Standalone AI | AI-integrated screening | |||||
---|---|---|---|---|---|---|
First reader | AIsens | AIspec | Combined reading | Integrated AIsens | Integrated AIspec | |
All cancers (n = 2041) | 1301 (63.7); ref. | 1301 (63.7); >0.99 | 1197 (58.7); <0.0001 | 1509 (73.9); ref. | 1555 (76.2); 0.0004 | 1522 (74.6); 0.33 |
Screen-detected cancers (n = 1479) | 1262 (85.3); ref. | 1162 (78.6); <0.0001 | 1088 (73.6); <0.0001 | 1479 (100.0); ref. | 1425 (96.4); <0.0001 | 1413 (95.5); <0.0001 |
Interval cancers (n = 562) < 12 months after screening (n = 170) ≥ 12 months after screening (n = 392) | 39 (6.9); ref. 13 (7.7); ref. 26 (6.6); ref. | 139 (24.7); <0.0001 43 (25.3); <0.0001 96 (24.5); <0.0001 | 109 (19.4); <0.0001 36 (21.2); <0.0001 73 (18.6); 0.0002 | 30 (5.3); ref. 14 (8.2); ref. 16 (4.1); ref. | 130 (23.1); <0.0001 47 (27.7); <0.0001 83 (21.2); 0.0001 | 109 (19.4); <0.0001 41 (24.1); <0.0001 68 (17.4); <0.0001 |
Histological subtype | ||||||
Invasive ductal (n = 1393) Invasive lobular (n = 222) Other invasive (n = 215) Ductal carcinoma in situ (n = 211) | 905 (65.0); ref. 117 (52.7); ref. 103 (47.9); ref. 176 (83.4); ref. | 907 (65.1); 0.96 128 (57.7); 0.19 87 (40.5); 0.052 179 (84.8); 0.78 | 833 (59.8); 0.0002 114 (51.4); 0.79 79 (36.7); 0.003 171 (81.0); 0.60 | 1034 (74.2); ref. 143 (64.4); ref. 121 (56.3); ref. 211 (100.0); ref. | 1072 (77.0); 0.001 154 (69.4); 0.03 122 (56.7); >0.99 207 (98.1); 0.13 | 1053 (75.6); 0.08 145 (65.3); 0.82 122 (56.7); >0.99 202 (95.7); 0.004 |
Tumour size* | ||||||
0–10 mm (n = 577) 11–20 mm (n = 790) 21–50 mm (n = 380) 51 + mm (n = 49) Unknown (n = 34) | 399 (69.2); ref. 521 (66.0); ref. 174 (45.8); ref. 17 (34.7); ref. 14 (41.2); ref. | 379 (65.7); 0.15 513 (64.9); 0.59 194 (51.1); 0.05 26 (53.1); 0.02 10 (29.4); 0.34 | 342 (59.3); <0.0001 475 (60.1); 0.001 177 (46.6); 0.84 23 (49.9); 0.11 9 (26.5); 0.23 | 496 (86.0); ref. 581 (73.5); ref. 189 (49.7); ref. 18 (36.7); ref. 14 (41.2); ref. | 484 (83.9); 0.10 598 (75.7); 0.04 226 (59.5); <0.0001 24 (49.0); 0.07 16 (47.1); 0.63 | 482 (83.5); 0.04 583 (73.8); 0.89 216 (56.8); <0.0001 22 (44.9); 0.22 17 (50.0); 0.30† |
Malignancy grade* | ||||||
Grade 1 (n = 507) Grade 2 (n = 815) Grade 3 (n = 358) Unknown (n = 150) | 331 (65.3); ref. 520 (63.8); ref. 193 (53.9); ref. 81 (54.0); ref. | 359 (70.8); 0.02 526 (64.5); 0.73 174 (48.6); 0.05 63 (42.0); 0.01 | 324 (63.9); 0.60 487 (59.8); 0.03 157 (43.9); 0.0002 58 (38.7); 0.001 | 410 (80.9); ref. 587 (72.0); ref. 202 (56.4); ref. 99 (66.0); ref. | 418 (82.5); 0.23 617 (75.7); 0.001 217 (60.6); 0.01 96 (64.0); 0.58 | 410 (80.9); 1.00 605 (74.2); 0.04 208 (58.1); 0.33 97 (64.7); 0.73 |
TNM stage* | ||||||
Local (I + II) (n = 1761) Locally advanced (III) (n = 44) Distant metastasis (IV) (n = 20) Unknown (n = 5) | 1105 (62.8); ref. 15 (34.1); ref. 4 (20.0); ref. 1 (20.0); ref. | 1100 (62.5); 0.85 14 (31.8); 1.00 7 (35.0); 0.10† 1 (20.0); 1.00† | 1006 (57.1); <0.0001 13 (29.6); 0.73 6 (30.0); 0.63 1 (20.0); 1.00† | 1280 (72.7); ref. 13 (30.0); ref. 4 (20.0); ref. 1 (20.0); ref. | 1324 (75.2); 0.0004 16 (36.4); 0.38 7 (35.0); 0.10† 1 (20.0); 1.00† | 1296 (73.6); 0.20 16 (36.4); 0.32† 7 (35.0); 0.10† 1 (20.0); 1.00† |
Lymph node positivity* | ||||||
No (n = 1340) Yes (n = 490) | 840 (62.7); ref. 285 (58.2); ref. | 826 (61.6); 0.48 296 (60.4); 0.38 | 759 (56.6); <0.0001 267 (54.5); 0.13 | 984 (73.4); ref. 314 (64.1); ref. | 1005 (75.0); 0.05 343 (70.0); 0.0001 | 992 (74.0); 0.47 328 (66.9); 0.06 |
ER positivity* | ||||||
0% (n = 207) 1–9% (n = 98) 10–100% (n = 1514) Unknown (n = 11) | 96 (46.4); ref. 46 (46.9); ref. 977 (64.5); ref. 6 (54.6); ref. | 75 (36.2); 0.003 38 (38.8); 0.22 1003 (66.3); 0.20 6 (54.6); 1.00 | 67 (32.4); <0.0001 33 (33.7); 0.04 920 (60.8); 0.005 6 (54.6); 1.00 | 102 (49.3); ref. 49 (50.0); ref. 1140 (75.3); ref. 7 (63.6); ref. | 100 (48.3); 0.82 57 (58.2); 0.02 1183 (78.1); 0.0002 8 (72.7); 0.76† | 101 (48.8); 1.00 51 (52.0); 0.75 1160 (76.6); 0.08 8 (72.7); 0.76† |
HER2 status* | ||||||
Negative (n = 1581) Positive (n = 225) Unknown (n = 24) | 992 (62.8); ref. 123 (54.7); ref. 10 (41.7); ref. | 986 (62.4); 0.81 128 (56.9); 0.55 8 (33.3); 0.69 | 902 (57.1); <0.0001 116 (51.6); 0.37 8 (33.3); 0.69 | 1151 (72.8); ref. 135 (60.0); ref. 12 (50.0); ref. | 1194 (75.5); 0.0003 142 (63.1); 0.21 12 (50.0); 1.00 | 1168 (73.9); 0.15 140 (62.2); 0.33 12 (50.0); 1.00 |