PURPOSE: To assesses consensus review of discordant screening mammography findings in terms of its sensitivity, safety, and effect on overall performance in the first 6 years of operation of the Irish National Breast Screening Program (NBSP). MATERIALS AND METHODS: @entity1 who participated in the Irish NBSP gave written informed consent for use of their data for auditing purposes. Local ethics committee approval was obtained. The study population consisted of @entity1 who participated in the Irish NBSP and underwent initial screening mammography at one of the two screening centers serving the eastern part of Ireland between 2000 and 2005. Independent double reading of mammograms was performed. When the readers disagreed regarding referral, the case was reviewed by a consensus panel. Of the 128 569 screenings performed, 1335 (1%) were discussed by consensus. RESULTS: Of the 1335 cases discussed by consensus, 606 (45.39%) were recalled for further assessment. This resulted in an overall recall rate of 4.41%. In those recalled to assessment, 71 cases of @entity5 were diagnosed ( @entity513 in situ, n = 24; invasive @entity5 , n = 47). The remaining 729 @entity1 were returned to biennial screening. Of these 729 @entity1 , seven had false-negative findings that were identified in the subsequent screening round. Use of the highest reader recall method, in which a @entity1 is recalled if her findings are deemed abnormal by either reader, could potentially increase the @entity5 detection rate by 0.6 per 1000 @entity1 screened but would increase the recall rate by 12.69% and the number of false-positive findings by 15.37%. CONCLUSION: The consensus panel identified 71 (7.33%) of 968 @entity5 diagnosed. Consensus review substantially reduced the number of cases recalled and was associated with a low false-negative rate.

Consensus review of discordant findings maximizes XXXX detection rate in double-reader screening mammography: Irish National Breast Screening Program experience.

@entity1 :: ('9606', 'Species') :: ['women', 'patients', 'Women', 'patient'] @entity513 :: ('MESH:D044584', 'Disease') :: ['ductal carcinoma'] @entity5 :: ('MESH:D009369', 'Disease') :: ['malignant disease', 'cancers', 'cancer']
@entity5 :: (MESH:D009369,Disease) :: ['cancer']
