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"The overall actual number of women recalled as a result of arbitration was larger for those initially assigned a positive score at mammography plus tomosynthesis. However, the concordant increase in the detection of 24 additional cancers resulted in a similar positive predictive value for the cases ultimately recalled for arbitration.
Because of the paired nature of the current study, these results could be biased against mammography plus tomosynthesis in that some of the dismissed cases initially referred on the basis of mammography alone might not have been dismissed if tomosynthesis had not been available at arbitration."
"These results suggest that, despite the fact that the number of cases assigned a positive score before arbitration and recalled after arbitration was greater with mammography plus tomosynthesis, there was no substantial decrease in the positive predictive value in these patients."
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Comparison of Digital Mammography Alone and Digital Mammography Plus Tomosynthesis in a Population-based Screening Program
Per Skaane, Andriy I. Bandos, Randi Gullien, Ellen B. Eben, Ulrika Ekseth, Unni Haakenaasen, Mina Izadi, Ingvild N. Jebsen, Gunnar Jahr, Mona Krager, Loren T. Niklason, Solveig Hofvind, and David Gur
Radiology Jan 2013; doi: 10.1148/radiol.12121373
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