The breast imaging reporting and data system: positive predictive value of mammographic features and final assessment categories.

Liberman, Laura; Abramson, A F; Squires, Fredric; Glassman, Jill R.; Morris, Elizabeth A.; Dershaw, D. David

doi:10.2214/ajr.171.1.9648759

Cited by 407 publications

(317 citation statements)

References 13 publications

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“…The prevalence of malignancies among the lesions radiologically classified as BIRADS 5 was 100% in the study by Tonegutti, 79% in the study by Mendez, 92% in Liberman's study and 90% in Tate's study (Liberman et al, 1998;Tate et al, 2001;Mendez et al, 2003;Tonegutti and Girardi, 2008). In our study, the pathology results of all the lesions assessed as BIRADS 5 were malignant.…”

Section: Discussionsupporting

confidence: 47%

“…The ratio of malignancies varies in the pathology results of BIRADS 4 lesions after SVC biopsies between 4% and 18% (Liberman et al, 1998;Tate et al, 2001;Mendez et al, 2004). In the study by Tonegutti et al, the prevalence of malignancy among BIRADS 4a lesions was 14%, and rose to 92% when the BIRADS 4b and BIRADS 5 lesions were evaluated together (Tonegutti and Girardi 2008).…”

Section: Discussionmentioning

confidence: 99%

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Stereotactic Vacuum-Assisted Core Biopsy Results for Non-Palpable Breast Lesions

Agacayak¹,

Ozturk²,

Bozdogan³

et al. 2014

Asian Pacific Journal of Cancer Prevention

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Background: The increase in breast cancer awareness and widespread use of mammographic screening has led to an increased detection of (non-palpable) breast cancers that cannot be discovered through physical examination. One of the methods used in the diagnosis of these cancers is vacuum-assisted core biopsy, which prevents a considerable number of patients from undergoing surgical procedures. The aim of this study was to present the results of stereotactic vacuum-assisted core biopsy for suspicious breast lesions. Materials and Methods: Files were retrospectively scanned and data on demographic, radiological and pathological findings were recorded for patients who underwent stereotactic vacuum-assisted core biopsy due to suspicious mammographic findings at the Interventional Radiology Centre of the Florence Nightingale Hospital between January 2010, and April 2013. Statistical analysis was carried out using Pearson's Chi-square, continuity correction, and Fisher's exact tests. Results: The mean age of the patients was 47 years (range: 36-70). Biopsies were performed due to BIRADS 3 lesions in 8 patients, BIRADS 4 lesions in 77 patients, and BIRADS 5 lesions in 3 patients. Mammography elucidated clusters of microcalcifications in 73 patients (83%) and focal lesions (asymmetrical density, distortion) in 15 patients (17%). In terms of complications, 1 patient had a hematoma, and 2 patients had ecchymoses (3/88; 3.3%). The histopathologic results revealed benign lesions in 63 patients (71.6%) and malignant lesions in 25 patients (28.4%). The mean duration of the procedure was 37 minutes (range: 18-55).Although all of the BIRADS 3 lesions were benign, 22 (28.6%) of the BIRADS 4 lesions and all of the BIRADS 5 lesions were malignant. Among the malignant cases, 80% were in situ, and 20% were invasive carcinomas. These patients underwent surgery. Conclusions: In cases where non-palpable breast lesions are considered to be suspicious in mammography scans, the vacuum-assisted core biopsy method provides an accurate histopathologic diagnosis thus preventing a significant number of patients undergoing unnecessary surgical procedures.

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Section: Discussionsupporting

confidence: 47%

Section: Discussionmentioning

confidence: 99%

Stereotactic Vacuum-Assisted Core Biopsy Results for Non-Palpable Breast Lesions

Agacayak¹,

Ozturk²,

Bozdogan³

et al. 2014

Asian Pacific Journal of Cancer Prevention

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“…The BI-RADS lexicon was first developed in 1993 for reporting mammography. Since its establishment, several studies have found that it can be helpful to physicians in predicting the likelihood of cancer [11,12,17] . The current study found out a very high sensitivity of BI-RADS V & BI-RADS IV &V (93 %& 96.6%) and specificity (100 %& 76.2%) of BIRADS respectively, in the diagnosis of breast cancer.…”

Section: Discussionmentioning

confidence: 99%

“…Studies investigating the positive predictive value (PPV) of mammographic features described in the mammography BI-RADS lexicon have found it to be useful in differentiating between benign and malignant breast lesions [11,12] . Despite several positive reports on the mammographic distinction between benign and malignant breast lesion [13][14][15] , No one with BI-RADS score of 0, I, and II was there in the study.…”

Section: Introductionmentioning

confidence: 99%

Efficacy of Mammography in Detecting Breast Masses Using Histopathology as Gold Standard

Kurien¹

2017

jmscr

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“…In the context of mammography, a well established reporting scheme such as the American College of Radiology's BI-RADS (Breast Imaging Reporting and Data System) [20] is a common choice by system developers [4,13]. However, BI-RADS has not been universally accepted and there is no clear evidence that its use improves consistency and accuracy in mammogram interpretation [21][22][23]. Additionally, there are indications of its limited expressiveness for encoding mammography findings in computerized data bases [24].…”

Section: Acquisition Of Radiological Knowledgementioning

confidence: 99%

Elicitation and Representation of Expert Knowledge for Computer Aided Diagnosis in Mammography

Taylor¹,

Lee²,

Alberdi³

2004

Methods Inf Med

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This is the unspecified version of the paper.This version of the publication may differ from the final published version. We used these data to design a scheme with 50 descriptors. In Study 2, ten radiologists used the scheme to describe 40 sets of calcifications. We assessed the capacity of the terms to discriminate between benign and malignant calcifications, testing them against radiologists' assessments of malignancy and follow-up data. Permanent repository link Results:The descriptors that were found to be the most discriminating in Study 2 were included in CADIMUM II's knowledge base. They were represented as arguments for either a benign or a malignant diagnosis. These arguments are the central component of the decision support provided by the system. Other components are: image processing algorithms for the detection and measurement of calcifications and a set of rules that use the measures to decide which of the arguments apply to a given set of calcifications.. Conclusions:Preliminary evaluations of the CADMIUM II prototype reinforce the value of representing explicitly decision making processes in computer aided mammography and of deriving these processes from image processing measurements. Decision support is presented here at a level of description that is both relevant and meaningful to the user.

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The breast imaging reporting and data system: positive predictive value of mammographic features and final assessment categories.

Cited by 407 publications

References 13 publications

Stereotactic Vacuum-Assisted Core Biopsy Results for Non-Palpable Breast Lesions

Stereotactic Vacuum-Assisted Core Biopsy Results for Non-Palpable Breast Lesions

Efficacy of Mammography in Detecting Breast Masses Using Histopathology as Gold Standard

Elicitation and Representation of Expert Knowledge for Computer Aided Diagnosis in Mammography

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