دورية أكاديمية
Comparison of Mammography AI Algorithms with a Clinical Risk Model for 5-year Breast Cancer Risk Prediction: An Observational Study.
العنوان: | Comparison of Mammography AI Algorithms with a Clinical Risk Model for 5-year Breast Cancer Risk Prediction: An Observational Study. |
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المؤلفون: | Arasu VA; From the Division of Research, Kaiser Permanente Northern California, 2000 Broadway, Oakland, CA 94612 (V.A.A., L.A.H., N.S.A., L.H.K., V.X.L., C.M.L., C.L.); Department of Radiology, Kaiser Permanente Northern California, Vallejo Medical Center, Vallejo, Calif (V.A.A.); Kaiser Permanente Washington Health Research Institute, Seattle, Wash (D.S.M.B.); Department of Radiology, Southern California Permanente Medical Group, Orange County, Irvine, Calif (J.B.C.); Department of Surgery (L.J.E.), Department of Radiology and Biomedical Imaging (N.M.H.), and Department of Epidemiology and Biostatistics (M.M.G., J.K.), University of California-San Francisco, San Francisco, Calif; Department of Medical Imaging Technology and Informatics, Southern California Permanente Medical Group, Pasadena, Calif (D.A.L.); Department of Biostatistics, University of California-Davis, Davis, Calif (D.L.M.); The Technology Group, The Permanente Medical Group, Oakland, Calif (D.A.N.); KP Information Technology, Kaiser Foundation Health Plan Inc and Kaiser Foundation Hospitals, Oakland, Calif (A.P.); Department of Artificial Intelligence and Human Health and Nash Family Department of Neuroscience (L.S.) and Department of Population Health Science and Policy, Department of Genetics and Genomic Sciences (W.S.), Icahn School of Medicine at Mount Sinai, New York, NY; and Department of Radiology, Hawaii Permanente Medical Group, Moanalua Medical Center, Honolulu, Hawaii (H.C.Y.)., Habel LA; From the Division of Research, Kaiser Permanente Northern California, 2000 Broadway, Oakland, CA 94612 (V.A.A., L.A.H., N.S.A., L.H.K., V.X.L., C.M.L., C.L.); Department of Radiology, Kaiser Permanente Northern California, Vallejo Medical Center, Vallejo, Calif (V.A.A.); Kaiser Permanente Washington Health Research Institute, Seattle, Wash (D.S.M.B.); Department of Radiology, Southern California Permanente Medical Group, Orange County, Irvine, Calif (J.B.C.); Department of Surgery (L.J.E.), Department of Radiology and Biomedical Imaging (N.M.H.), and Department of Epidemiology and Biostatistics (M.M.G., J.K.), University of California-San Francisco, San Francisco, Calif; Department of Medical Imaging Technology and Informatics, Southern California Permanente Medical Group, Pasadena, Calif (D.A.L.); Department of Biostatistics, University of California-Davis, Davis, Calif (D.L.M.); The Technology Group, The Permanente Medical Group, Oakland, Calif (D.A.N.); KP Information Technology, Kaiser Foundation Health Plan Inc and Kaiser Foundation Hospitals, Oakland, Calif (A.P.); Department of Artificial Intelligence and Human Health and Nash Family Department of Neuroscience (L.S.) and Department of Population Health Science and Policy, Department of Genetics and Genomic Sciences (W.S.), Icahn School of Medicine at Mount Sinai, New York, NY; and Department of Radiology, Hawaii Permanente Medical Group, Moanalua Medical Center, Honolulu, Hawaii (H.C.Y.)., Achacoso NS; From the Division of Research, Kaiser Permanente Northern California, 2000 Broadway, Oakland, CA 94612 (V.A.A., L.A.H., N.S.A., L.H.K., V.X.L., C.M.L., C.L.); Department of Radiology, Kaiser Permanente Northern California, Vallejo Medical Center, Vallejo, Calif (V.A.A.); Kaiser Permanente Washington Health Research Institute, Seattle, Wash (D.S.M.B.); Department of Radiology, Southern California Permanente Medical Group, Orange County, Irvine, Calif (J.B.C.); Department of Surgery (L.J.E.), Department of Radiology and Biomedical Imaging (N.M.H.), and Department of Epidemiology and Biostatistics (M.M.G., J.K.), University of California-San Francisco, San Francisco, Calif; Department of Medical Imaging Technology and Informatics, Southern California Permanente Medical Group, Pasadena, Calif (D.A.L.); Department of Biostatistics, University of California-Davis, Davis, Calif (D.L.M.); The Technology Group, The Permanente Medical Group, Oakland, Calif (D.A.N.); KP Information Technology, Kaiser Foundation Health Plan Inc and Kaiser Foundation Hospitals, Oakland, Calif (A.P.); Department of Artificial Intelligence and Human Health and Nash Family Department of Neuroscience (L.S.) and Department of Population Health Science and Policy, Department of Genetics and Genomic Sciences (W.S.), Icahn School of Medicine at Mount Sinai, New York, NY; and Department of Radiology, Hawaii Permanente Medical Group, Moanalua Medical Center, Honolulu, Hawaii (H.C.Y.)., Buist DSM; From the Division of Research, Kaiser Permanente Northern California, 2000 Broadway, Oakland, CA 94612 (V.A.A., L.A.H., N.S.A., L.H.K., V.X.L., C.M.L., C.L.); Department of Radiology, Kaiser Permanente Northern California, Vallejo Medical Center, Vallejo, Calif (V.A.A.); Kaiser Permanente Washington Health Research Institute, Seattle, Wash (D.S.M.B.); Department of Radiology, Southern California Permanente Medical Group, Orange County, Irvine, Calif (J.B.C.); Department of Surgery (L.J.E.), Department of Radiology and Biomedical Imaging (N.M.H.), and Department of Epidemiology and Biostatistics (M.M.G., J.K.), University of California-San Francisco, San Francisco, Calif; Department of Medical Imaging Technology and Informatics, Southern California Permanente Medical Group, Pasadena, Calif (D.A.L.); Department of Biostatistics, University of California-Davis, Davis, Calif (D.L.M.); The Technology Group, The Permanente Medical Group, Oakland, Calif (D.A.N.); KP Information Technology, Kaiser Foundation Health Plan Inc and Kaiser Foundation Hospitals, Oakland, Calif (A.P.); Department of Artificial Intelligence and Human Health and Nash Family Department of Neuroscience (L.S.) and Department of Population Health Science and Policy, Department of Genetics and Genomic Sciences (W.S.), Icahn School of Medicine at Mount Sinai, New York, NY; and Department of Radiology, Hawaii Permanente Medical Group, Moanalua Medical Center, Honolulu, Hawaii (H.C.Y.)., Cord JB; From the Division of Research, Kaiser Permanente Northern California, 2000 Broadway, Oakland, CA 94612 (V.A.A., L.A.H., N.S.A., L.H.K., V.X.L., C.M.L., C.L.); Department of Radiology, Kaiser Permanente Northern California, Vallejo Medical Center, Vallejo, Calif (V.A.A.); Kaiser Permanente Washington Health Research Institute, Seattle, Wash (D.S.M.B.); Department of Radiology, Southern California Permanente Medical Group, Orange County, Irvine, Calif (J.B.C.); Department of Surgery (L.J.E.), Department of Radiology and Biomedical Imaging (N.M.H.), and Department of Epidemiology and Biostatistics (M.M.G., J.K.), University of California-San Francisco, San Francisco, Calif; Department of Medical Imaging Technology and Informatics, Southern California Permanente Medical Group, Pasadena, Calif (D.A.L.); Department of Biostatistics, University of California-Davis, Davis, Calif (D.L.M.); The Technology Group, The Permanente Medical Group, Oakland, Calif (D.A.N.); KP Information Technology, Kaiser Foundation Health Plan Inc and Kaiser Foundation Hospitals, Oakland, Calif (A.P.); Department of Artificial Intelligence and Human Health and Nash Family Department of Neuroscience (L.S.) and Department of Population Health Science and Policy, Department of Genetics and Genomic Sciences (W.S.), Icahn School of Medicine at Mount Sinai, New York, NY; and Department of Radiology, Hawaii Permanente Medical Group, Moanalua Medical Center, Honolulu, Hawaii (H.C.Y.)., Esserman LJ; From the Division of Research, Kaiser Permanente Northern California, 2000 Broadway, Oakland, CA 94612 (V.A.A., L.A.H., N.S.A., L.H.K., V.X.L., C.M.L., C.L.); Department of Radiology, Kaiser Permanente Northern California, Vallejo Medical Center, Vallejo, Calif (V.A.A.); Kaiser Permanente Washington Health Research Institute, Seattle, Wash (D.S.M.B.); Department of Radiology, Southern California Permanente Medical Group, Orange County, Irvine, Calif (J.B.C.); Department of Surgery (L.J.E.), Department of Radiology and Biomedical Imaging (N.M.H.), and Department of Epidemiology and Biostatistics (M.M.G., J.K.), University of California-San Francisco, San Francisco, Calif; Department of Medical Imaging Technology and Informatics, Southern California Permanente Medical Group, Pasadena, Calif (D.A.L.); Department of Biostatistics, University of California-Davis, Davis, Calif (D.L.M.); The Technology Group, The Permanente Medical Group, Oakland, Calif (D.A.N.); KP Information Technology, Kaiser Foundation Health Plan Inc and Kaiser Foundation Hospitals, Oakland, Calif (A.P.); Department of Artificial Intelligence and Human Health and Nash Family Department of Neuroscience (L.S.) and Department of Population Health Science and Policy, Department of Genetics and Genomic Sciences (W.S.), Icahn School of Medicine at Mount Sinai, New York, NY; and Department of Radiology, Hawaii Permanente Medical Group, Moanalua Medical Center, Honolulu, Hawaii (H.C.Y.)., Hylton NM; From the Division of Research, Kaiser Permanente Northern California, 2000 Broadway, Oakland, CA 94612 (V.A.A., L.A.H., N.S.A., L.H.K., V.X.L., C.M.L., C.L.); Department of Radiology, Kaiser Permanente Northern California, Vallejo Medical Center, Vallejo, Calif (V.A.A.); Kaiser Permanente Washington Health Research Institute, Seattle, Wash (D.S.M.B.); Department of Radiology, Southern California Permanente Medical Group, Orange County, Irvine, Calif (J.B.C.); Department of Surgery (L.J.E.), Department of Radiology and Biomedical Imaging (N.M.H.), and Department of Epidemiology and Biostatistics (M.M.G., J.K.), University of California-San Francisco, San Francisco, Calif; Department of Medical Imaging Technology and Informatics, Southern California Permanente Medical Group, Pasadena, Calif (D.A.L.); Department of Biostatistics, University of California-Davis, Davis, Calif (D.L.M.); The Technology Group, The Permanente Medical Group, Oakland, Calif (D.A.N.); KP Information Technology, Kaiser Foundation Health Plan Inc and Kaiser Foundation Hospitals, Oakland, Calif (A.P.); Department of Artificial Intelligence and Human Health and Nash Family Department of Neuroscience (L.S.) and Department of Population Health Science and Policy, Department of Genetics and Genomic Sciences (W.S.), Icahn School of Medicine at Mount Sinai, New York, NY; and Department of Radiology, Hawaii Permanente Medical Group, Moanalua Medical Center, Honolulu, Hawaii (H.C.Y.)., Glymour MM; From the Division of Research, Kaiser Permanente Northern California, 2000 Broadway, Oakland, CA 94612 (V.A.A., L.A.H., N.S.A., L.H.K., V.X.L., C.M.L., C.L.); Department of Radiology, Kaiser Permanente Northern California, Vallejo Medical Center, Vallejo, Calif (V.A.A.); Kaiser Permanente Washington Health Research Institute, Seattle, Wash (D.S.M.B.); Department of Radiology, Southern California Permanente Medical Group, Orange County, Irvine, Calif (J.B.C.); Department of Surgery (L.J.E.), Department of Radiology and Biomedical Imaging (N.M.H.), and Department of Epidemiology and Biostatistics (M.M.G., J.K.), University of California-San Francisco, San Francisco, Calif; Department of Medical Imaging Technology and Informatics, Southern California Permanente Medical Group, Pasadena, Calif (D.A.L.); Department of Biostatistics, University of California-Davis, Davis, Calif (D.L.M.); The Technology Group, The Permanente Medical Group, Oakland, Calif (D.A.N.); KP Information Technology, Kaiser Foundation Health Plan Inc and Kaiser Foundation Hospitals, Oakland, Calif (A.P.); Department of Artificial Intelligence and Human Health and Nash Family Department of Neuroscience (L.S.) and Department of Population Health Science and Policy, Department of Genetics and Genomic Sciences (W.S.), Icahn School of Medicine at Mount Sinai, New York, NY; and Department of Radiology, Hawaii Permanente Medical Group, Moanalua Medical Center, Honolulu, Hawaii (H.C.Y.)., Kornak J; From the Division of Research, Kaiser Permanente Northern California, 2000 Broadway, Oakland, CA 94612 (V.A.A., L.A.H., N.S.A., L.H.K., V.X.L., C.M.L., C.L.); Department of Radiology, Kaiser Permanente Northern California, Vallejo Medical Center, Vallejo, Calif (V.A.A.); Kaiser Permanente Washington Health Research Institute, Seattle, Wash (D.S.M.B.); Department of Radiology, Southern California Permanente Medical Group, Orange County, Irvine, Calif (J.B.C.); Department of Surgery (L.J.E.), Department of Radiology and Biomedical Imaging (N.M.H.), and Department of Epidemiology and Biostatistics (M.M.G., J.K.), University of California-San Francisco, San Francisco, Calif; Department of Medical Imaging Technology and Informatics, Southern California Permanente Medical Group, Pasadena, Calif (D.A.L.); Department of Biostatistics, University of California-Davis, Davis, Calif (D.L.M.); The Technology Group, The Permanente Medical Group, Oakland, Calif (D.A.N.); KP Information Technology, Kaiser Foundation Health Plan Inc and Kaiser Foundation Hospitals, Oakland, Calif (A.P.); Department of Artificial Intelligence and Human Health and Nash Family Department of Neuroscience (L.S.) and Department of Population Health Science and Policy, Department of Genetics and Genomic Sciences (W.S.), Icahn School of Medicine at Mount Sinai, New York, NY; and Department of Radiology, Hawaii Permanente Medical Group, Moanalua Medical Center, Honolulu, Hawaii (H.C.Y.)., Kushi LH; From the Division of Research, Kaiser Permanente Northern California, 2000 Broadway, Oakland, CA 94612 (V.A.A., L.A.H., N.S.A., L.H.K., V.X.L., C.M.L., C.L.); Department of Radiology, Kaiser Permanente Northern California, Vallejo Medical Center, Vallejo, Calif (V.A.A.); Kaiser Permanente Washington Health Research Institute, Seattle, Wash (D.S.M.B.); Department of Radiology, Southern California Permanente Medical Group, Orange County, Irvine, Calif (J.B.C.); Department of Surgery (L.J.E.), Department of Radiology and Biomedical Imaging (N.M.H.), and Department of Epidemiology and Biostatistics (M.M.G., J.K.), University of California-San Francisco, San Francisco, Calif; Department of Medical Imaging Technology and Informatics, Southern California Permanente Medical Group, Pasadena, Calif (D.A.L.); Department of Biostatistics, University of California-Davis, Davis, Calif (D.L.M.); The Technology Group, The Permanente Medical Group, Oakland, Calif (D.A.N.); KP Information Technology, Kaiser Foundation Health Plan Inc and Kaiser Foundation Hospitals, Oakland, Calif (A.P.); Department of Artificial Intelligence and Human Health and Nash Family Department of Neuroscience (L.S.) and Department of Population Health Science and Policy, Department of Genetics and Genomic Sciences (W.S.), Icahn School of Medicine at Mount Sinai, New York, NY; and Department of Radiology, Hawaii Permanente Medical Group, Moanalua Medical Center, Honolulu, Hawaii (H.C.Y.)., Lewis DA; From the Division of Research, Kaiser Permanente Northern California, 2000 Broadway, Oakland, CA 94612 (V.A.A., L.A.H., N.S.A., L.H.K., V.X.L., C.M.L., C.L.); Department of Radiology, Kaiser Permanente Northern California, Vallejo Medical Center, Vallejo, Calif (V.A.A.); Kaiser Permanente Washington Health Research Institute, Seattle, Wash (D.S.M.B.); Department of Radiology, Southern California Permanente Medical Group, Orange County, Irvine, Calif (J.B.C.); Department of Surgery (L.J.E.), Department of Radiology and Biomedical Imaging (N.M.H.), and Department of Epidemiology and Biostatistics (M.M.G., J.K.), University of California-San Francisco, San Francisco, Calif; Department of Medical Imaging Technology and Informatics, Southern California Permanente Medical Group, Pasadena, Calif (D.A.L.); Department of Biostatistics, University of California-Davis, Davis, Calif (D.L.M.); The Technology Group, The Permanente Medical Group, Oakland, Calif (D.A.N.); KP Information Technology, Kaiser Foundation Health Plan Inc and Kaiser Foundation Hospitals, Oakland, Calif (A.P.); Department of Artificial Intelligence and Human Health and Nash Family Department of Neuroscience (L.S.) and Department of Population Health Science and Policy, Department of Genetics and Genomic Sciences (W.S.), Icahn School of Medicine at Mount Sinai, New York, NY; and Department of Radiology, Hawaii Permanente Medical Group, Moanalua Medical Center, Honolulu, Hawaii (H.C.Y.)., Liu VX; From the Division of Research, Kaiser Permanente Northern California, 2000 Broadway, Oakland, CA 94612 (V.A.A., L.A.H., N.S.A., L.H.K., V.X.L., C.M.L., C.L.); Department of Radiology, Kaiser Permanente Northern California, Vallejo Medical Center, Vallejo, Calif (V.A.A.); Kaiser Permanente Washington Health Research Institute, Seattle, Wash (D.S.M.B.); Department of Radiology, Southern California Permanente Medical Group, Orange County, Irvine, Calif (J.B.C.); Department of Surgery (L.J.E.), Department of Radiology and Biomedical Imaging (N.M.H.), and Department of Epidemiology and Biostatistics (M.M.G., J.K.), University of California-San Francisco, San Francisco, Calif; Department of Medical Imaging Technology and Informatics, Southern California Permanente Medical Group, Pasadena, Calif (D.A.L.); Department of Biostatistics, University of California-Davis, Davis, Calif (D.L.M.); The Technology Group, The Permanente Medical Group, Oakland, Calif (D.A.N.); KP Information Technology, Kaiser Foundation Health Plan Inc and Kaiser Foundation Hospitals, Oakland, Calif (A.P.); Department of Artificial Intelligence and Human Health and Nash Family Department of Neuroscience (L.S.) and Department of Population Health Science and Policy, Department of Genetics and Genomic Sciences (W.S.), Icahn School of Medicine at Mount Sinai, New York, NY; and Department of Radiology, Hawaii Permanente Medical Group, Moanalua Medical Center, Honolulu, Hawaii (H.C.Y.)., Lydon CM; From the Division of Research, Kaiser Permanente Northern California, 2000 Broadway, Oakland, CA 94612 (V.A.A., L.A.H., N.S.A., L.H.K., V.X.L., C.M.L., C.L.); Department of Radiology, Kaiser Permanente Northern California, Vallejo Medical Center, Vallejo, Calif (V.A.A.); Kaiser Permanente Washington Health Research Institute, Seattle, Wash (D.S.M.B.); Department of Radiology, Southern California Permanente Medical Group, Orange County, Irvine, Calif (J.B.C.); Department of Surgery (L.J.E.), Department of Radiology and Biomedical Imaging (N.M.H.), and Department of Epidemiology and Biostatistics (M.M.G., J.K.), University of California-San Francisco, San Francisco, Calif; Department of Medical Imaging Technology and Informatics, Southern California Permanente Medical Group, Pasadena, Calif (D.A.L.); Department of Biostatistics, University of California-Davis, Davis, Calif (D.L.M.); The Technology Group, The Permanente Medical Group, Oakland, Calif (D.A.N.); KP Information Technology, Kaiser Foundation Health Plan Inc and Kaiser Foundation Hospitals, Oakland, Calif (A.P.); Department of Artificial Intelligence and Human Health and Nash Family Department of Neuroscience (L.S.) and Department of Population Health Science and Policy, Department of Genetics and Genomic Sciences (W.S.), Icahn School of Medicine at Mount Sinai, New York, NY; and Department of Radiology, Hawaii Permanente Medical Group, Moanalua Medical Center, Honolulu, Hawaii (H.C.Y.)., Miglioretti DL; From the Division of Research, Kaiser Permanente Northern California, 2000 Broadway, Oakland, CA 94612 (V.A.A., L.A.H., N.S.A., L.H.K., V.X.L., C.M.L., C.L.); Department of Radiology, Kaiser Permanente Northern California, Vallejo Medical Center, Vallejo, Calif (V.A.A.); Kaiser Permanente Washington Health Research Institute, Seattle, Wash (D.S.M.B.); Department of Radiology, Southern California Permanente Medical Group, Orange County, Irvine, Calif (J.B.C.); Department of Surgery (L.J.E.), Department of Radiology and Biomedical Imaging (N.M.H.), and Department of Epidemiology and Biostatistics (M.M.G., J.K.), University of California-San Francisco, San Francisco, Calif; Department of Medical Imaging Technology and Informatics, Southern California Permanente Medical Group, Pasadena, Calif (D.A.L.); Department of Biostatistics, University of California-Davis, Davis, Calif (D.L.M.); The Technology Group, The Permanente Medical Group, Oakland, Calif (D.A.N.); KP Information Technology, Kaiser Foundation Health Plan Inc and Kaiser Foundation Hospitals, Oakland, Calif (A.P.); Department of Artificial Intelligence and Human Health and Nash Family Department of Neuroscience (L.S.) and Department of Population Health Science and Policy, Department of Genetics and Genomic Sciences (W.S.), Icahn School of Medicine at Mount Sinai, New York, NY; and Department of Radiology, Hawaii Permanente Medical Group, Moanalua Medical Center, Honolulu, Hawaii (H.C.Y.)., Navarro DA; From the Division of Research, Kaiser Permanente Northern California, 2000 Broadway, Oakland, CA 94612 (V.A.A., L.A.H., N.S.A., L.H.K., V.X.L., C.M.L., C.L.); Department of Radiology, Kaiser Permanente Northern California, Vallejo Medical Center, Vallejo, Calif (V.A.A.); Kaiser Permanente Washington Health Research Institute, Seattle, Wash (D.S.M.B.); Department of Radiology, Southern California Permanente Medical Group, Orange County, Irvine, Calif (J.B.C.); Department of Surgery (L.J.E.), Department of Radiology and Biomedical Imaging (N.M.H.), and Department of Epidemiology and Biostatistics (M.M.G., J.K.), University of California-San Francisco, San Francisco, Calif; Department of Medical Imaging Technology and Informatics, Southern California Permanente Medical Group, Pasadena, Calif (D.A.L.); Department of Biostatistics, University of California-Davis, Davis, Calif (D.L.M.); The Technology Group, The Permanente Medical Group, Oakland, Calif (D.A.N.); KP Information Technology, Kaiser Foundation Health Plan Inc and Kaiser Foundation Hospitals, Oakland, Calif (A.P.); Department of Artificial Intelligence and Human Health and Nash Family Department of Neuroscience (L.S.) and Department of Population Health Science and Policy, Department of Genetics and Genomic Sciences (W.S.), Icahn School of Medicine at Mount Sinai, New York, NY; and Department of Radiology, Hawaii Permanente Medical Group, Moanalua Medical Center, Honolulu, Hawaii (H.C.Y.)., Pu A; From the Division of Research, Kaiser Permanente Northern California, 2000 Broadway, Oakland, CA 94612 (V.A.A., L.A.H., N.S.A., L.H.K., V.X.L., C.M.L., C.L.); Department of Radiology, Kaiser Permanente Northern California, Vallejo Medical Center, Vallejo, Calif (V.A.A.); Kaiser Permanente Washington Health Research Institute, Seattle, Wash (D.S.M.B.); Department of Radiology, Southern California Permanente Medical Group, Orange County, Irvine, Calif (J.B.C.); Department of Surgery (L.J.E.), Department of Radiology and Biomedical Imaging (N.M.H.), and Department of Epidemiology and Biostatistics (M.M.G., J.K.), University of California-San Francisco, San Francisco, Calif; Department of Medical Imaging Technology and Informatics, Southern California Permanente Medical Group, Pasadena, Calif (D.A.L.); Department of Biostatistics, University of California-Davis, Davis, Calif (D.L.M.); The Technology Group, The Permanente Medical Group, Oakland, Calif (D.A.N.); KP Information Technology, Kaiser Foundation Health Plan Inc and Kaiser Foundation Hospitals, Oakland, Calif (A.P.); Department of Artificial Intelligence and Human Health and Nash Family Department of Neuroscience (L.S.) and Department of Population Health Science and Policy, Department of Genetics and Genomic Sciences (W.S.), Icahn School of Medicine at Mount Sinai, New York, NY; and Department of Radiology, Hawaii Permanente Medical Group, Moanalua Medical Center, Honolulu, Hawaii (H.C.Y.)., Shen L; From the Division of Research, Kaiser Permanente Northern California, 2000 Broadway, Oakland, CA 94612 (V.A.A., L.A.H., N.S.A., L.H.K., V.X.L., C.M.L., C.L.); Department of Radiology, Kaiser Permanente Northern California, Vallejo Medical Center, Vallejo, Calif (V.A.A.); Kaiser Permanente Washington Health Research Institute, Seattle, Wash (D.S.M.B.); Department of Radiology, Southern California Permanente Medical Group, Orange County, Irvine, Calif (J.B.C.); Department of Surgery (L.J.E.), Department of Radiology and Biomedical Imaging (N.M.H.), and Department of Epidemiology and Biostatistics (M.M.G., J.K.), University of California-San Francisco, San Francisco, Calif; Department of Medical Imaging Technology and Informatics, Southern California Permanente Medical Group, Pasadena, Calif (D.A.L.); Department of Biostatistics, University of California-Davis, Davis, Calif (D.L.M.); The Technology Group, The Permanente Medical Group, Oakland, Calif (D.A.N.); KP Information Technology, Kaiser Foundation Health Plan Inc and Kaiser Foundation Hospitals, Oakland, Calif (A.P.); Department of Artificial Intelligence and Human Health and Nash Family Department of Neuroscience (L.S.) and Department of Population Health Science and Policy, Department of Genetics and Genomic Sciences (W.S.), Icahn School of Medicine at Mount Sinai, New York, NY; and Department of Radiology, Hawaii Permanente Medical Group, Moanalua Medical Center, Honolulu, Hawaii (H.C.Y.)., Sieh W; From the Division of Research, Kaiser Permanente Northern California, 2000 Broadway, Oakland, CA 94612 (V.A.A., L.A.H., N.S.A., L.H.K., V.X.L., C.M.L., C.L.); Department of Radiology, Kaiser Permanente Northern California, Vallejo Medical Center, Vallejo, Calif (V.A.A.); Kaiser Permanente Washington Health Research Institute, Seattle, Wash (D.S.M.B.); Department of Radiology, Southern California Permanente Medical Group, Orange County, Irvine, Calif (J.B.C.); Department of Surgery (L.J.E.), Department of Radiology and Biomedical Imaging (N.M.H.), and Department of Epidemiology and Biostatistics (M.M.G., J.K.), University of California-San Francisco, San Francisco, Calif; Department of Medical Imaging Technology and Informatics, Southern California Permanente Medical Group, Pasadena, Calif (D.A.L.); Department of Biostatistics, University of California-Davis, Davis, Calif (D.L.M.); The Technology Group, The Permanente Medical Group, Oakland, Calif (D.A.N.); KP Information Technology, Kaiser Foundation Health Plan Inc and Kaiser Foundation Hospitals, Oakland, Calif (A.P.); Department of Artificial Intelligence and Human Health and Nash Family Department of Neuroscience (L.S.) and Department of Population Health Science and Policy, Department of Genetics and Genomic Sciences (W.S.), Icahn School of Medicine at Mount Sinai, New York, NY; and Department of Radiology, Hawaii Permanente Medical Group, Moanalua Medical Center, Honolulu, Hawaii (H.C.Y.)., Yoon HC; From the Division of Research, Kaiser Permanente Northern California, 2000 Broadway, Oakland, CA 94612 (V.A.A., L.A.H., N.S.A., L.H.K., V.X.L., C.M.L., C.L.); Department of Radiology, Kaiser Permanente Northern California, Vallejo Medical Center, Vallejo, Calif (V.A.A.); Kaiser Permanente Washington Health Research Institute, Seattle, Wash (D.S.M.B.); Department of Radiology, Southern California Permanente Medical Group, Orange County, Irvine, Calif (J.B.C.); Department of Surgery (L.J.E.), Department of Radiology and Biomedical Imaging (N.M.H.), and Department of Epidemiology and Biostatistics (M.M.G., J.K.), University of California-San Francisco, San Francisco, Calif; Department of Medical Imaging Technology and Informatics, Southern California Permanente Medical Group, Pasadena, Calif (D.A.L.); Department of Biostatistics, University of California-Davis, Davis, Calif (D.L.M.); The Technology Group, The Permanente Medical Group, Oakland, Calif (D.A.N.); KP Information Technology, Kaiser Foundation Health Plan Inc and Kaiser Foundation Hospitals, Oakland, Calif (A.P.); Department of Artificial Intelligence and Human Health and Nash Family Department of Neuroscience (L.S.) and Department of Population Health Science and Policy, Department of Genetics and Genomic Sciences (W.S.), Icahn School of Medicine at Mount Sinai, New York, NY; and Department of Radiology, Hawaii Permanente Medical Group, Moanalua Medical Center, Honolulu, Hawaii (H.C.Y.)., Lee C; From the Division of Research, Kaiser Permanente Northern California, 2000 Broadway, Oakland, CA 94612 (V.A.A., L.A.H., N.S.A., L.H.K., V.X.L., C.M.L., C.L.); Department of Radiology, Kaiser Permanente Northern California, Vallejo Medical Center, Vallejo, Calif (V.A.A.); Kaiser Permanente Washington Health Research Institute, Seattle, Wash (D.S.M.B.); Department of Radiology, Southern California Permanente Medical Group, Orange County, Irvine, Calif (J.B.C.); Department of Surgery (L.J.E.), Department of Radiology and Biomedical Imaging (N.M.H.), and Department of Epidemiology and Biostatistics (M.M.G., J.K.), University of California-San Francisco, San Francisco, Calif; Department of Medical Imaging Technology and Informatics, Southern California Permanente Medical Group, Pasadena, Calif (D.A.L.); Department of Biostatistics, University of California-Davis, Davis, Calif (D.L.M.); The Technology Group, The Permanente Medical Group, Oakland, Calif (D.A.N.); KP Information Technology, Kaiser Foundation Health Plan Inc and Kaiser Foundation Hospitals, Oakland, Calif (A.P.); Department of Artificial Intelligence and Human Health and Nash Family Department of Neuroscience (L.S.) and Department of Population Health Science and Policy, Department of Genetics and Genomic Sciences (W.S.), Icahn School of Medicine at Mount Sinai, New York, NY; and Department of Radiology, Hawaii Permanente Medical Group, Moanalua Medical Center, Honolulu, Hawaii (H.C.Y.). |
المصدر: | Radiology [Radiology] 2023 Jun; Vol. 307 (5), pp. e222733. |
نوع المنشور: | Observational Study; Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't |
اللغة: | English |
بيانات الدورية: | Publisher: Radiological Society of North America Country of Publication: United States NLM ID: 0401260 Publication Model: Print Cited Medium: Internet ISSN: 1527-1315 (Electronic) Linking ISSN: 00338419 NLM ISO Abbreviation: Radiology Subsets: MEDLINE |
أسماء مطبوعة: | Publication: Easton, PA : Radiological Society of North America Original Publication: [Illinois?] : Radiological Society of North America, [1923]- |
مواضيع طبية MeSH: | Breast Neoplasms*/diagnostic imaging , Breast Neoplasms*/epidemiology, Female ; Humans ; Artificial Intelligence ; Retrospective Studies ; Cohort Studies ; Mammography/methods ; Algorithms ; Early Detection of Cancer/methods |
مستخلص: | Background Although several clinical breast cancer risk models are used to guide screening and prevention, they have only moderate discrimination. Purpose To compare selected existing mammography artificial intelligence (AI) algorithms and the Breast Cancer Surveillance Consortium (BCSC) risk model for prediction of 5-year risk. Materials and Methods This retrospective case-cohort study included data in women with a negative screening mammographic examination (no visible evidence of cancer) in 2016, who were followed until 2021 at Kaiser Permanente Northern California. Women with prior breast cancer or a highly penetrant gene mutation were excluded. Of the 324 009 eligible women, a random subcohort was selected, regardless of cancer status, to which all additional patients with breast cancer were added. The index screening mammographic examination was used as input for five AI algorithms to generate continuous scores that were compared with the BCSC clinical risk score. Risk estimates for incident breast cancer 0 to 5 years after the initial mammographic examination were calculated using a time-dependent area under the receiver operating characteristic curve (AUC). Results The subcohort included 13 628 patients, of whom 193 had incident cancer. Incident cancers in eligible patients (additional 4391 of 324 009) were also included. For incident cancers at 0 to 5 years, the time-dependent AUC for BCSC was 0.61 (95% CI: 0.60, 0.62). AI algorithms had higher time-dependent AUCs than did BCSC, ranging from 0.63 to 0.67 (Bonferroni-adjusted P < .0016). Time-dependent AUCs for combined BCSC and AI models were slightly higher than AI alone (AI with BCSC time-dependent AUC range, 0.66-0.68; Bonferroni-adjusted P < .0016). Conclusion When using a negative screening examination, AI algorithms performed better than the BCSC risk model for predicting breast cancer risk at 0 to 5 years. Combined AI and BCSC models further improved prediction. © RSNA, 2023 Supplemental material is available for this article . |
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معلومات مُعتمدة: | R01 CA264987 United States CA NCI NIH HHS; U01 CA225427 United States CA NCI NIH HHS |
تواريخ الأحداث: | Date Created: 20230606 Date Completed: 20230608 Latest Revision: 20240603 |
رمز التحديث: | 20240603 |
مُعرف محوري في PubMed: | PMC10315521 |
DOI: | 10.1148/radiol.222733 |
PMID: | 37278627 |
قاعدة البيانات: | MEDLINE |
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