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Comparison of the Performance of Screening Mammography, Physical Examination, and Breast US and Evaluation of Factors that Influence Them: An Analysis of 27,825 Patient Evaluations¹

¹ From 222 E 68th St, New York, NY 10021 (T.M.K., J.L.) and Department of Radiology, Columbia-Presbyterian Medical Center, New York, NY (T.M.K., J.H.N.). From the 1998 RSNA scientific assembly. Received October 11, 2001; revision requested December 5; final revision received April 11, 2002; accepted April 18. Address correspondence to T.M.K. (e-mail: tkolb@panix.com).

View larger version (61K): [in a new window]   Figure 1. Flow diagram for patients examined shows the screening detection scheme. In 31 women with a known mammographic (Mammo) and/or physical finding, biopsy was performed for 38 masses (*) detected at US alone. Four cancers were diagnosed in three women. ACR = American College of Radiology BI-RADS.