计算机辅助乳腺摄影反馈程序（CAMFP）是一种用于继续医学教育的电子工具。
Computer-assisted mammography feedback program (CAMFP) an electronic tool for continuing medical education.
作者信息
Urban Nicole, Longton Gary M, Crowe Andrea D, Drucker Mariann J, Lehman Constance D, Peacock Susan, Lowe Kimberly A, Zeliadt Steve B, Gaul Marcia A
机构信息
Fred Hutchinson Cancer Research Center, 1100 Fairview Avenue N., M2-B230, Seattle, WA 98109-1024, USA.
出版信息
Acad Radiol. 2007 Sep;14(9):1036-42. doi: 10.1016/j.acra.2007.05.018.
RATIONALE AND OBJECTIVES
Our goal was to develop and evaluate software to support a computer assisted mammography feedback program (CAMFP) to be used for continuing medical education (CME).
MATERIALS AND METHODS
Thirty-five radiologists from our region signed consent to participate in an institutional review board-approved film-reading study. The radiologists primarily assessed digitized mammograms and received feedback in five film interpretation sessions. A bivariate analysis was used to evaluate the joint effects of the training on sensitivity and specificity, and the effects of image quality on reading performance were explored.
RESULTS
Interpretation was influenced by the CAMFP intervention: Sensitivity increased (Delta sensitivity = 0.086, P < .001) and specificity decreased (Delta specificity = -0.057, P = .04). Variability in interpretation among radiologists also decreased after the training sessions (P = .035).
CONCLUSION
The CAMFP intervention improved sensitivity and decreased variability among radiologist's interpretations. Although this improvement was partially offset by decreased specificity, the program is potentially useful as a component of continuing medical education of radiologists. Dissemination via the web may be possible using digital mammography.
原理与目的
我们的目标是开发并评估一款软件，以支持用于继续医学教育（CME）的计算机辅助乳腺X线摄影反馈程序（CAMFP）。
材料与方法
我们地区的35名放射科医生签署同意书，参与一项经机构审查委员会批准的读片研究。这些放射科医生主要评估数字化乳腺X线照片，并在五次读片解读环节中获得反馈。采用双变量分析来评估培训对敏感度和特异度的联合影响，并探讨图像质量对读片表现的影响。
结果
解读受到CAMFP干预的影响：敏感度增加（敏感度变化量=0.086，P<.001），特异度降低（特异度变化量=-0.057，P=.04）。培训课程后，放射科医生之间解读的变异性也降低了（P=.035）。
结论
CAMFP干预提高了敏感度，并降低了放射科医生解读之间的变异性。尽管这种改善部分被特异度降低所抵消，但该程序作为放射科医生继续医学教育的一个组成部分可能是有用的。使用数字乳腺X线摄影通过网络传播或许可行。
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