算机辅助诊断（CADi）系统）。只有CADe系统已获得美国食品药品监督管理局（FDA）的批准，并在当前实践中使用。这些系统仍在讨论中。多项研究表明，它们对经验不足的阅片者有益，并且通过与计算机比较，放射科医生会因此提高其表现。然而，不同研究中CAD带来的获益水平仍存在相当大的差异。因此，这些系统在临床实践中的作用仍存在争议，它们对诊断过程整体管理的实际贡献尚不清楚。
