Technologists Effect on the Accuracy of Mammography (TEAM)

技术人员对乳房 X 线摄影准确性的影响 (TEAM)

• 批准号: 8435353
• 负责人: Louise Henderson
• 金额: $ 28.57万
• 依托单位: UNIV OF NORTH CAROLINA CHAPEL HILL
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-03-01 至 2016-02-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8435353
• 关键词: Affect; Age; Biopsy; Breast; Breast Cancer Risk Factor; Cancer Detection; Caring; Characteristics; Code; Community Practice; Data; Decision Making; Diagnostic; Facility Controls; Family; Family health status; Film; Goals; Health; Image; Individual; Knowledge; Logistic Regressions; Malignant Neoplasms; Mammography; Measures; Methods; Modality; North Carolina; Outcome; Pathology; Patients; Pattern; Performance; Population-Based Registry; Positioning Attribute; Predictive Value; Procedures; Process; Radiology Specialty; Recommendation; Recording of previous events; Records; Regression Analysis; Research; Role; Sampling; Screening Result; Sensitivity and Specificity; Surveys; Time; Training; Training and Education; Variant; Work; breast density; digital; follow-up; improved; indexing; innovation; mammography registry; novel; prospective; radiologist; screening

DESCRIPTION (provided by applicant): The overall goals of this project are to assess the impact radiologic technologists have on the accuracy and outcomes of mammograms in community practice, the mix of radiologic technologist characteristics in community practice, and the relationship between radiologic technologists individual characteristics and the interpretation of the mammograms they perform. With data on more that 1,800,000 mammograms for 575,000 individuals from 69 different radiology facilities over time, the Carolina Mammography Registry (CMR) is in a unique position to conduct this research. CMR data includes demographic information, individual health history, family health history, breast cancer risk factors, mammographic findings and assessments, recommendations for follow up care, pathology findings, and cancer outcomes. CMR records also include information on the technologist and radiologist responsible for each mammogram. We have longstanding collaborative relationships with radiology practices throughout the state of North Carolina, which will allow us to collect accurate and complete data on radiologic technologists characteristics using a survey instrument to be developed as a part of this project. Over the next four years we will: 1) Use existing CMR data to determine whether performance characteristics of screening and diagnostic mammography vary by technologist, (for screen-film and digital) from all facilities; and for technologists currently practicing in 48 facilities 2) Develop and implement a survey to collect data on technologist characteristics for a statewide sample of technologists; 3) Describe the variability of technologist characteristics; 4) Estimate the effect of technologist on the performance of screening and diagnostic mammography. This project will expand our understanding of the variability in radiologists final interpretations and recommendations. This work is novel. As technologists training and method of working with their radiologists is something that can be altered, the impact of this work could be extremely important, leading to improvement in screening outcomes.

描述（由申请人提供）：该项目的总体目标是评估放射技术人员对乳房X光检查在社区实践中的准确性和结果的影响，放射技术专家在社区实践中的特征以及放射技术专家的个人特征与他们所执行的乳腺X射线的解释之间的关系。随着时间的推移，来自69个不同放射学设施的575,000个个人的1,800,000个乳房X线照片的数据更多，卡罗来纳州乳房X线摄影注册中心（CMR）处于独特的位置来进行这项研究。 CMR数据包括人口统计信息，个人健康病史，家庭健康病史，乳腺癌危险因素，乳房X线摄影发现和评估，后续护理建议，病理发现和癌症结果。 CMR记录还包括有关每个乳房X光检查的技术人员和放射科医生的信息。我们与整个北卡罗来纳州的放射学实践建立了长期的合作关系，这将使我们使用调查工具作为该项目的一部分来收集有关放射技术人员特征的准确和完整数据。在接下来的四年中，我们将：1）使用现有的CMR数据来确定筛查和诊断乳房X线摄影的绩效特征是否因技术专家（用于屏幕 - 电影和数字）的不同而有所不同；对于目前在48个设施中执业的技术人员2）开发和实施一项调查，以收集有关全州技术人员样本的技术人员特征的数据； 3）描述技术人员特征的变异性； 4）估计技术人员对筛查和诊断乳房X线摄影的表现的影响。该项目将扩展我们对放射科医生最终解释和建议的可变性的理解。这项工作是新颖的。由于技术人员培训和与放射科医生合作的方法可以改变，因此这项工作的影响可能非常重要，从而改善了筛查结果。