@article{e47a269e4b124e339aebd6dbaa756d4f,
title = "Performance characteristics of digital vs film screen mammography in community practice",
abstract = "We compared the performance characteristics of 297 629 full field digital (FFDM) and 416 791 screen film mammograms (SFM). Sensitivity increased with age, decreased with breast density, and was lower for more aggressive and lobular tumors. While sensitivity did not differ significantly by modality, specificity was generally 1%-2% points higher for FFDM than for SFM across age and breast density categories. The lower recall rate for FFDM vs SFM in our study may partially explain performance differences by modality. In this large health care organization, modest gains in performance were achieved with the introduction of FFDM as a replacement for SFM.",
keywords = "breast cancer, comparative effectiveness, mammography screening, sensitivity, specificity",
author = "Firas Dabbous and Dolecek, {Therese A.} and Friedewald, {Sarah M.} and Tossas-Milligan, {Katherine Y.} and Tere Macarol and Summerfelt, {Wm Thomas} and Rauscher, {Garth H.}",
note = "Funding Information: This work was supported by grants from the Agency for Health Research and Quality (R01 HS018366-01A1) and the National Cancer Institute (P01CA154292) to the University of Illinois at Chicago. We thank the Illinois women diagnosed with breast cancer whose information was reported to the Illinois State Cancer Registry thereby making this research possible. The conclusions, opinions, and recommendations expressed are not necessarily the conclusions, opinions, or recommendations of the Illinois State Cancer Registry. Funding Information: This work was supported by grants from the Agency for Health Research and Quality (R01 HS018366-01A1) and the National Cancer Institute (P01CA154292) to the University of Illinois at Chicago. Publisher Copyright: {\textcopyright} 2017 Wiley Periodicals, Inc.",
year = "2018",
month = may,
day = "1",
doi = "10.1111/tbj.12942",
language = "English (US)",
volume = "24",
pages = "369--372",
journal = "Breast Journal",
issn = "1075-122X",
publisher = "Wiley-Blackwell",
number = "3",
}
