Swart E, Robra B P, Dierks M L, Reinerth H, Frischbier H J, Bahnsen J, Schreer I, Hoeffken W
Abteilung Epidemiologie und Sozialmedizin, Medizinische Hochschule Hannover.
Rofo. 1993 Aug;159(2):187-93. doi: 10.1055/s-2008-1032745.
As part of the German mammographic study, the participating doctors were given test films of 30 histologically confirmed cases. Regarding the indications for biopsy there was good sensitivity (the median amongst 25 doctors was 0.87). Specificity (median 0.86) could be improved. Comparison of individual results with the majority showed considerable variability within the group of doctors performing mammography. ROC analysis indicated that there was considerable observer variability which was independent from the specialty or praxis characteristics of the participants. The inclusion of mammography in an early diagnostic programme requires continuing education of the participants in this technique. This should be supported by further methods of quality assurance.
作为德国乳房X光造影研究的一部分，参与研究的医生获得了30例组织学确诊病例的测试胶片。关于活检指征，敏感性良好（25名医生的中位数为0.87）。特异性（中位数为0.86）有待提高。将个体结果与多数结果进行比较显示，在进行乳房X光造影的医生群体中存在相当大的变异性。ROC分析表明，存在相当大的观察者变异性，且这种变异性与参与者的专业或实践特点无关。将乳房X光造影纳入早期诊断项目需要对参与这项技术的人员进行持续教育。这应该得到进一步质量保证方法的支持。
