Breast Cancer Diagnostic Efficacy in a Developing South-East Asian Country

Autor:	Jackson RL; St Matthews Catholic School, Mudgee, New South Wales, Australia. Email: l.puslednik@bth.catholic.edu.au, Double CR; St Matthews Catholic School, Mudgee, New South Wales, Australia. Email: l.puslednik@bth.catholic.edu.au, Munro HJ; St Matthews Catholic School, Mudgee, New South Wales, Australia. Email: l.puslednik@bth.catholic.edu.au, Lynch J; St Matthews Catholic School, Mudgee, New South Wales, Australia. Email: l.puslednik@bth.catholic.edu.au, Tapia KA; Faculty of Health Sciences, The University of Sydney, Australia., Trieu PD; Faculty of Health Sciences, The University of Sydney, Australia.; Department of Medical Imaging, Ho Chi Minh City University of Medicine and Pharmacy, Vietnam., Alakhras M; Faculty of Health Sciences, The University of Sydney, Australia., Ganesan A; Faculty of Health Sciences, The University of Sydney, Australia., Do TD; Department of Diagnostic Imaging, Vietnam National Cancer Hospital, Vietnam., Soh BP; Singapore Eye Research Institute, Singapore., Brennan PC; Faculty of Health Sciences, The University of Sydney, Australia., Puslednik P; St Matthews Catholic School, Mudgee, New South Wales, Australia. Email: l.puslednik@bth.catholic.edu.au; Faculty of Health Sciences, The University of Sydney, Australia.
Jazyk:	angličtina
Zdroj:	Asian Pacific journal of cancer prevention : APJCP [Asian Pac J Cancer Prev] 2019 Mar 26; Vol. 20 (3), pp. 727-731. Date of Electronic Publication: 2019 Mar 26.
DOI:	10.31557/APJCP.2019.20.3.727
Abstrakt:	Background: Breast cancer, is increasing in prevalence amongst South East (SE) Asian women, highlighting the need for high quality, early diagnoses. This study investigated radiologists’ detection efficacy in a developing (DC) and developed (DDC) SE Asian country, as compared to Australian radiologists. Methods: Using a test-set of 60 mammographic cases, 20 containing cancer, JAFROC figures of merit (FOM) and ROC area under the curves (AUC) were calculated as well as location sensitivity, sensitivity and specificity. The test set was examined by 35, 15, and 53 radiologists from DC, a DDC and Australia, respectively. Results: DC radiologists, compared to both groups of counterparts, demonstrated significantly lower JAFROC FOM, ROC AUC and specificity scores. DC radiologists had a significantly lower location sensitivity than Australian radiologists. DC radiologists also demonstrated significantly lower values for age, hours of reading per week, and years of mammography experience when compared with other radiologists. Conclusion: Significant differences in breast cancer detection parameters can be attributed to the experience of DC radiologists. The development of inexpensive, innovative, interactive training programs are discussed. This nonuniform level of breast cancer detection between countries must be addressed to achieve the World Health Organisation goal of health equity. (Creative Commons Attribution License)
Databáze:	MEDLINE
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