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Breast Imaging- Commercial Medical Management Guideline
development of the CAD system or they include samples of women that are highly selective and usually have far more cases of cancer than would be encountered in a screening population. There is insufficient evidence to assess whether the use of CAD systems would maintain or increase the sensitivity, specificity, and recall rates of MRI of the breast. Given the inability to evaluate these intermediate outcomes, it is not possible to assess the impact of CAD on health outcomes such as treatment success among breast cancer patients or survival (TEC, 2006c)
Computer-Aided Detection for Ultrasound:
A retrospective study evaluated ultrasound images with or without the use of CAD in 101 women.
When a 2% likelihood of malignancy was used as the threshold for biopsy recommendation, the average sensitivity of radiologists increased from 96% to 98% with CAD, while the average data set decreased form 22% to 19%. The investigators concluded that use of a computer algorithm may improve accuracy in identifying malignant from benign breast masses. (Sahiner, et al., 2007) The results of several uncontrolled studies suggest that CAD systems for ultrasounds may be useful for evaluating breast masses. (Huang et al., 2005; Chang et al., 2005; Joo et al., 2004; Chen et al., 2003) However, published evidence has not yet demonstrated that CAD improves patient outcomes or reduces breast cancer mortality when added to ultrasonography.
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Breast Imaging- Commercial Medical Management Guideline
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ECRI Institute. Custom Hotline Response. Computer-aided Detection with Full-field Digital Mammography. May 2006.
ECRI Institute. Custom Hotline Response. Dedicated Breast Camera Dilon 6800 for Diagnosis and Screening. August 2005.
ECRI Institute. Custom Hotline Response. Ultrasound for Breast Cancer Screening. May 2007.
ECRI Institute. Health Technology Forecast. Breast MRI for screening. August 2007.
ECRI Institute. Health Technology Forecast. Full-field digital mammography. August 2007.
ECRI Institute. Hotline Response. Scintimammography for Diagnosis of Suspicious Breast Lesions.
Breast Imaging- Commercial Medical Management Guideline May 2007.
ECRI Institute. Hotline Response. Magnetic Resonance Imaging (MRI) for Diagnosis of Suspicious Breast Lesions. May 2007.
ECRI Institute. Hotline Response. Ultrasound for Diagnosis of Suspicious Breast Lesions. May 2007 ECRI Institute Target Database. Computer-assisted detection with magnetic resonance imaging (MRI) to detect breast cancer. October 2007..
ECRI Institute. Target Database. Full-field digital mammography for breast cancer screening. July 2007.
ECRI Institute. Target Database. Mammography computer-aided detection (CAD) systems for breast cancer screening. May 2002.
ECRI Institute. Target Database. MRI screening for breast cancer. June 2007.
ECRI Institute. Target Database. Scintimammography for diagnosis of suspicious breast lesions.
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Hayes Inc. Medical Technology Directory. Computer-Aided Detection for Screening Mammography.
Hayes Inc. Medical Technology Directory. Digital Mammography. December 2007.
Hayes Inc. Medical Technology Directory. Magnetic Resonance Imaging for Breast Cancer Screening in Women at High Risk. May 2007.
Hayes Inc. Medical Technology Directory. Magnetic Resonance Imaging for Presurgical Planning for Breast Cancer. December 15, 2005b. Last update search January 16, 2007.
Hayes Inc. Medical Technology Directory. Magnetic Resonance Imaging for Evaluation of Response Breast Imaging- Commercial Medical Management Guideline to Neoadjuvant Chemotherapy in Breast Cancer. November 7, 2005c. Last update search December 6, 2006.