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Comparison of Full-Field Digital Mammography with Screen-Film Mammography for Cancer Detection: Results of 4,945 Paired Examinations1

John M. Lewin, MD, R. Edward Hendrick, PhD 2, Carl J. D’Orsi, MD, Pamela K. Isaacs, DO, Lawrence J. Moss, MD, Andrew Karellas, PhD, Gale A. Sisney, MD 3, Christopher C. Kuni, MD and Gary R. Cutter, PhD

1 From the Dept of Radiology, Univ of Colorado Health Sciences Ctr, CB E-030, 4200 E Ninth Ave, Denver, CO 80262 (J.M.L., R.E.H., P.K.I., G.A.S., C.C.K.); the Dept of Radiology, Univ of Massachusetts Medical Center, Worcester (C.J.D., L.J.M., A.K.); and AMC Cancer Research Ctr, Denver, Colo (G.R.C.). From the 1998 RSNA scientific assembly. Received Jan 4, 2000; revision requested Jan 25; revision received Jul 17; accepted Aug 2. R.E.H. supported by grant DAMD17-96-C-6104 from the U.S. Army Breast Cancer Research and Materiel Command. Address correspondence to J.M.L. (e-mail: john.lewin@uchsc.edu).



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Figure 1. Alternative free-response ROC curves for SFM and FFDM plotted by using a rating scale from 0-100. The x-axis scale is the probability of a false-positive finding being called with the two screening views of a given breast. This is analogous to the false-positive rate in a standard ROC experiment. There is no difference in the areas under the curves. The area under each curve is 0.76.

 





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