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The roles of clinical audit and test sets in promoting the quality of breast screening: a scoping review.

Authors
  • Qenam, B A1
  • Li, T2
  • Tapia, K3
  • Brennan, P C2
  • 1 BREAST, Medical Imaging Science, Faculty of Health Sciences, The University of Sydney, Cumberland Campus, 75 East St, Lidcombe, NSW, 2141, Australia; Department of Radiological Sciences, College of Applied Medical Sciences, King Saud University, P.O. Box 10219, Riyadh, 11432, Saudi Arabia. Electronic address: [email protected] , (Australia)
  • 2 BREAST, Medical Imaging Science, Faculty of Health Sciences, The University of Sydney, Cumberland Campus, 75 East St, Lidcombe, NSW, 2141, Australia; Medical Image Optimisation and Perception Research Group (MIOPeG), Medical Imaging Science, Faculty of Health Sciences, The University of Sydney, Cumberland Campus, 75 East St, Lidcombe, NSW 2141, Australia. , (Australia)
  • 3 BREAST, Medical Imaging Science, Faculty of Health Sciences, The University of Sydney, Cumberland Campus, 75 East St, Lidcombe, NSW, 2141, Australia. , (Australia)
Type
Published Article
Journal
Clinical radiology
Publication Date
Oct 01, 2020
Volume
75
Issue
10
Identifiers
DOI: 10.1016/j.crad.2020.01.015
PMID: 32139003
Source
Medline
Language
English
License
Unknown

Abstract

Breast screening programmes enhance the probability of early breast cancer detection in many countries worldwide; however, the success of these efforts is highly dependent on the ability of breast screen readers to detect abnormalities in the screened population, which has low prevalence. Therefore, this task can be challenging. Clinical audit is a key quality assurance measure that aims to keep the screen reading performance within acceptable standards. Auditing, nonetheless, is a lengthy process, and its accuracy is dependent on available clinical data, which often can be limited. Mammographic standardised test sets are a different screen reading evaluation approach that provides participants with instant feedback based on a simulated environment. Although a test set provides unique evaluative qualities, its ability to represent clinical performance is debated. This article describes the distinctive roles of clinical audit and test sets in measuring and improving the quality of breast screening and highlights the relationship between test sets and clinical performance. Copyright © 2020 The Royal College of Radiologists. Published by Elsevier Ltd. All rights reserved.

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