AI workflow lifts generalist mammography performance to breast specialist level

General radiologists using an AI-powered workflow saw breast cancer detection rise from 3.76 to 4.99 per 1,000 screening exams, matching the performance of breast imaging specialists (4.76 per 1,000). In a prospective study across 109 U.S. facilities.

• The AI workflow includes a Safeguard Review that re-evaluates exams flagged by AI but not initially recalled, acting as a safety net.
• Generalists' recall rate increased from 9.06% to 10.4% (14.79% relative increase).
• Specialists showed a similar detection rate with AI (4.76 vs. 4.47 per 1,000), statistically equivalent to AI-assisted generalists (P=0.53).

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