Sezione di Studio di Senologia, Società Italiana di Radiologia Medica, Milano, Italy.
Radiol Med. 2010 Jun;115(4):563-70. doi: 10.1007/s11547-010-0505-4. Epub 2010 Jan 15.
Computer-aided diagnosis (CAD) has been extensively reported to increase sensitivity by about 10% when added to a single reading while increasing recall rate by 12%, and its current use can be safely recommended in clinical practice. CAD has been suggested as a possible alternative to conventional double reading in screening. Uncontrolled comparison is consistent and suggests that CAD is comparable to double reading in incremental cancer detection rate (CAD +10.6%, double reading +9.1%) and possibly better in recall rate (CAD +12.5%, double reading +28.8%). However, controlled studies comparing single reading + CAD to conventional double reading are not consistent and on average suggest a lower cancer detection rate (-5.1%) and a lower recall rate (-9.8%) for CAD. Scientific evidence is not sufficient for a safe recommendation of single reading + CAD as a current alternative to conventional double reading.
计算机辅助诊断（CAD）在增加单次阅读的敏感性方面已被广泛报道，增加约 10%，同时提高召回率 12%，其目前在临床实践中的使用可被安全推荐。CAD 已被建议作为筛查中替代传统双读的一种可能方法。未经控制的比较结果一致表明，CAD 在增量癌症检出率方面与双读相当（CAD+10.6%，双读+9.1%），在召回率方面可能更好（CAD+12.5%，双读+28.8%）。然而，比较单次阅读+CAD 与传统双读的对照研究并不一致，平均而言，CAD 的癌症检出率较低（-5.1%），召回率较低（-9.8%）。科学证据尚不足以安全推荐单次阅读+CAD 作为传统双读的当前替代方法。
