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4 March 2015 Mammographic density measurements are not affected by mammography system
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Mammographic density (MD) is a significant risk factor for breast cancer and has been shown to reduce the sensitivity of mammography screening. Knowledge of a woman’s density can be used to predict her risk of developing breast cancer and personalize her imaging pathway. However, measurement of breast density has proven to be troublesome with wide variations in density recorded using radiologists’ visual Breast Imaging Reporting and Data System (BIRADS). Several automated methods for assessing breast density have been proposed, each with their own source of measurement error. The use of differing mammographic imaging systems further complicates MD measurement, especially for the same women imaged over time. The purpose of this study was to investigate whether having a mammogram on differing manufacturer’s equipment affects a woman’s MD measurement. Raw mammographic images were acquired on two mammography imaging systems (General Electric and Hologic) one year apart and processed using VolparaDensity™ to obtain the Volpara Density Grade (VDG) and average volumetric breast density percentage (AvBD%). Visual BIRADS scores were also obtained from 20 expert readers. BIRADS scores for both systems showed strong positive correlation (ρ=0.904; p<0.001), while the VDG (ρ=0.978; p<0.001) and AvBD% (ρ=0.973; p<0.001) showed stronger positive correlations. Substantial agreement was shown between the systems for BIRADS (κ=0.692; p<0.001), however, the systems demonstrated an almost perfect agreement for VDG ( κ=0.933; p<0.001).
© 2015 Society of Photo-Optical Instrumentation Engineers (SPIE) 2329-4302/2015/$25.00 © 2015 SPIE
Christine N. Damases, Patrick C. Brennan, and Mark F. McEntee "Mammographic density measurements are not affected by mammography system," Journal of Medical Imaging 2(1), 015501 (4 March 2015).
Published: 4 March 2015

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