scholarly journals Misclassification of Breast Imaging Reporting and Data System (BI-RADS) Mammographic Density and Implications for Breast Density Reporting Legislation

2015 ◽  
Vol 21 (5) ◽  
pp. 481-489 ◽  
Author(s):  
Charlotte C. Gard ◽  
Erin J. Aiello Bowles ◽  
Diana L. Miglioretti ◽  
Stephen H. Taplin ◽  
Carolyn M. Rutter
Keyword(s):  
Mammographic Density ◽  
Breast Density ◽  
Breast Imaging ◽  
Data System

scholarly journals Assessment of breast carcinoma by correlating BI-RADS scoring with mammographic density

2020 ◽  
Vol 7 (11) ◽  
pp. 3674
Author(s):  
Simranjit K. Dhadiala ◽  
Shilpa Patankar
Keyword(s):  
Breast Cancer ◽  
Breast Carcinoma ◽  
Mammographic Density ◽  
Breast Density ◽  
Breast Imaging ◽  
Breast Tissue ◽  
Breast Cancer Risk Factor ◽  
Breast Disease ◽  
Cancer Risk Factor ◽  
Increased Risk

Background: Breast density assessed by mammogram expressed in percentage of density of breast tissue reflects variations in breast tissue composition and is strongly associated with increased risk of breast cancer. The BI-RADS density method was created to indicate whether a mammogram represents a negative, benign or suspected malignant finding. To assess breast carcinoma by correlating breast imaging-reporting and data system (BI-RADS) scoring with mammographic density.Methods: A total of 100 consecutive female patients with breast lump were assessed. The findings of the radiological examination and the histopathology results were subsequently analyzed to study the details of the breast disease in the group surveyed. BI-RADS classifications of breast density was extracted from mammography reports.Results: Majority of patients were having BI-RADS score 4 (33%) followed by BI-RADS score 5 (30%). Majority of the patients were having percentage breast density 4 (35%) followed by Percentage breast density 3 (28%). BI-RADS score and percentage breast density had statistically significant correlation (p<0.05).Conclusions: The BI-RADS score and percentage breast density by mammography had statistically significant correlation. Mammographic density is a strong breast cancer risk factor.

scholarly journals Increased mammographic breast density in acromegaly: quantitative and qualitative assessment

2011 ◽  
Vol 164 (3) ◽  
pp. 335-340 ◽  
Author(s):  
Alberto Tagliafico ◽  
Massimo Calabrese ◽  
Giulio Tagliafico ◽  
Eugenia Resmini ◽  
Carlo Martinoli ◽  
...  
Keyword(s):  
Mammographic Density ◽  
Breast Density ◽  
Breast Imaging ◽  
Independent Risk Factor ◽  
Disease Duration ◽  
Observer Agreement ◽  
Qualitative Assessment ◽  
Mammographic Breast Density ◽  
Computer Aided ◽  
A Prospective Study

ContextMammographic density is a strong independent risk factor for breast cancer, whose prevalence in acromegaly is still controversial.ObjectiveTo compare breast density in premenopausal acromegalic patients and controls and to determine whether density correlated with disease duration, GH, and IGF1 levels.Design, setting and participantsA prospective study involving 30 patients and 60 controls matched for age and body mass index.InterventionsA quantitative computer-aided mammographic density estimation (MDEST) and a qualitative blind evaluation by two experienced radiologists using the breast imaging reporting and data system (BI-RADS) was performed. Totally, 60 (acromegaly) and 120 (controls) craniocaudal and mediolateral oblique mammograms were evaluated in both patients and controls.Main outcome measuresBreast density.ResultsPatients showed a significantly (P<0.01) increased mammographic breast density with both methods (MDEST: 0.33±0.21% and BI-RADS category: 2.81±0.78) in comparison with controls (MDEST: 0.26±0.19% and BI-RADS category: 2.35±0.61). The agreement between the two methods and inter-observer agreement between the two radiologists were excellent (k=0.63 and k=0.85). In patients grouped according to disease activity (17 controlled and 13 uncontrolled) and medical therapy (15 treated and 15 untreated), no differences were found. All these groups had significantly increased mammographic breast density compared with controls (P<0.01).A positive correlation was found between mammographic breast density, IGF1 values and disease duration (r=0.29 and r=0.39), whereas it was not found with GH (r=−0.02).ConclusionsMammographic breast density in premenopausal acromegalic patients is significantly higher than controls and positively correlated with IGF1 and disease duration.

Validation of Wavelia Microwave Breast Imaging System Using Mammography Breast Density

2021 ◽  
Author(s):  
Yazan Abdoush ◽  
Angie Fasoula ◽  
Luc Duchesne ◽  
Julio D. Gil Cano ◽  
Brian M. Moloney ◽  
...  
Keyword(s):  
Breast Density ◽  
Breast Imaging ◽  
Imaging System ◽  
Microwave Breast Imaging

scholarly journals Application of a second opinion ultrasound in Breast Imaging Reporting and Data System 4A cases: can immediate biopsy be avoided?

2021 ◽  
Vol 49 (6) ◽  
pp. 030006052110244
Author(s):  
Yantao Cai ◽  
Chenfang Zhu ◽  
Qianqian Chen ◽  
Feng Zhao ◽  
Shanyu Guo
Keyword(s):  
Minimally Invasive ◽  
Predictive Factors ◽  
Breast Imaging ◽  
Protective Factor ◽  
Multivariate Analyses ◽  
Data System ◽  
Second Opinion ◽  
Factors Associated ◽  
Peripheral Location ◽  
Biopsy Rate

Objective The probability of malignancy in women who are diagnosed with a Breast Imaging Reporting and Data System (BI-RADS) 4A score is low. Application of a second opinion ultrasound (SOUS), which is low in cost and minimally invasive, may lower the biopsy rate for patients who fall into this category. This study aimed to apply SOUS to patients with a BI-RADS score of 4A and predict the pathological results of a biopsy. Methods One hundred seventy-eight patients were analyzed. Univariate and multivariate analyses were performed to screen for predictive factors that are associated with malignancy. Categorical alteration of downgraded, unchanged, or upgraded was made after SOUS results. Changes in category were compared with biopsies to determine their predictive value of benignancy or malignancy. Results Independent factors associated with malignancy were age (>50 years), tumor size (≥20 mm), margin (not circumscribed), orientation (not parallel), and peripheral location, and an upgraded categorical alteration from SOUS. Downgraded categorical alterations were associated with benignancy. Conclusions In BI-RADS 4A cases, a biopsy is recommended when independent factors are associated with malignancy. A downgraded result from an SOUS examination is a protective factor, supporting the likelihood of benignancy in these patients.

Evidencias y controversias de la categoría 3 del Breast Imaging Reporting and Data System® en enfermedad mamaria

2013 ◽  
Vol 26 (1) ◽  
pp. 18-24
Author(s):  
María Martínez Gálvez ◽  
José Aguilar Jiménez ◽  
Jose Ignacio Gil Izquierdo
Keyword(s):  
Breast Imaging ◽  
Data System

scholarly journals Submissão às recomendações do BI-RADS™ por médicos e pacientes: análise preliminar de 3.000 exames realizados em uma clínica particular

2004 ◽  
Vol 37 (1) ◽  
pp. 21-23 ◽  
Author(s):  
Eduardo Rodrigues Godinho ◽  
Hilton Augusto Koch
Keyword(s):  
Breast Imaging ◽  
Data System

O Breast Imaging Reporting and Data System (BI-RADS™) do American College of Radiology é um sistema que objetiva padronizar o laudo mamográfico, reduzir os fatores de confusão na descrição e interpretação das imagens e facilitar a emissão do resultado final do exame. OBJETIVO: Buscar identificar o grau de submissão das mulheres e médicos às recomendações do BI-RADS em Goiânia, GO. MATERIAIS E MÉTODOS: Foram avaliadas, prospectivamente, 3.000 mulheres submetidas à mamografia em um serviço radiológico particular em Goiânia (janeiro a dezembro de 2002). Os laudos foram emitidos de acordo com o BI-RADS. As mulheres classificadas nas categorias 0, 3, 4 e 5 foram acompanhadas por contato telefônico. RESULTADOS: Mulheres que se recusaram a seguir orientação: categorias 0 (11,5%), 3 (13,8%), 4 (28%) e 5 (0%). Não houve orientação médica para seguir recomendação: categorias 0 (18,2%), 3 (17%), 4 (20%). Mulheres que se submeteram à recomendação: categorias 0 (1,8%), 3 (5,7%), 4 (40%), 5 (100%). Perdidas no seguimento: categorias 0 (68,5%), 3 (39%) e 4 (12%). CONCLUSÃO: É baixa a submissão às recomendações do BI-RADS nas categorias 0 e 3, e moderada na categoria 4. Aproximadamente 30% das mulheres classificadas na categoria 0 não se submeteram à avaliação adicional por imagem, por recusa própria ou por falta de orientação médica.

Sign in / Sign up

Export Citation Format

Share Document