The odds of an improved PPV for correctly identifying a lesion relative to both expert recall ( odds ratio [ OR ] = 1.94 ; 95 % CI , 1.24-3 .05 ; p = 0.004 ) and cancer status ( OR = 1.81 ; 95 % CI , 1.01-3 .23 ; p = 0.045 ) were significantly improved for DVD participants compared with control subjects , with no significant change in specificity .