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OUTCOMES Reader overall performance to anticipate upstaging ranged from an area underneath the receiver operating characteristic curve (AUC) of 0.541-0.684 with a mean AUC of 0.620 (95%Cwe 0.489-0.751). Performances enhanced for lesions smaller than 2 cm (AUC 0.676 vs 0.500; p = 0.002). The exclusion of microinvasive cases also enhanced performance (AUC 0.651 vs 0.620; p = 0.005). There was no difference between overall performance predicated on breast thickness (p = 0.8