Đọc đơn với sự hỗ trợ của máy tính (CAD) có tốt như đọc đôi trong sàng lọc mammography không? Một tổng quan hệ thống
Tóm tắt
Theo hướng dẫn của châu Âu, sàng lọc mammography bao gồm việc đọc độc lập bởi hai bác sĩ chuyên khoa vú (đọc đôi). CAD (phát hiện hỗ trợ bằng máy tính) đã được đề xuất để bổ sung hoặc thay thế một trong hai người đọc (đọc đơn + CAD).
Mục tiêu của tổng quan hệ thống này là giải quyết câu hỏi sau: Việc đọc hình ảnh x-quang mammography bởi một bác sĩ chuyên khoa vú cùng với CAD có ít nhất độ chính xác bằng với đọc đôi không?
Tìm kiếm tài liệu điện tử bao gồm các cơ sở dữ liệu Pub Med, EMBASE và Thư viện Cochrane. Hai người đánh giá độc lập đã đánh giá các tóm tắt và bài báo toàn văn.
Đã xác định được 1049 tóm tắt, trong đó 996 tóm tắt bị loại bỏ theo tiêu chí bao gồm và loại trừ; 53 bài báo toàn văn đã được đánh giá tính đủ điều kiện. Cuối cùng, bốn bài báo được đưa vào phân tích định tính, và một bài vào tổng hợp GRADE.
Chứng cứ khoa học hiện tại chưa đủ để xác định liệu độ chính xác của đọc đơn + CAD có ít nhất tương đương với độ chính xác trong thực hành tiêu chuẩn, tức là đọc đôi, khi hai bác sĩ chuyên khoa vú đọc độc lập các hình ảnh mammography.
Từ khóa
Tài liệu tham khảo
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