Exploring the negative likelihood ratio and how it can be used to minimize false-positives in breast imaging

Wei T. Yang, Jay R. Parikh, A. Thomas Stavros, Pam Otto, Greg Maislin

    Research output: Contribution to journalReview articlepeer-review

    9 Scopus citations

    Abstract

    OBJECTIVE. This article describes the defnition 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. CONCLUSION. 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 fndings and unnecessary biopsies.

    Original languageEnglish (US)
    Pages (from-to)301-306
    Number of pages6
    JournalAmerican Journal of Roentgenology
    Volume210
    Issue number2
    DOIs
    StatePublished - Feb 2018

    Keywords

    • BI-RADS
    • Bayes theorem
    • Breast imaging biopsy
    • Negative likelihood ratio
    • Posttest probability
    • Pretest probability

    ASJC Scopus subject areas

    • Radiology Nuclear Medicine and imaging

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