Accuracy of the Fischer scoring system and the Breast Imaging Reporting and Data System in identification of malignant breast lesions

Al-Khawari, Hanaa; Athyal, Reji; Kovacs, Agnes; Al-Saleh, Mervat; Madda, John Patrick

doi:10.1016/s1658-3876(09)50009-x

Cited by 9 publications

(3 citation statements)

References 14 publications

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“…Al-Khawari et al and Tozaki et al showed in their studies that most malignant lesions had diffuse and irregular shape while benign lesions had round or oval shape (16,17).…”

Section: Discussionmentioning

confidence: 97%

“…This is comparable with Al-Khawari et al who reported that most malignant lesions showed ill defined margin while benign lesion showed well defined margin. They also reported that the value of morphologic criteria in the form of shape and margin of the lesion to describe MRI-detected breast lesions has been limited by the lack of a definitive classification scheme (16).…”

Section: Discussionmentioning

confidence: 99%

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Role of diffusion weighted images combined with breast MRI in improving the detection and differentiation of breast lesions

Hetta

2015

The Egyptian Journal of Radiology and Nuclear Medicine

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KEYWORDSBreast masses; Breast cancer; Breast MRI with DWI Abstract Purpose: To assess the impact of diffusion-weighted images as a complementary tool to conventional breast MRI in the evaluation of various breast lesions. Materials and methods: From November 2013 to June 2014 thirty patients referred from breast clinic by breast symptoms and abnormal sono-mammography lesions have been included in this study. All patients underwent breast DCE-MRI combined with DWI and the results were compared with the histopathological examination which was used as the standard diagnostic method. Results: The study included thirty patients complaining of breast lesions, 35 lesions were detected, according to the histopathological analysis, there were 20 malignant lesions (57.14%) and 15 benign lesions (42.86%). DCE-MRI had a sensitivity of 80%, a specificity of 73.33%, PPV of 80%, NPV of 73.3% and accuracy of 77.14%. The malignant lesions showed a mean ADC value of 1.03 ± 0.35. Alternatively, the benign lesions showed a mean ADC value of 1.38 ± 0.26. Among the 20 malignant lesions, 17 lesions showed an ADC value 61.20 mm 2 /s and 3 lesions showed an ADC value >1.20 mm 2 /s. While among the 15 benign lesions, 14 lesions showed ADC value >1.20 mm 2 /s and 1 lesion showed an ADC value 61.20. The ROC curve showed that the best ADC cut-off value to differentiate between benign and malignant lesions was 1.2 mm 2 /s (P < 0.001) with sensitivity, specificity, PPV, NPV and accuracy of 85%, 93.33%, 94.4%, 82.4% and 90.3% respectively. Conclusion: DWI had a higher sensitivity and specificity than DCE-MRI with ADC cut off value 1.20. This value was a sensitive and specific parameter in differentiating benign and malignant breast lesions.

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“…Al-Khawari et al and Tozaki et al showed in their studies that most malignant lesions had diffuse and irregular shape while benign lesions had round or oval shape (16,17).…”

Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

Role of diffusion weighted images combined with breast MRI in improving the detection and differentiation of breast lesions

Hetta

2015

The Egyptian Journal of Radiology and Nuclear Medicine

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“…In our study ultrasonography finding of speculated masses was found to be the feature with the most potential in differentiating malignant lesions from benign with sensitivity 44.4% and specificity 100.0%. As Al-Khawari et al, and Tozaki and Igarashi [11,12] showed in their studies that most malignant lesions had diffuse and irregular shape while benign lesions had round or oval shape.…”

Section: Discussionmentioning

confidence: 89%

Sonomammograhy versus MRI diffusion in evaluation of suspicious breast lesions

mohamed¹,

yakout

Ahmed

2022

Journal of Recent Advances in Medicine

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Background: Breast cancer is the most frequent cancer in women and the second leading cause of death among them. Breast lesions were first categorized as benign or cancerous.Objective: was to highlight the role of noninvasive diagnostic breast modalities including mammography, ultrasound, conventional MRI and MRI diffusion imaging in detection and characterization of suspicious breast lesions.Methodology: It was a hospital based cross sectional study done on total number of 50 female patients presented by breast lump or nipple discharge, some of them were referred from surgical department and others from out-patient clinic to the radiology department at Met Ghamr oncology center, after receiving clearance from the institute's ethical council, the study was carried out for two years, from June 2019 to August 2021. Before being included in the trial, all patients provided informed permission. They were subjected for imaging by digital mammography, ultrasonography and MRI mammography. Results:The study revealed that in the evaluation and description of worrisome breast lesions, MRI mammography plays a leading role over digital mammography and ultrasonography. Conclusion:MRI mammography outperformed digital mammography and ultrasonography regarding of sensitivity, specificity, and diagnostic performance.

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Value of breast MRI for patients with a biopsy showing atypical ductal hyperplasia (ADH)

Tsuchiya

Mori

Schacht

et al. 2017

Magnetic Resonance Imaging

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Accuracy of the Fischer scoring system and the Breast Imaging Reporting and Data System in identification of malignant breast lesions

Cited by 9 publications

References 14 publications

Role of diffusion weighted images combined with breast MRI in improving the detection and differentiation of breast lesions

Role of diffusion weighted images combined with breast MRI in improving the detection and differentiation of breast lesions

Sonomammograhy versus MRI diffusion in evaluation of suspicious breast lesions

Value of breast MRI for patients with a biopsy showing atypical ductal hyperplasia (ADH)

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