Improved cancer detection in automated breast ultrasound by radiologists using Computer Aided Detection

J. C.M. van Zelst, T. Tan, B. Platel, M. de Jong, A. Steenbakkers, M. Mourits, A. Grivegnee, C. Borelli, N. Karssemeijer, R. M. Mann

Research output: Contribution to journalArticlepeer-review

47 Citations (Scopus)


Objective To investigate the effect of dedicated Computer Aided Detection (CAD) software for automated breast ultrasound (ABUS) on the performance of radiologists screening for breast cancer. Methods 90 ABUS views of 90 patients were randomly selected from a multi-institutional archive of cases collected between 2010 and 2013. This dataset included normal cases (n = 40) with >1 year of follow up, benign (n = 30) lesions that were either biopsied or remained stable, and malignant lesions (n = 20). Six readers evaluated all cases with and without CAD in two sessions. CAD-software included conventional CAD-marks and an intelligent minimum intensity projection of the breast tissue. Readers reported using a likelihood-of-malignancy scale from 0 to 100. Alternative free-response ROC analysis was used to measure the performance. Results Without CAD, the average area-under-the-curve (AUC) of the readers was 0.77 and significantly improved with CAD to 0.84 (p = 0.001). Sensitivity of all readers improved (range 5.2–10.6%) by using CAD but specificity decreased in four out of six readers (range 1.4–5.7%). No significant difference was observed in the AUC between experienced radiologists and residents both with and without CAD. Conclusions Dedicated CAD-software for ABUS has the potential to improve the cancer detection rates of radiologists screening for breast cancer.

Original languageEnglish
Pages (from-to)54-59
Number of pages6
JournalEuropean Journal of Radiology
Publication statusPublished - 1 Apr 2017
Externally publishedYes


  • Automated breast ultrasound
  • Breast cancer
  • Computer Aided Detection
  • Detection
  • Screening
  • Ultrasound


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