@article { author = {Jackson, Rhianna L and Double, Callan R and Munro, Hayden J and Lynch, Jessica and Tapia, Kriscia A and Trieu, Phuong Dung and Alakhras, Maram and Ganesan, Aarthi and Do, Thuan Doan and Soh, Baolin Pauline and Brennan, Patrick C and Puslednik, Louise}, title = {Breast Cancer Diagnostic Efficacy in a Developing South-East Asian Country}, journal = {Asian Pacific Journal of Cancer Prevention}, volume = {20}, number = {3}, pages = {727-731}, year = {2019}, publisher = {West Asia Organization for Cancer Prevention (WAOCP), APOCP's West Asia Chapter.}, issn = {1513-7368}, eissn = {2476-762X}, doi = {10.31557/APJCP.2019.20.3.727}, abstract = {Background: Breast cancer, is increasing in prevalence amongst South East (SE) Asian women, highlighting theneed for high quality, early diagnoses. This study investigated radiologists’ detection efficacy in a developing (DC)and developed (DDC) SE Asian country, as compared to Australian radiologists. Methods: Using a test-set of 60mammographic cases, 20 containing cancer, JAFROC figures of merit (FOM) and ROC area under the curves (AUC)were calculated as well as location sensitivity, sensitivity and specificity. The test set was examined by 35, 15, and53 radiologists from DC, a DDC and Australia, respectively. Results: DC radiologists, compared to both groups ofcounterparts, demonstrated significantly lower JAFROC FOM, ROC AUC and specificity scores. DC radiologists hada significantly lower location sensitivity than Australian radiologists. DC radiologists also demonstrated significantlylower values for age, hours of reading per week, and years of mammography experience when compared with otherradiologists. Conclusion: Significant differences in breast cancer detection parameters can be attributed to the experienceof DC radiologists. The development of inexpensive, innovative, interactive training programs are discussed. This nonuniformlevel of breast cancer detection between countries must be addressed to achieve the World Health Organisationgoal of health equity.}, keywords = {Detection,experience,Geographical location,mammography,radiologists}, url = {https://journal.waocp.org/article_82658.html}, eprint = {https://journal.waocp.org/article_82658_43629f4bc0fb6448d5e2eb028693c317.pdf} }