AI workflow brings general radiologists' screening mammography cancer detection up to specialist level

General radiologists' cancer detection rate rose from 3.76 to 4.99 per 1000 exams (P<.001) with an AI workflow, matching specialists' 4.76/1000 (P=.53). Recall PPV improved (3.38% to 3.89%, P=.02).

• The multistage AI workflow included CAD and a “Safeguard Review” that flagged suspicious exams not recalled for additional expert review.
• For generalists, recall rate increased relatively by 14.79% (9.06% to 10.40%, P=.007) but PPV improved, indicating more efficient cancer detection.
• Specialists showed no significant change in cancer detection rate or PPV with the AI workflow.

Automated summary

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