Diagnostic Value of BI-RADS Categorization in Songklanagarind Hospital

Autor: Puwasit Trijaksang, Somkiat Sunpaweravong, Srila Samphao, Pattama Tana-anantarak, Rassamee Sangthong
Jazyk: angličtina
Rok vydání: 2011
Předmět:
Zdroj: Journal of Health Science and Medical Research (JHSMR), Vol 29, Iss 4, Pp 155-161 (2011)
Druh dokumentu: article
ISSN: 2586-9981
2630-0559
Popis: Objective: To evaluate the accuracy of BI-RADS mammogram reports in Songklanagarind Hospital. Materials and methods: A retrospective study of 2,064 mammogram reports was conducted and these were compared to the matching pathological reports. The reports were issued between January and December, 2005. Results: There were 828 mammograms for breast cancer screening and 1,236 cases for diagnosis of breast diseases. The negative mammogram group (Breast Imaging Reporting and Database System; BI-RADS 1-3) showed negative predictive values of 83.3-93.2% while the positive mammogram group (BI-RADS 4, 5) showed positive predictive values of 31.9% and 93.1%, respectively. There were 5 cases reported as BI-RADS 1, 2 but the pathological reports showed malignancy. We found the cases in this group had dense breast tissue which could explain the false negative results. Conclusion: BI-RADS reporting in Songklanagarind Hospital has the same accuracy as other institutions. We should be careful of misdiagnoses due to dense breast tissue.
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