PMID- 32909674
OWN - NLM
STAT- MEDLINE
DCOM- 20211126
LR  - 20211126
IS  - 1743-7563 (Electronic)
IS  - 1743-7555 (Linking)
VI  - 17
IP  - 5
DP  - 2021 Oct
TI  - Mammographic interpretation in Vietnam: Tailored educational strategies are 
      needed to increase clinicians' expertise.
PG  - e212-e216
LID - 10.1111/ajco.13436 [doi]
AB  - AIM: Breast cancer incidence is rapidly increasing throughout South East Asia, 
      highlighting the need for high-quality early diagnosis and treatment. This study 
      aims to investigate the efficacy of mammography detection in Hanoi and Ho Chi 
      Minh City (HCMC), Vietnam, using data from Australian radiologists as a 
      benchmark; factors that influence performance will be highlighted. METHODS: A 
      total of 53, 35 and 52 clinicians from Australia, HCMC and Hanoi, respectively, 
      examined and diagnosed a test set of 60 mammograms, 20 of which contained 
      cancers. Each clinician completed an accompanying questionnaire establishing 
      demographic and experiential characteristics. The performance metrics of 
      specificity, sensitivity, area under the receiver operating characteristic curve 
      (AUC), location sensitivity and Jackknife free-response ROC (JAFROC) figure of 
      merit were used to evaluate clinicians performance. Mann-Whitney and 
      Kruskal-Wallis statistical methods were employed to establish significance. 
      RESULTS: Vietnamese radiologists demonstrated significantly lower sensitivity, 
      AUC, lesion sensitivity and JAFROC scores compared to Australian radiologists. 
      There was no difference in performance between clinicians from Hanoi and HCMC. 
      However, certain performance features (older and more experienced clinicians 
      compared with their younger, less experienced counterparts, readers who read more 
      compared with fewer mammograms per week, clinicians with greater radiological 
      experience and clinicians that completed a fellowship) demonstrated significantly 
      better performances. CONCLUSIONS: The significant difference in diagnostic 
      efficacy of mammograms between Vietnam and Australia identifies the need for 
      improvements in breast radiology training, management and practice. 
      Cost-effective solutions are available that can improve the reading efficacy of 
      clinicians, and consequently health outcomes for Vietnamese women.
CI  - (c) 2020 John Wiley & Sons Australia, Ltd.
FAU - Caspar, Felix
AU  - Caspar F
AD  - St Matthews Catholic School, Mudgee, New South Wales, Australia.
FAU - Copps, Emily
AU  - Copps E
AD  - St Matthews Catholic School, Mudgee, New South Wales, Australia.
FAU - Diplas, Adrienne
AU  - Diplas A
AD  - St Matthews Catholic School, Mudgee, New South Wales, Australia.
FAU - Hackney, Logan
AU  - Hackney L
AD  - St Matthews Catholic School, Mudgee, New South Wales, Australia.
FAU - Jackson, Kyle
AU  - Jackson K
AD  - St Matthews Catholic School, Mudgee, New South Wales, Australia.
FAU - Kearins, Imogen
AU  - Kearins I
AD  - St Matthews Catholic School, Mudgee, New South Wales, Australia.
FAU - Lynch, Marcus
AU  - Lynch M
AD  - St Matthews Catholic School, Mudgee, New South Wales, Australia.
FAU - McPherson, Dominique
AU  - McPherson D
AD  - St Matthews Catholic School, Mudgee, New South Wales, Australia.
FAU - Pisconeri, Bellah
AU  - Pisconeri B
AD  - St Matthews Catholic School, Mudgee, New South Wales, Australia.
FAU - Purkiss, Zara
AU  - Purkiss Z
AD  - St Matthews Catholic School, Mudgee, New South Wales, Australia.
FAU - Thomas, Lucy
AU  - Thomas L
AD  - St Matthews Catholic School, Mudgee, New South Wales, Australia.
FAU - Colley, Brooke
AU  - Colley B
AD  - St Matthews Catholic School, Mudgee, New South Wales, Australia.
FAU - Tapia, Kriscia
AU  - Tapia K
AD  - Faculty of Health Sciences, The University of Sydney, Sydney, New South Wales, 
      Australia.
FAU - Ho, Karen
AU  - Ho K
AD  - Bach Mai Hospital, Hanoi, Vietnam.
FAU - Yun Trieu, Phuong Dung
AU  - Yun Trieu PD
AD  - Faculty of Health Sciences, The University of Sydney, Sydney, New South Wales, 
      Australia.
FAU - Brennan, Patrick
AU  - Brennan P
AD  - Faculty of Health Sciences, The University of Sydney, Sydney, New South Wales, 
      Australia.
FAU - Puslednik, Louise
AU  - Puslednik L
AUID- ORCID: 0000-0002-2589-1298
AD  - St Matthews Catholic School, Mudgee, New South Wales, Australia.
AD  - Faculty of Health Sciences, The University of Sydney, Sydney, New South Wales, 
      Australia.
LA  - eng
GR  - IF-12-02/National Breast Cancer Foundation/
GR  - 2018-2021/Australian Department of Health/
GR  - 2018-2021/Cancer Institute NSW/
GR  - 2016-2019/Sydney Southeast Asia Centre/
PT  - Journal Article
DEP - 20200910
PL  - Australia
TA  - Asia Pac J Clin Oncol
JT  - Asia-Pacific journal of clinical oncology
JID - 101241430
SB  - IM
MH  - Australia
MH  - *Breast Neoplasms/diagnostic imaging
MH  - Female
MH  - Humans
MH  - *Mammography
MH  - Observer Variation
MH  - Sensitivity and Specificity
MH  - Vietnam
OTO - NOTNLM
OT  - breast cancer
OT  - diagnosis
OT  - experience
OT  - health equity
OT  - radiology
EDAT- 2020/09/11 06:00
MHDA- 2021/11/27 06:00
CRDT- 2020/09/10 08:44
PHST- 2020/03/14 00:00 [received]
PHST- 2020/07/10 00:00 [accepted]
PHST- 2020/09/11 06:00 [pubmed]
PHST- 2021/11/27 06:00 [medline]
PHST- 2020/09/10 08:44 [entrez]
AID - 10.1111/ajco.13436 [doi]
PST - ppublish
SO  - Asia Pac J Clin Oncol. 2021 Oct;17(5):e212-e216. doi: 10.1111/ajco.13436. Epub 
      2020 Sep 10.