There are preliminary indications that the use of tomosynthesis with a single interpreter increases cancer detection, while at the same time decreasing recall rates [ 18].
In addition, a number of retrospective and experimental clinical studies evaluating tomosynthesis, primarily in laboratory settings using cancer-enriched populations, demonstrated the potential for decreasing recall rates and possibly increasing cancer detection rates [ 19– 29].
Comparison with 2005 data identifies a decreased recall rate and an increased cancer detection rate.
Secondly, the consensus/arbitration step could have preferentially decreased actual recall rates of women referred to arbitration (rating ≥2) under only one of the modes that were later dismissed during arbitration; however, we found no evidence to date that interval cancers would have belonged to this group or would have changed any of our conclusions.
Increased margin visibility of circumscribed masses by DBT improves the accuracy of mammography interpretation and may decrease the recall rate in mammography screening.
To decrease the recall rate, most screening programs have utilized a second-tier test with TSH following the identification of a certain number of increased-risk newborns through T4 initial testing.
For natural speech rates in the range 125 225 wpm, the increase of the speech rate is not significantly associated with decreasing recall for native listeners [69].
Digital breast tomosynthesis increases cancer detection and decreases the recall rate.
However, double reading with arbitration increases the detection rate (95% CI = 1.02 to 1.15) and decreases the recall rate (95% CI = 0.92 to 0.96).
While these preliminary results suggest that an increase in cancer detection rate and a simultaneous decrease in recall rate is achievable using tomosynthesis, none of these studies assessed the performance of tomosynthesis when double reading is employed in daily practice.
