
When discussing who is smarter, the human or the robot, we can compare:
The smartest humans with the smartest computer.
The average human with the smartest computer.
The average radiologist human with the average computer.
The smartest human with the average computer.
Quote from Saving Women's Lives, p.94
"CAD for mammography was formally introduced in 1998 when the FDA approved the first CAD
device, ImageChecker M1000®, made by R2 Technology of Sunnyvale, California. In addition to
ImageChecker, two other CAD devices cleared for use in the United States: (1) Second Look by
Nashua, New [Hampshire]-based iCAD and (2) MammoReader by Intelligent Systems Software of
Clearwater, Florida. ImageChecker and Second Look are also approved by the FDA for use with
full-field digital mammography devices.
In a 2001 study, radiologists who interpreted mammograms, using both conventional mammography
reading techniques as well as CAD technology, found nearly 20 percent more cancers with CAD than
they did without, and the proportion of early stage malignancies detected increased from 73 to 77
percent.
The greatest clinical value in CAD probably does not lie in its ability to raise the performance level
of all breast imagers, but rather in its potential to bring the performance level of general radiologists
to that of breast imaging specialists. (88) As noted earlier, the great majority of screening
mammography is done by general radiologists who tend to have lower sensitivity rates and higher
false-positive rates than breast imaging specialists.
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