AI-integrated Screening to Replace Double Reading of Mammograms: A Population-wide Accuracy and Feasibility Study | Radiology: Artificial Intelligence
Mammography screening supported by deep learning–based artificial intelligence (AI) solutions can potentially reduce workload without compromising breast cancer detection accuracy, but the site of deployment in the workflow might be crucial. This retrospective study compared three simulated AI-integrated screening scenarios with standard double reading with arbitration in a sample of 249 402 mammograms from a representative screening population. A commercial AI system replaced the first reader (scenario 1: integrated AIfirst), the second reader (scenario 2: integrated AIsecond), or both readers for triaging of low- and high-risk cases (scenario 3: integrated AItriage). AI threshold values were chosen based partly on previous validation and setting the screen-read volume reduction at approximately 50% across scenarios. Detection accuracy measures were calculated. Compared with standard double reading, integrated AIfirst showed no evidence of a difference in accuracy metrics except for a
