Comparison Of Diagnostic Accuracy Of BIRADS Score With Pathologic Findings In Breast Lumps

Bn, Navya; Thomas, Shalu; Hiremath, Rudresh; Alva, Sathyavathi R

doi:10.21276/apalm.1124

Cited by 8 publications

(4 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…It is helpful to physicians in predicting the likelihood of cancer. Although mammography is recognized as the best method of screening for breast cancer, breast sonography is now well established as valuable adjunctive imaging technique [20].…”

Section: Resultsmentioning

confidence: 99%

Comparison of BIRADS lexicon to breast biopsy findings in low resource countries

Prabhala

Srirambhatla

Pasula

2022

SR:MS

View full text Add to dashboard Cite

Breast cancer is the most common malignancy in women worldwide and early detection is of utmost importance. In developed countries, mandatory mammographic screening programs help in early detection, whereas, in developing countries cancer is often detected at an advanced stage. The BIRADS guidelines permit a standard approach and follow up for breast lesions. Many newer imaging modalities are being available for better diagnosis. Breast lesions have a varied spectrum and the gold standard for diagnosis of breast cancer is based on histopathological examination of tissue. At times, even on trucut biopsy, it is difficult to categorize the lesion as the tissue studied is limited and some evolving lesions may have overlapping features. As there are limitations to both radiologic and pathologic approaches, the general and accepted way is to combine both modalities to arrive at a diagnosis. The aim: The aim of the study was to find out how well the BIRADS radiological findings correlate with histopathological findings on breast biopsies. Materials and methods: A MEDLINE search for articles published in English language, with key words as breast biopsy histopathology and BIRADS was done for the years between 1985 and 2021. In addition, other cross-referenced articles were also searched for relevant data. Results: There is good correlation between BIRADS category 1, 2 and 5 with the findings on core needle biopsy in breast lumps i.e., good correlation is seen at the end of spectrum of breast lesions in totally benign and unequivocally malignant lesions. But this correlation is lacking in the middle of the spectrum i.e., in borderline/intermediate category of BIRADS. Conclusion: The non-suspicious (BIRADS 1/ 2) and highly suspicious (BIRADS 4C/5) compare very well with the histopathologic findings. It is the grey zone i.e., BIRADS 3/4A which has a wide and variable predictive value for breast cancer when compared with histopathology and imaging study alone is insufficient and mandates histopathology in all such cases

show abstract

Section: Resultsmentioning

confidence: 99%

Comparison of BIRADS lexicon to breast biopsy findings in low resource countries

Prabhala

Srirambhatla

Pasula

2022

SR:MS

View full text Add to dashboard Cite

show abstract

“…Broad variability in the sensitivity of sonomammography for breast lesion diagnosis has been reported ranging between 67% and 97%. 3 A study conducted at Islamabad Diagnostic Centre, Islamabad, determined the Sensitivity, Specificity, PPV, and NPV as 80%, 75%, 82%, 92%, and 54% respectively for ultrasound BI-RADS. 4 The specificity and PPV are analogs with our study while sensitivity and NPV of this study are lower than our study.…”

Section: Discussionmentioning

confidence: 99%

“…1,2 The incidence of breast cancer is >80 per 100,000 population in developed countries which is higher than the developing countries accounting for <40 per 100,000 population. 3 In Asia, Pakistan has the greatest prevalence rate of 50.3/100,000 for breast cancer which is higher than the worldwide prevalence of 43.3/100,000. 4 Mostly, females over 40 years of age are affected but cases are now also reported in younger individuals accounting for up to 7 % of all breast cancers in USA.…”

Section: Introductionmentioning

confidence: 99%

“…Ultrasonography also has an edge on mammography as the sensitivity of mammography is 90% leaving 10% of carcinomas being undetected initially, particularly in a dense breast, which is later on detected by ultrasonography or MRI . 3,5 With the increasing rate of newly diagnosed cases, radiological and pathological findings must show consistent agreement for precise diagnosis of breast lesions. 8 In 2003, a universally accepted data and reporting system named ultrasound lexicon for BI-RADS was developed for uniformity in diagnosing breast lesions among radiologists which was revised in 2013.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Diagnostic Accuracy of Ultrasound Bi-Rads in Diagnosing Breast Lesions Utilizing the Core Needle Biopsy Keeping Histopathology as a Gold Standard

Nisar¹,

Anwar²,

Ihsan³

et al. 2022

JMS

View full text Add to dashboard Cite

Objective: To determine the diagnostic accuracy of Ultrasound BI-RADS classification in diagnosing breast lesions utilizing the core needle biopsy method keeping histopathology as a gold standard. Materials and Methods: A cross-sectional study was conducted in the Radiology department of CMH Peshawar incorporating 51 patients having breast lesions as presenting complaints. After performing ultrasonography, lesions were categorized as benign and malignant according to BI-RADS scoring. A core needle Biopsy of lesions was done and histopathology reports were collected. Diagnostic accuracy, Sensitivity, Specificity, Positive predictive value, and Negative predictive value of “BI-RADS classification were calculated by analyzing data. Results: The mean age was calculated as 45.63+ 16.83 years. According to the BI-RADS score, 17 cases (33.3%) were categorized as benign and 35 cases (66.7%) as malignant while Histopathology reported 20 cases (39.2%) as benign while 31 cases (60.8%) as malignant. Diagnostic accuracy, Sensitivity, Specificity, Positive predictive value, and Negative predictive value for ultrasound BI-RADS turned out to be 90.19%, 96.77 %, 80.00%, 88.23%, and 94.11% and respectively. Conclusion: Ultrasound BI-RADS classification has high diagnostic accuracy in differentiating benign from malignant lesions. Universal application of ultrasound BI-RADS guidelines will help in the early diagnosis of malignant breast lesions while avoiding unnecessary biopsies in benign lesions. Keywords: Breast imaging, Core needle biopsy, Diagnostic accuracy

show abstract

Validity of Ultrasonographic Findings Based on Acr-Birads Scores to Diagnosis Breast Diseases in Sulaimani Breast Disease Treatment Center

Karim¹,

Rashaan²,

Ali³

2019

JSMC

View full text Add to dashboard Cite

Background Breast diseases are common in females all over the world. Breast cancer is the second common causes of concept mortality; early detection of breast cancer promotes outcomes. Objectives To evaluate the validity of ultrasonographic findings based on American College of Radiology Breast-Imaging Reporting and Data System (ACR-BIRADS) in diagnosis of breast diseases, and determine sensitivity and specificity of ultrasonographic finding in breast and axillary lesions in Sulaimani breast disease treatment centre. Materials and Methods This retrospective descriptive study was performed on 427 patients with different breast and axillary lesions at Sulaimani breast disease treatment center, from January 2014 till December of 2018. Ethical consideration by the regulatory bodies was followed. Information was recorded according to inclusion criteria by using a questionnaire paper. Finding of ultrasonography by using ACR-BIRADS system was compared with histopathology reports, The Chi-square test was used and the obtained results were judged statistically significant at P≤0.05, P-value < 0.001 is regarded as highly significant. statistical analysis was performed using statistical package for social science SPSS (version 21). Results Age range was 22-84 years old, average age of participants with the standard deviation was 45.32(±11.763). 128 (30.0%) and 125 (29.3%) of all breast lesions were in the range of BIRADS 5 and 3 respectively. Among 427 cases, most of the breast lesions 222 (52.2%) were malignant on histopathology, while 205 (47.8%) were benign on histopathology. Sensitivity; Specificity of ultrasound for breast was 87.38%, 85.85%, respectively. Also Sensitivity, Specificity of ultrasound for axilla was 78.16%, 10%, respectively. In finding correlation between ACR-BIRADS system and histopathology results using chi square P-value was < 0.001 which is highly significant for both breast and axilla. Conclusions Sensitivity and specificity of using ultrasound based on ACR-BIRADS scores in diagnosis of breast pathology were high; it makes a good way for diagnosis of breast diseases. But using BIRADS ultrasound system as sole investigation in diagnosis of breast pathology is the matter of debate. Using ultrasound based on Sensitivity and specificity for axilla didn’t make it an ideal way for diagnosis of pathological lymph nodes.

show abstract

Comparison Of Diagnostic Accuracy Of BIRADS Score With Pathologic Findings In Breast Lumps

Cited by 8 publications

References 11 publications

Comparison of BIRADS lexicon to breast biopsy findings in low resource countries

Comparison of BIRADS lexicon to breast biopsy findings in low resource countries

Diagnostic Accuracy of Ultrasound Bi-Rads in Diagnosing Breast Lesions Utilizing the Core Needle Biopsy Keeping Histopathology as a Gold Standard

Validity of Ultrasonographic Findings Based on Acr-Birads Scores to Diagnosis Breast Diseases in Sulaimani Breast Disease Treatment Center

Contact Info

Product

Resources

About