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Assessing and Improving the Interpretation of Breast Images: Workshop Summary (2015)

Chapter: Appendix: Statement of Task andWorkshop Agenda

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Suggested Citation:"Appendix: Statement of Task andWorkshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2015. Assessing and Improving the Interpretation of Breast Images: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21805.
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Appendix


Statement of Task and Workshop Agenda

STATEMENT OF TASK

An ad hoc committee will plan and host a 1.5-day public workshop to examine the evidence regarding interpretive performance in breast cancer screening. The workshop will feature panel discussions and invited presentations from experts in the interpretation of screening mammography to assess the state of the evidence, identify remaining gaps, and examine potential opportunities for advancing research and practice.

Participants will be invited to discuss topics related to

  • the relationship between reader volume and interpretive performance;
  • the relationship between screening and diagnostic volume, and the impact of working up one’s own recalled cases on interpretative performance;
  • performance criteria to identify radiologists who might benefit most from interventions;
  • use of test instruments to assess interpretive performance; and
  • tools and interventions to improve interpretive performance.

The committee will develop the agenda for the workshop sessions, select and invite speakers and discussants, and moderate the discussions. An individually authored workshop summary of the presentations and

Suggested Citation:"Appendix: Statement of Task andWorkshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2015. Assessing and Improving the Interpretation of Breast Images: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21805.
×

discussions at the workshop will be prepared by a designated rapporteur in accordance with institutional guidelines.

WORKSHOP AGENDA

May 12, 2015

7:45 am Registration

8:00 am

Welcome from the National Cancer Policy Forum and the American Cancer Society

  Patricia Ganz, University of California, Los Angeles, Vice Chair, National Cancer Policy Forum
  Robert Smith, American Cancer Society

 

Overview and Goals of the Workshop

  Diana Buist, Group Health Research Institute Planning Committee Chair

 

Overview of the 2005 IOM Consensus Report Improving Breast Imaging Quality Standards

  Etta Pisano, Medical University of South Carolina

8:45 am

Session 1: Challenges in the Delivery of High-Quality Mammography

  Moderator: Barbara Monsees, Washington University School of Medicine

 

Overview of Current Challenges

  Barbara Monsees, Washington University School of Medicine

 

Geographic Access, Equity, and Impact on Quality

  Tracy Onega, Dartmouth Medical School

 

Audits and the National Mammography Database

  Carl D’Orsi, Emory Healthcare

 

Group Discussion

Suggested Citation:"Appendix: Statement of Task andWorkshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2015. Assessing and Improving the Interpretation of Breast Images: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21805.
×

10:30 am

Break

10:45 am

Session 2: Training/Experience and Interpretive Performance

  Moderator: Diana Buist, Group Health Research Institute

 

U.S. and International Variation in Volume and Performance Measures

  Diana Buist, Group Health Research Institute

 

Interpretive Volume and Accuracy in Canada

  Isabelle Théberge, National Public Health Institute, Quebec

 

The Role of Specialist Radiology Technologists

  Louise Henderson, University of North Carolina School of Medicine

 

Residency Requirements and Board Certification and Maintenance

  Debra Monticciolo, Texas A&M College of Medicine

 

Group Discussion

12:30 pm

Lunch Break

1:15 pm

Session 3: Identifying Radiologists and Facilities That Would Benefit from Intervention

  Moderator: Diana Miglioretti, University of California, Davis

 

Diagnostic and Screening Aspects

  Patricia Carney, Oregon Health & Science University and the Knight Cancer Institute

 

Joint Criteria and Confidence Interval-Based Approaches

  Diana Miglioretti, University of California, Davis
Suggested Citation:"Appendix: Statement of Task andWorkshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2015. Assessing and Improving the Interpretation of Breast Images: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21805.
×

 

Identifying Facilities Through CMS Data

  Rebecca Hubbard, University of Pennsylvania School of Medicine

 

Group Discussion

3:00 pm

Break

3:15 pm

Session 4: Test Instruments to Assess Interpretive Performance: Challenges and Opportunities

  Moderator: Lora Barke, Radiology Imaging Associates

 

Overview of Test Set Design and Use

  Robert Smith, American Cancer Society

 

Overview of International Test Sets

  Mireille Broeders, Dutch Reference Center for Screening

 

Panel Discussion:

  Session speakers and Matthew Wallis, Cambridge and Huntington Breast Screening Service

 

Group Discussion

4:30 pm

Wrap-Up Day 1 and Adjourn

May 13, 2015

8:00 am Registration

8:30 am

Session 5: Tools and Interventions to Improve Interpretive Performance

  Moderator: Patricia Carney, Oregon Health & Science University Cancer Institute

 

Educational Interventions to Improve Screening

  Berta Geller, University of Vermont
Suggested Citation:"Appendix: Statement of Task andWorkshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2015. Assessing and Improving the Interpretation of Breast Images: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21805.
×

 

Thresholds for Performance

  Matthew Wallis, Cambridge and Huntington Breast Screening Service

 

Panel Discussion:

  Session speakers and Mireille Broeders, Dutch Reference Center for Screening Carl D’Orsi, Emory Healthcare

 

Group Discussion

10:00 am

Break

10:15 am

Session 6: Reactor Panel: Potential Solutions to Current Challenges

  Moderator: Susan Dentzer, Robert Wood Johnson Foundation

 

Panelists:

  Lora Barke, Radiology Imaging Associates
  Helen Barr, Food and Drug Administration
  Bryan Loy, Humana
  Barbara Monsees, Washington University School of Medicine
  Dana Smetherman, Ochsner Health System
  Robert Smith, American Cancer Society
  Kelly Walborn, Patient Advocate

 

Group Discussion

11:45 am

Workshop Wrap-Up

  Diana Buist, Group Health Research Institute

12:00 pm

Adjourn

Suggested Citation:"Appendix: Statement of Task andWorkshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2015. Assessing and Improving the Interpretation of Breast Images: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21805.
×

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Suggested Citation:"Appendix: Statement of Task andWorkshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2015. Assessing and Improving the Interpretation of Breast Images: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21805.
×
Page 69
Suggested Citation:"Appendix: Statement of Task andWorkshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2015. Assessing and Improving the Interpretation of Breast Images: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21805.
×
Page 70
Suggested Citation:"Appendix: Statement of Task andWorkshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2015. Assessing and Improving the Interpretation of Breast Images: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21805.
×
Page 71
Suggested Citation:"Appendix: Statement of Task andWorkshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2015. Assessing and Improving the Interpretation of Breast Images: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21805.
×
Page 72
Suggested Citation:"Appendix: Statement of Task andWorkshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2015. Assessing and Improving the Interpretation of Breast Images: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21805.
×
Page 73
Suggested Citation:"Appendix: Statement of Task andWorkshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2015. Assessing and Improving the Interpretation of Breast Images: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21805.
×
Page 74
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Millions of women undergo screening mammography regularly with the hope of detecting breast cancer at an earlier and more curable stage. But the ability of such screening to accurately detect early cancers depends on the quality of mammography, including high-quality image acquisition and interpretation. To help ensure the quality of mammography, Congress passed the Mammography Quality Standards Act (MQSA) in 1994 and last reauthorized it in 2004. In advance of its expected reauthorization in 2007, Congress requested a consensus study from the Institute of Medicine (IOM) recommending ways to improve the quality of mammography, with an emphasis on image interpretation. The resulting report, Improving Breast Imaging Quality Standards, highlighted the need to decrease variability in mammography interpretation in the United States and identified gaps in the evidence needed to develop best practices. The consensus committee found that mammography interpretation remained quite variable, and that this variability limited the full potential of mammography to reduce breast cancer mortality by detecting breast cancers at an early stage.

In May 2015, the IOM convened a workshop to address this issue. The participants discussed challenges in the delivery of high-quality mammography, the impact of training and experience on interpretive performance, how best to measure interpretive performance, and the potential impact of new technologies and supplemental imaging on interpretation of breast screening and diagnostic images. Assessing and Improving the Interpretation of Breast Images summarizes the presentations and discussions from this workshop.

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