Gohagan J K, Spitznagel E L, McCrate M M, Frank T B
Invest Radiol. 1984 Nov-Dec;19(6):587-92. doi: 10.1097/00004424-198411000-00022.
Receiver operating characteristic curves (ROCs) for mammography and clinical palpation individually and in combination are generated using screening data from Breast Cancer Detection Demonstration Project (BCDDP) No. 25. Detailed standard records of disease features observed on screening were kept by all examiners. And actual disease states at examination were determined for each case by pathology or follow-up. The ROCs are produced from these objective data without the usual concern for examiners' ultimate diagnostic conclusions. Comparative analysis of the ROCs illustrates the clear superiority of mammography over clinical palpation as an individual screening modality as well as the further superiority of the combined use of both modalities.
利用第25号乳腺癌检测示范项目（BCDDP）的筛查数据，分别生成了乳房X光检查和临床触诊单独及联合使用的受试者操作特征曲线（ROC）。所有检查人员都保存了筛查时观察到的疾病特征的详细标准记录。通过病理学或随访确定了每个病例检查时的实际疾病状态。这些ROC是根据这些客观数据生成的，而无需通常关注检查人员的最终诊断结论。ROC的比较分析表明，乳房X光检查作为一种单独的筛查方式明显优于临床触诊，并且两种方式联合使用具有更大的优势。
