Frequently Asked Questions

  1. How do I register?
  2. What is my login/password?
  3. What is the Ziltron login page to access the test sets?
  4. Will the Directors of BREAST know my BREAST Reader Number and identify my results?
  5. Will my Designated Radiologist know my BREAST Reader Number?
  6. Why is my first attempt so important?
  7. Can I do the test set more than once?
  8. How was the ‘truth’ determined?
  9. What happens with my results?
  10. How many cases are there in a test set?
  11. I’ve completed the test set. What now?
  12. Tell me more about CPD points.
  13. Do I have to mark the lesion in both CC and MLO views?
  14. How will my BREAST scores give me information on my recall rate that corresponds with the National Accreditation Standards (NAS) for BreastScreen?
  15. I've run out of time and I won't be able to finish the test rest right now. What do I do?
  16. I've done the test set but when I reach the scores page, I don't see any scores and an Error page appears. Where are my scores?
  17. Will someone in another state know my results?

1. How do I register?

If you're a radiologist or screen reader and would like access to the BREAST test sets, first determine if the BREAST program has been installed at a workstation at your Service. The Designated Radiologist or Clinical Manager/Coordinator will be able to advise you. Next, email the and request to be registered. You will need an email address to register.

Once registered, you will receive 2 emails: 1)From Ziltron with a link to set your password, and 2)From the Program Manager with your private BREAST reader number (which is also your login) and additional instructions.

Please check your spam/trash folder in case Ziltron emails were filtered by your email provider.

2. What is my login/password?

To be reminded of your BREAST Reader Number (which is also your login) click here, OR copy and paste this URL to your browser: http://www.ziltron.com/index.php/username-reminder, and enter your email address. Ziltron will send you an email.

If you have forgotten or lost your password click here OR copy and paste this URL to your browser: http://www.ziltron.com/index.php/password-reset, and enter your email address. Ziltron will send you an email with a link to reset your password.

Please check your spam/trash folder in case Ziltron emails were filtered by your email provider.

3. What is the Ziltron login page to open the test sets?

The URL to login to Ziltron is: www.ziltron.com/ziltron

4. Will the Directors of BREAST know my BREAST Reader Number and identify my results?

No. Only the Project Manager will have access to this confidential information and it will never be divulged to the directors of BREAST. Your State Reader Number will never be linked to your BREAST Reader Number in Ziltron. Please see the Confidentiality page of this site.

5. Will my Designated Radiologist know my BREAST Reader Number?

Your results will be forwarded to the Designated Radiologist of your BreastScreen Service(s), identified only by your BREAST Reader Number. This will form part of your Quality Assurance activities along with the usual audit of such things as your cancer detection rate and recall rates within the BreastScreen Program. The de-identified results will assist in the further development of BREAST and further screen reading test sets. De-identified results may also be used for research with data published in peer reviewed scientific journals, and in the continuous improvement of the quality assurance program of BreastScreen Australia.

6. Why is my first attempt so important?

For the purpose of this study, BREAST will only use the results of your first attempt at each test set for data analysis. It is important that you perform your first test at a BreastScreen workstation with 5 mega pixel viewing monitors to view the mammograms at usual clinical resolution (usually via clinical PACS). You should only use the Ziltron software to record your diagnoses/selections.

7. Can I do the test set more than once?

Yes. After your first attempt, you can login to Ziltron online and do the test from any location as many times as you like using only the Ziltron images, but this may not allow visualization of subtle lesions. Every time you log in to Ziltron you can choose to start a new test or resume a previously opened and unfinished one.

8. How was the ‘truth’ determined?

Verification of True Positive cases has been obtained from surgical pathology. True negative cases have been determined by consensus reads by at least 2 senior radiologists, following a normal screen result by 2 screen readers.

9. What happens with my results?

Yes. The BREAST program will form part of the usual Quality Assurance program of the BreastScreen Service.

10. How many cases are there in a test set?

There are 60 cases in a test set. We recommend that you allow from 1-2 hours to complete the entire set in one session. If at anytime you need to stop a session, you can Log Out of Ziltron and resume your previous session at anytime.

11. I’ve completed the test set. What now?

Your results are automatically recorded in the BREAST system and will be processed for your Services’ QA activities and (the de-identified results) will be stored in a larger data bank for research purposes. Check with your designated radiologist if additional test sets are available
You will receive a comparative performance report and completion certificate from BREAST for each test set you complete and you will be eligible to apply for 30 CPD from RANZCR for participating in this training activity.

12. Tell me more about CPD points.

Sure. You can read about the latest RANZCR Continuing Professional Development (CPD) program requirements by downloading the latest handbook from the College website: http://www.ranzcr.edu.au/cpd/resources/other-cpd-related-information-and-activities/past-ranzcr-cpd-programs/

13. Do I have to mark the lesion in both CC and MLO views?

Please mark all the lesions that you see on both views, even if it is the same lesion. This will improve your Sensitivity score and provide BREAST researchers with valuable information about reader sensitivity in specific views.

14. How will my BREAST scores give me information on my recall rate that corresponds with the National Accreditation Standards (NAS) for BreastScreen?

At present, your BREAST scores cannot be related to NAS. The main role of BREAST is to be an individual self-assessment tool, made possible by Ziltron’s instant feedback on cases. The Performance report supplied by the Project Manager is a comparison of performance with other readers in an anonymised manner. One of the objectives of BREAST is to carry out validation with clinical audit, but this will involve broad comparisons and not precise comparisons. In summary, the current BREAST test sets give no information on recall rates, except as far as specificity relates to recall and false positive recalls.

15. I've run out of time and I won't be able to finish the test rest right now. What do I do?

If you need to walk away from the test set for any reason, simply finish marking the case you are currently on and log out. you can resume your previous session at any time by logging in to Ziltron and selecting "Resume Previous Session". This will put you back onto the next case from the last case you did.

Please remember to note the case ID in Ziltron (eg, "SYDAN") so that you can go to the same case in PACS. Continue to check that the case IDs match between Ziltron and PACS.

16. I've done the test set but when I reach the scores page, I don't see any scores and an Error page appears. Where are my scores?

Please contact the BREAST immediately. This error is due to a momentary loss of internet connection at the workstation at the moment the scores were being calculated. The system will need to be refreshed by Ziltron so that your scores can be displayed.

17. Will someone in another state know my results?

When a readers registers for BREAST, they are given a BREAST reader number. Readers login with this code and all performance data will be linked to this code alone (no names are used). This is the de-identification process we employ to ensure that scores are de-identified, and only de-identified scores are used in our reporting. BREAST will never share the identities of BREAST reader numbers outside of your Service leaders. See Q4 and Q5.