Exploring the Negative Likelihood Ratio and How It Can Be Used to Minimize False-Positives in Breast Imaging.

Yang, Wei T; Parikh, Jay R; Stavros, A Thomas; Otto, Pam; Maislin, Greg · AJR Am J Roentgenol · 2018

expert_opinion · Level V

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Abstract

This article describes the definition and proposed utilization of negative likelihood ratios (NLRs) as statistical parameters in breast imaging. Examples with calculations are provided using BI-RADS category 4 subcategories. By auditing individual performance early and often against American College of Radiology benchmark positive predictive value ranges for the BI-RADS category 4 subcategories, and by fully understanding NLRs and their application in breast imaging, radiologists can minimize false-positive findings and unnecessary biopsies.

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