Does time of day influence cancer detection and recall rates in mammography?

Chris Stinton, David Jenkinson, Victor Adekanmbi, Aileen Clarke, Sian Taylor-Phillips

Research output: Chapter in Book/Report/Conference proceedingConference contribution

Abstract

Background: The interpretation of screening mammograms is influenced by factors such as reader experience and their annual interpretative volume. There is some evidence that time of day can also have an effect, with better diagnostic accuracy for readings conducted early in the day. This is not a consistent finding, however. The aim of our study is to provide further evidence on whether there is an effect of time of day on recall- and breast cancer detection rates. Method: We analysed breast screening data from 222,577 women from the Midlands of England. Data were split into three eight hour periods: 0900-1700, 1700-0100, 0100-0900. Differences in recall- and cancer detection rates were analysed using multilevel logistic regression models. Results: Recall rates were lowest for mammograms read between the 1700-0100 time period. Cancer detection rates were lowest during the 0100-0900 time period. Conclusions: Our findings suggest that there are fluctuations in recall- and cancer detection rates over the course of the day.

Original languageEnglish (US)
Title of host publicationMedical Imaging 2017
Subtitle of host publicationImage Perception, Observer Performance, and Technology Assessment
EditorsRobert M. Nishikawa, Matthew A. Kupinski
PublisherSPIE
ISBN (Electronic)9781510607170
DOIs
StatePublished - 2017
Externally publishedYes
EventMedical Imaging 2017: Image Perception, Observer Performance, and Technology Assessment - Orlando, United States
Duration: Feb 12 2017Feb 13 2017

Publication series

NameProgress in Biomedical Optics and Imaging - Proceedings of SPIE
Volume10136
ISSN (Print)1605-7422

Conference

ConferenceMedical Imaging 2017: Image Perception, Observer Performance, and Technology Assessment
Country/TerritoryUnited States
CityOrlando
Period2/12/172/13/17

Keywords

  • Breast screening
  • Cancer detection
  • Mammography
  • Recall
  • Time of day

ASJC Scopus subject areas

  • Electronic, Optical and Magnetic Materials
  • Biomaterials
  • Atomic and Molecular Physics, and Optics
  • Radiology Nuclear Medicine and imaging

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