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Double-checking a life-saver

May 15, 2001

Tim Willert

GLENDALE -- Call it "spell-check" for radiologists.

Except these doctors aren't correcting spelling errors, they're trying

to detect early signs of breast cancer.

Since January, Glendale Adventist Hospital radiologists have used a

new computer-assisted detection system called an ImageChecker. The device

recognizes minute calcium deposits or very subtle masses that can escape

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the radiologist's eye during a standard mammogram.

"It uses artificial intelligence to review the scanned image of the

mammogram by computer in order to detect suspicious masses or

calcification," said Dr. Alan Miyamoto, a radiologist at Glendale

Adventist. "The Image Checker helps find the subtle features that might

make a benign lesion become suspicious."

The system, which was developed by R2 Technology, a Los Altos-based

company, works with the regular X-ray image taken in a mammogram.

The film is run through a computer processor that creates a digital

image. The computer, which is trained to recognize certain subtle

patterns, scans the image and marks suspicious areas, indicating places

that deserve a second look.

"It's like a double check or a spell-checker on a word processor,"

said Jimmy Roehrig, chief science officer for R2 Technology. "This

machine is something that doesn't get tired; it keeps pointing out the

same sorts of things over and over again."

Glendale Adventist paid $200,000 for the ImageChecker -- approved in

1998 by the Food and Drug Administration -- and is the only hospital in

L.A. County using the system.

During FDA testing, the ImageChecker caught up to 85% of cancerous

lesions that were missed during standard mammograms a year earlier,

Roehrig said.

"It means a very high degree of performance on our part, and a high

degree of confidence on the patient's part," Miyamoto said.

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