Research Article

Image Quality of Digital Direct Flat-Panel Mammography Versus an Indirect Small-Field CCD Technique Using a High-Contrast Phantom

Table 1

Correct notations by the 4 raters for all quadrants on the 48 transparent films (768 observations per imaging technique).
(a) Correct notations as a function of the number of silica beads

Gold standard: number of silica beads [class]Number of correct ratings [ 𝑁 (%)]Quadrants rated [ 𝑁 (%)]
Digital Mammography1024 CCD512 CCD

0131 (83.97)143 (91.67)152 (97.44)156 (100.0)
1–413 (54.17)12 (50.00)11 (45.83)24 (100.0)
5–992 (63.89)102 (70.83)95 (65.97)144 (100.0)
10–19160 (62.50)161 (62.89)164 (64.06)256 (100.0)
20–3926 (36.11)30 (241.67)23 (31.94)72 (100.0)
40+31 (27.68)26 (23.21)19 (16.96)112 (100.0)

Total453 (59.29)474 (62.04)464 (60.73)764 (100.0)

Kappa0.490.520.50
( 𝑃 value) < .0001 < .0001 < .0001

(b) Correct mentions as a function of size

Gold standard: diameters of the silica beads [ 𝜇 m]Number of correct ratings [ 𝑁 (%)]Quadrants rated [ 𝑁 (%)]
Digital Mammography1024 CCD512 CCD

0118 (62.77)108 (57.45)82 (44.62)188 (100.0)
100–19988 (64.71)88 (64.71)68 (50.00)136 (100.0)
200–399153 (78.06)156 (79.59)138 (70.41)196 (100.0)
400–59981 (88.04)78 (84.78)75 (81.52)92 (100.0)
600+131 (83.97)143 (91.67)152 (1897.44)156 (100.0)

Total571 (74.35)573 (74.61)515 (67.06)768 (100.0)

Kappa0.680.680.59
( 𝑃 value)( < .0001)( < .0001)( < .0001)