Can radiographers read screening mammograms?

Clin Radiol. 2003 Jan;58(1):63-7. doi: 10.1053/crad.2002.1087.

Abstract

Aim: To evaluate the ability of radiographers to read screening mammograms in the National Health Service Breast Screening Programme (NHSBSP).

Materials and methods: Two radiographers read a test set of 1000 screening mammograms previously reported by a consultant radiologist. Three radiographers then acted as a second reader for 54,000 screening mammograms, their recall results are presented. Four consultant radiologists and three film reading radiographers were timed while reading 2500 mammograms each.

Results: When reading the test mammograms the two radiographers recalled all the cancers previously detected by the radiologist at the original screen read. They also recalled 32/90 women who subsequently presented with interval cancers. As a second reader the radiographers had similar recall and cancer detection rates to the radiologists (P>0.05). Double reading detected 9% more cancers. The radiographers take the same length of time to film read as radiologists (P>0.05).

Conclusion: Radiographers are able to read screening mammograms at least as well as radiologists and do not take longer to do so.

MeSH terms

  • Breast Neoplasms / diagnostic imaging*
  • Clinical Competence / standards*
  • Decision Making
  • Female
  • Humans
  • Mammography / standards*
  • Mass Screening / standards*
  • Medical Staff, Hospital / standards*
  • Retrospective Studies
  • Sensitivity and Specificity
  • Technology, Radiologic / standards*