Screening recall rates vary widely among individual
radiologists and among different radiology
practices in the United States. Do you see that
changing as DBT is more widely phased in?
I think that DBT alone may not have a broad effect on individual recall rates among different radiologists.
Recall rates are affected by many different patient and radiologist factors. We are currently doing an analysis of the factors
affecting recall rate among our radiologists at our academic
medical center. Some specific radiologist factors associated with
higher recall rates may be modifiable.
Lowering recall rates while maintaining cancer detection
rates would be a good quality improvement initiative.
Breast Cancer Screening Technology continued from p. 13
Lowering recall rates while maintaining cancer detection rates would be a good quality
DBT has been termed “a better mammogram.” What
advice would you give radiologists in staying on
top of rapidly changing technology, particularly as it
relates to communicating with referring physicians
I think radiologists in breast practice should keep abreast of
the latest DBT research coming from the U.S. and internationally. Understanding some of the advantages of DBT will allow
them to educate referring clinicians and patients about this
breast imaging advance.n
1. Giess CS, Pourjabbar S, Ip IK, Lacson R, Alper E, Khorasani R. Comparing
diagnostic performance of digital breast tomosynthesis and full-field digital
mammography in a hybrid screening environment. AJR 2017; 209:929–934
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