Grant Number:	5R01HS010591-02 Interpret this number
Primary Investigator:	Elmore, Joann
Organization:	University Of Washington
Project Title:	Understanding Variability in Community Mammography
Fiscal Year:	2001

The goal of this research is to identify reasons for variability in the interpretation of mammograms. Though previous studies have shown marked interpretive variation, they did not explain why it occurs and they used test sets that do not necessarily reflect what occurs in day-to-day community practices. This community-based, multicenter observational study will utilize a unique collaboration among three geographically distinct breast cancer surveillance programs in the states of Washington, New Hampshire, and Colorado. This collaboration will allow the investigators to accumulate breast cancer outcome and interpretive data on more than 500,000 mammograms from 91 facilities and 279 radiologists. The investigators will evaluate potential factors influencing the accuracy and recall rates of mammography using a structured conceptual framework that separates characteristics of the radiologists from those of the facility and community environment. The investigators hypothesize that the fiscal, legal, and community practice environment and personal characteristics of the radiologist influence variability in the accuracy of mammography and the likelihood of having patients recalled for additional evaluation. Gaining a better understanding of how individual radiologists and their practice environment account for variation will help identify ways to improve mammography.




Radiologists' Interpretive Skills In Screening Vs. Diagnostic Mammography: Are They Related?
Authors: Elmore J.G. , Cook A.J. , Bogart A. , Carney P.A. , Geller B.M. , Taplin S.H. , Buist D.S. , Onega T. , Lee C.I. , Miglioretti D.L. .
Source: Clinical Imaging, 2016-07-01 00:00:00.0; 40(6), p. 1096-1103.
PMID: 27438069
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Mammographic Interpretive Volume And Diagnostic Mammogram Interpretation Performance In Community Practice
Authors: Haneuse S. , Buist D.S. , Miglioretti D.L. , Anderson M.L. , Carney P.A. , Onega T. , Geller B.M. , Kerlikowske K. , Rosenberg R.D. , Yankaskas B.C. , et al. .
Source: Radiology, 2012 Jan; 262(1), p. 69-79.
PMID: 22106351
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Decreased Accuracy In Interpretation Of Community-based Screening Mammography For Women With Multiple Clinical Risk Factors
Authors: Cook A.J. , Elmore J.G. , Miglioretti D.L. , Sickles E.A. , Aiello Bowles E.J. , Cutter G.R. , Carney P.A. .
Source: Journal Of Clinical Epidemiology, 2010 Apr; 63(4), p. 441-51.
PMID: 19744825
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Disclosing harmful mammography errors to patients.
Authors: Gallagher T.H. , Cook A.J. , Brenner R.J. , Carney P.A. , Miglioretti D.L. , Geller B.M. , Kerlikowske K. , Onega T.L. , Rosenberg R.D. , Yankaskas B.C. , et al. .
Source: Radiology, 2009 Nov; 253(2), p. 443-52.
PMID: 19710002
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Variability Of Interpretive Accuracy Among Diagnostic Mammography Facilities
Authors: Jackson S.L. , Taplin S.H. , Sickles E.A. , Abraham L. , Barlow W.E. , Carney P.A. , Geller B. , Berns E.A. , Cutter G.R. , Elmore J.G. .
Source: Journal Of The National Cancer Institute, 2009-06-03 00:00:00.0; 101(11), p. 814-27.
PMID: 19470953
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Predictors Of Radiologists' Perceived Risk Of Malpractice Lawsuits In Breast Imaging
Authors: Dick J.F. , Gallagher T.H. , Brenner R.J. , Yi J.P. , Reisch L.M. , Abraham L. , Miglioretti D.L. , Carney P.A. , Cutter G.R. , Elmore J.G. .
Source: Ajr. American Journal Of Roentgenology, 2009 Feb; 192(2), p. 327-33.
PMID: 19155390
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Mammography facility characteristics associated with interpretive accuracy of screening mammography.
Authors: Taplin S. , Abraham L. , Barlow W.E. , Fenton J.J. , Berns E.A. , Carney P.A. , Cutter G.R. , Sickles E.A. , Carl D. , Elmore J.G. .
Source: Journal Of The National Cancer Institute, 2008-06-18 00:00:00.0; 100(12), p. 876-87.
EPub date: 2008-06-18 00:00:00.0.
PMID: 18544742
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Joint modeling of sensitivity and specificity.
Authors: Puggioni G. , Gelfand A.E. , Elmore J.G. .
Source: Statistics In Medicine, 2008-05-10 00:00:00.0; 27(10), p. 1745-61.
PMID: 18167634
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Accuracy of short-interval follow-up mammograms by patient and radiologist characteristics.
Authors: Aiello Bowles E.J. , Miglioretti D.L. , Sickles E.A. , Abraham L. , Carney P.A. , Yankaskas B.C. , Elmore J.G. .
Source: Ajr. American Journal Of Roentgenology, 2008 May; 190(5), p. 1200-8.
PMID: 18430832
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Radiologist characteristics associated with interpretive performance of diagnostic mammography.
Authors: Miglioretti D.L. , Smith-Bindman R. , Abraham L. , Brenner R.J. , Carney P.A. , Bowles E.J. , Buist D.S. , Elmore J.G. .
Source: Journal Of The National Cancer Institute, 2007-12-19 00:00:00.0; 99(24), p. 1854-63.
EPub date: 2007-12-19 00:00:00.0.
PMID: 18073379
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The More Eyes, The Better To See? From Double To Quadruple Reading Of Screening Mammograms
Authors: Elmore J.G. , Brenner R.J. .
Source: Journal Of The National Cancer Institute, 2007-08-01 00:00:00.0; 99(15), p. 1141-3.
PMID: 17652275
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Performance Assessment For Radiologists Interpreting Screening Mammography
Authors: Woodard D.B. , Gelfand A.E. , Barlow W.E. , Elmore J.G. .
Source: Statistics In Medicine, 2007-03-30 00:00:00.0; 26(7), p. 1532-51.
PMID: 16847870
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Reactions to uncertainty and the accuracy of diagnostic mammography.
Authors: Carney P.A. , Yi J.P. , Abraham L.A. , Miglioretti D.L. , Aiello E.J. , Gerrity M.S. , Reisch L. , Berns E.A. , Sickles E.A. , Elmore J.G. .
Source: Journal Of General Internal Medicine, 2007 Feb; 22(2), p. 234-41.
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Reality Check: Perceived Versus Actual Performance Of Community Mammographers
Authors: Fenton J.J. , Egger J. , Carney P.A. , Cutter G. , D'Orsi C. , Sickles E.A. , Fosse J. , Abraham L. , Taplin S.H. , Barlow W. , et al. .
Source: Ajr. American Journal Of Roentgenology, 2006 Jul; 187(1), p. 42-6.
PMID: 16794153
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Examining Accuracy Of Screening Mammography Using An Event Order Model
Authors: Paliwal P. , Gelfand A.E. , Abraham L. , Barlow W. , Elmore J.G. .
Source: Statistics In Medicine, 2006-01-30 00:00:00.0; 25(2), p. 267-83.
PMID: 16381074
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Does litigation influence medical practice? The influence of community radiologists' medical malpractice perceptions and experience on screening mammography.
Authors: Elmore J.G. , Taplin S.H. , Barlow W.E. , Cutter G.R. , D'Orsi C.J. , Hendrick R.E. , Abraham L.A. , Fosse J.S. , Carney P.A. .
Source: Radiology, 2005 Jul; 236(1), p. 37-46.
PMID: 15987961
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Current Realities Of Delivering Mammography Services In The Community: Do Challenges With Staffing And Scheduling Exist?
Authors: D'Orsi C. , Tu S.P. , Nakano C. , Carney P.A. , Abraham L.A. , Taplin S.H. , Hendrick R.E. , Cutter G.R. , Berns E. , Barlow W.E. , et al. .
Source: Radiology, 2005 May; 235(2), p. 391-5.
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Mammographers' Perception Of Women's Breast Cancer Risk
Authors: Egger J.R. , Cutter G.R. , Carney P.A. , Taplin S.H. , Barlow W.E. , Hendrick R.E. , D'Orsi C.J. , Fosse J.S. , Abraham L. , Elmore J.G. .
Source: Medical Decision Making : An International Journal Of The Society For Medical Decision Making, 2005 May-Jun; 25(3), p. 283-9.
PMID: 15951455
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Community-based Mammography Practice: Services, Charges, And Interpretation Methods
Authors: Hendrick R.E. , Cutter G.R. , Berns E.A. , Nakano C. , Egger J. , Carney P.A. , Abraham L. , Taplin S.H. , D'Orsi C.J. , Barlow W. , et al. .
Source: Ajr. American Journal Of Roentgenology, 2005 Feb; 184(2), p. 433-8.
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Accuracy of screening mammography interpretation by characteristics of radiologists.
Authors: Barlow W.E. , Chi C. , Carney P.A. , Taplin S.H. , D'Orsi C. , Cutter G. , Hendrick R.E. , Elmore J.G. .
Source: Journal Of The National Cancer Institute, 2004-12-15 00:00:00.0; 96(24), p. 1840-50.
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The Association Between Obesity And Screening Mammography Accuracy
Authors: Elmore J.G. , Carney P.A. , Abraham L.A. , Barlow W.E. , Egger J.R. , Fosse J.S. , Cutter G.R. , Hendrick R.E. , D'Orsi C.J. , Paliwal P. , et al. .
Source: Archives Of Internal Medicine, 2004-05-24 00:00:00.0; 164(10), p. 1140-7.
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Radiologist Uncertainty And The Interpretation Of Screening
Authors: Carney P.A. , Elmore J.G. , Abraham L.A. , Gerrity M.S. , Hendrick R.E. , Taplin S.H. , Barlow W.E. , Cutter G.R. , Poplack S.P. , D'Orsi C.J. .
Source: Medical Decision Making : An International Journal Of The Society For Medical Decision Making, 2004 May-Jun; 24(3), p. 255-64.
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International Variation In Screening Mammography Interpretations In Community-based Programs
Authors: Elmore J.G. , Nakano C.Y. , Koepsell T.D. , Desnick L.M. , D'Orsi C.J. , Ransohoff D.F. .
Source: Journal Of The National Cancer Institute, 2003-09-17 00:00:00.0; 95(18), p. 1384-93.
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Screening Mammograms By Community Radiologists: Variability In False-positive Rates
Authors: Elmore J.G. , Miglioretti D.L. , Reisch L.M. , Barton M.B. , Kreuter W. , Christiansen C.L. , Fletcher S.W. .
Source: Journal Of The National Cancer Institute, 2002-09-18 00:00:00.0; 94(18), p. 1373-80.
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