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Copyright 2009 Society of Photo-Optical Instrumentation Engineers. One print or electronic copy may be made for personal use only. Systematic electronic or print reproduction and distribution, duplication of any material in this paper for a fee or for commercial purposes, or modification of the content of the paper are prohibited.In the UK there are two groups of radiologists who routinely read mammographic cases: Symptomatic and Screening\udRadiologists. We examined the performance of these two film-reading populations, Breast Screening Radiologists and\udSymptomatic Radiologists, to evaluate if there were group differences in their ‘style’ of reading the same set of cases.\udSpecifically we looked at each group’s sensitivity and specificity measures. In addition we investigated if there were\udany individual group differences apparent in the cases which they found challenging and what (if any) were the\udcharacteristics of those cases. Data from 66 Breast Screening Radiologists and a matched group of 66 Symptomatic\udRadiologists were compared over a number of years (360 cases). Results are presented which demonstrate that whilst\udthe two groups show overall similarities in performance there exist subtle underlying differences which we attribute to\udthe differences in their everyday experience of the types of cases that they read. In conclusion, we argue that these\uddifferences are related to the volume of cases which UK Screening Radiologists read in order to maintain skill level

Does mammographic practice affect film reading style: breast screening vs. symptomatic radiologists?