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BI-RADS

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https://www.readbyqxmd.com/read/29451396/vacuum-assisted-breast-biopsy-vab-excision-of-subcentimeter-microcalcifications-as-an-alternative-to-open-biopsy-for-atypical-ductal-hyperplasia
#1
Schiaffino Simone, Massone Elena, Gristina Licia, Fregatti Piero, Rescinito Giuseppe, Alessandro Villa, Friedman Daniele, Calabrese Massimo
OBJECTIVE: To report the results of the conservative management with mammographic checks of patients with ADH diagnosed by vacuum assisted breast biopsy (VAB), without residual calcifications. METHODS: The authors accessed the institutional database of radiological, surgical and pathologic anatomy. Inclusion criteria were: ADH diagnosed by VAB on a single group of microcalcifications, without residual post-procedure; follow-up at least of 12 months. Exclusion criteria were the presence of personal history of breast cancer or other high risk lesions; association with other synchronous lesions, both more and less advanced proliferative lesions...
February 16, 2018: British Journal of Radiology
https://www.readbyqxmd.com/read/29451022/breast-tomosynthesis-for-the-clarification-of-mammographic-bi-rads-3-lesions-can-decrease-follow-up-examinations-and-enables-immediate-cancer-diagnosis
#2
Sonja D Bahrs, Vanessa Otto, Valerie Hattermann, Bernhard Klumpp, Markus Hahn, Konstantin Nikolaou, Katja Siegmann-Luz
Background The limited sensitivity of mammography in case of a high breast density often produces unclear or false-positive findings, so-called BI-RADS 3 lesions, which have to be followed up to prove benignity. Digital breast tomosynthesis (DBT) was developed to reduce such summation effects. Purpose To evaluate the influence of an additional DBT on the management of mammographic BI-RADS 3 findings and whether DBT can decrease the time to definitive diagnosis or not. Material and Methods We analyzed 87 patients with a mammographic non-calcified BI-RADS 3 lesion who underwent an additional DBT of the affected breast...
January 1, 2018: Acta Radiologica
https://www.readbyqxmd.com/read/29441334/the-usefulness-of-fluorodeoxyglucose-pet-ct-for-preoperative-evaluation-of-ductal-carcinoma-in-situ
#3
Sungchul Kim, Seokjae Lee, Sangwon Kim, Seokmo Lee, Hayong Yum
Purpose: PET/CT is useful in preoperative evaluation of invasive breast cancer (IBC) to predict axillary metastasis and staging workup. The usefulness is unclear in cases of ductal carcinoma in situ (DCIS) diagnosed at biopsy before surgery, which sometimes is upgraded to IBC after definitive surgery. The aim of this study is to find out the usefulness of PET/CT on DCIS as a preoperative evaluation tool. Methods: We investigated 102 patients preoperatively diagnosed with DCIS who subsequently underwent definitive surgery between 2010 and 2015...
February 2018: Annals of Surgical Treatment and Research
https://www.readbyqxmd.com/read/29433892/communication-practices-of-mammography-facilities-and-timely-follow-up-of-a-screening-mammogram-with-a-bi-rads-0-assessment
#4
Marilyn M Schapira, William E Barlow, Emily F Conant, Brian L Sprague, Anna N A Tosteson, Jennifer S Haas, Tracy Onega, Elisabeth F Beaber, Martha Goodrich, Anne Marie McCarthy, Sally D Herschorn, Celette Sugg Skinner, Tory O Harrington, Berta Geller
RATIONALE AND OBJECTIVES: The objective of this study was to evaluate the association of communication practices with timely follow-up of screening mammograms read as Breast Imaging Reporting and Data Systems (BI-RADS) 0 in the Population-based Research Optimizing Screening through Personalized Regimens (PROSPR) consortium. MATERIALS AND METHODS: A radiology facility survey was conducted in 2015 with responses linked to screening mammograms obtained in 2011-2014...
February 9, 2018: Academic Radiology
https://www.readbyqxmd.com/read/29433804/stereotactic-breast-biopsy-with-benign-results-does-not-negatively-affect-future-screening-adherence
#5
Alana A Lewin, Yiming Gao, Leng Leng Lin Young, Marissa L Albert, James S Babb, Hildegard K Toth, Linda Moy, Samantha L Heller
PURPOSE: To evaluate whether false-positive stereotactic vacuum-assisted breast biopsy (SVAB) affects subsequent mammographic screening adherence. MATERIALS AND METHODS: This Institutional Review Board-approved, HIPAA-compliant retrospective review of women with SVAB was performed between 2012 and 2014. Patient age, clinical history, biopsy pathology, and first postbiopsy screening mammogram were reviewed. Statistical analyses were performed using Fisher's exact, Mann-Whitney, and χ2 tests...
February 8, 2018: Journal of the American College of Radiology: JACR
https://www.readbyqxmd.com/read/29428078/a-case-oriented-web-based-training-system-for-breast-cancer-diagnosis
#6
Qinghua Huang, Xianhai Huang, Longzhong Liu, Yidi Lin, Xingzhang Long, Xuelong Li
BACKGROUND AND OBJECTIVE: Breast cancer is still considered as the most common form of cancer as well as the leading causes of cancer deaths among women all over the world. We aim to provide a web-based breast ultrasound database for online training inexperienced radiologists and giving computer-assisted diagnostic information for detection and classification of the breast tumor. METHODS: We introduce a web database which stores breast ultrasound images from breast cancer patients as well as their diagnostic information...
March 2018: Computer Methods and Programs in Biomedicine
https://www.readbyqxmd.com/read/29423438/breast-cancer-risk-factors-and-mammographic-density-among-high-risk-women-in-urban-china
#7
Hyuna Sung, Jiansong Ren, Jing Li, Ruth M Pfeiffer, Yong Wang, Jennifer L Guida, Yi Fang, Jufang Shi, Kai Zhang, Ni Li, Shen Wang, Luopei Wei, Nan Hu, Gretchen L Gierach, Min Dai, Xiaohong R Yang, Jie He
Elevated mammographic density (MD) is an established breast cancer risk factor. Studies examining relationships between MD and breast cancer risk factors are limited in China, where established breast cancer risk factors are less prevalent but dense breasts are more prevalent than Western countries. This study included 11,478 women (45-69 years; 36% premenopausal) participating in an ongoing national cancer screening program in 11 urban provinces in China and predicted as having high-risk for breast cancer...
2018: NPJ Breast Cancer
https://www.readbyqxmd.com/read/29417251/dedicated-computer-aided-detection-software-for-automated-3d-breast-ultrasound-an-efficient-tool-for-the-radiologist-in-supplemental-screening-of-women-with-dense-breasts
#8
Jan C M van Zelst, Tao Tan, Paola Clauser, Angels Domingo, Monique D Dorrius, Daniel Drieling, Michael Golatta, Francisca Gras, Mathijn de Jong, Ruud Pijnappel, Matthieu J C M Rutten, Nico Karssemeijer, Ritse M Mann
OBJECTIVES: To determine the effect of computer-aided-detection (CAD) software for automated breast ultrasound (ABUS) on reading time (RT) and performance in screening for breast cancer. MATERIAL AND METHODS: Unilateral ABUS examinations of 120 women with dense breasts were randomly selected from a multi-institutional archive of cases including 30 malignant (20/30 mammography-occult), 30 benign, and 60 normal cases with histopathological verification or ≥ 2 years of negative follow-up...
February 7, 2018: European Radiology
https://www.readbyqxmd.com/read/29412020/phyllodes-tumor-of-the-breast-ultrasound-pathology-correlation
#9
Megan Kalambo, Beatriz E Adrada, Modupe M Adeyefa, Savitri Krishnamurthy, Ken Hess, Selin Carkaci, Gary J Whitman
OBJECTIVE: The purpose of this study is to evaluate the sonographic and histopathologic features distinguishing benign from borderline and malignant phyllodes tumors. MATERIALS AND METHODS: The ultrasound examinations of women with pathologically proven phyllodes tumors from 2004 to 2011 were retrospectively reviewed. The sonographic features of benign, borderline, and malignant phyllodes tumors were compared and analyzed using the American College of Radiology's BI-RADS ultrasound lexicon...
February 7, 2018: AJR. American Journal of Roentgenology
https://www.readbyqxmd.com/read/29402490/in-the-setting-of-negative-mammogram-is-additional-breast-ultrasound-necessary-for-evaluation-of-breast-pain
#10
Eralda Mema, Emma Cho, Yun-Kyoung Ryu, Priya Jadeja, Ralph Wynn, Brett Taback, Richard Ha
PURPOSE: To evaluate whether in the setting of negative diagnostic mammogram for breast pain additional ultrasound is necessary. METHODS: Retrospective IRB-approved review of our database identified 8085 women who underwent ultrasound evaluation for breast pain from 1/1/2013-12/31/2013. Of 8085 women, 559 women had mammogram evaluation preceding the ultrasound and these women comprise the basis of this study. The patient's age, type of mammogram examination (screening or diagnostic), Breast Imaging-Reporting and Data System (BI-RADS) breast density (BD), type of breast pain (focal, diffuse, cyclical, unilateral, bilateral), additional breast symptoms (palpable concern, nipple discharge, skin changes, others), mammogram or ultrasound findings and final BI-RADS assessment, follow-up imaging, and follow-up biopsy results were reviewed and recorded...
January 9, 2018: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/29399419/bi-rads-3-current-and-future-use-of-probably-benign
#11
REVIEW
Karen A Lee, Nishi Talati, Rebecca Oudsema, Sharon Steinberger, Laurie R Margolies
Purpose of Review: Probably benign (BI-RADS 3) causes confusion for interpreting physicians and referring physicians and can induce significant patient anxiety. The best uses and evidence for using this assessment category in mammography, breast ultrasound, and breast MRI will be reviewed; the reader will have a better understanding of how and when to use BI-RADS 3. Recent Findings: Interobserver variability in the use of BI-RADS 3 has been documented. The 5th edition of the BI-RADS atlas details the appropriate use of BI-RADS 3 for diagnostic mammography, ultrasound, and MRI, and discourages its use in screening mammography...
2018: Current Radiology Reports
https://www.readbyqxmd.com/read/29390228/multiple-angulated-mammography-reconstructions-in-digital-breast-tomosynthesis-for-the-diagnosis-of-microcalcifications-added-value-to-standard-stack-reconstructions-and-synthesized-mammography
#12
Jakob Neubauer, Claudia Neubauer, Julia Wicklein, Thomas Mertelmeier, Marisa Windfuhr-Blum, Mathias Langer
PURPOSE:  To compare ratings regarding the depiction, diagnostic accuracy and lesion characterization of conventional synthesized mammography (SM), multiple angulated mammography reconstructions (INSIGHT3D), and standard stack reconstructions in digital breast tomosynthesis for microcalcifications. MATERIALS AND METHODS:  This is a retrospective, multicase, multireader study. We included patients with digital breast tomosynthesis (DBT), microcalcifications and histology over a period of four months in our institution and the same number of normal cases...
February 1, 2018: RöFo: Fortschritte Auf Dem Gebiete der Röntgenstrahlen und der Nuklearmedizin
https://www.readbyqxmd.com/read/29383629/the-frequency-of-missed-breast-cancers-in-women-participating-in-a-high-risk-mri-screening-program
#13
S Vreemann, A Gubern-Merida, S Lardenoije, P Bult, N Karssemeijer, K Pinker, R M Mann
PURPOSE: To evaluate the frequency of missed cancers on breast MRI in women participating in a high-risk screening program. METHODS: Patient files from women who participated in an increased risk mammography and MRI screening program (2003-2014) were coupled to the Dutch National Cancer Registry. For each cancer detected, we determined whether an MRI scan was available (0-24 months before cancer detection), which was reported to be negative. These negative MRI scans were in consensus re-evaluated by two dedicated breast radiologists, with knowledge of the cancer location...
January 31, 2018: Breast Cancer Research and Treatment
https://www.readbyqxmd.com/read/29381382/grading-system-to-categorize-breast-mri-in-bi-rads-5th-edition-a-multivariate-study-of-breast-mass-descriptors-in-terms-of-probability-of-malignancy
#14
Keishi Fujiwara, Takayuki Yamada, Yoshihide Kanemaki, Satoko Okamoto, Yasuyuki Kojima, Koichiro Tsugawa, Yasuo Nakajima
OBJECTIVE: The purpose of this study is to analyze the association between the probability of malignancy and breast mass descriptors in the BI-RADS 5th edition and to devise criteria for grading mass lesions, including subcategorization of category 4 lesions with or without apparent diffusion coefficient (ADC) values. MATERIALS AND METHODS: A total of 519 breast masses in 499 patients were selected. Breast MRI was performed with a 1.5-T MRI scanner using a 16-channel dedicated breast radiofrequency coil...
January 30, 2018: AJR. American Journal of Roentgenology
https://www.readbyqxmd.com/read/29363774/automated-mammographic-breast-density-estimation-using-a-fully-convolutional-network
#15
Juhun Lee, Robert M Nishikawa
PURPOSE: The purpose of this study was to develop a fully automated algorithm for mammographic breast density estimation using deep learning. METHOD: Our algorithm used a fully convolutional network, which is a deep learning framework for image segmentation, to segment both the breast and the dense fibroglandular areas on mammographic images. Using the segmented breast and dense areas, our algorithm computed the breast percent density (PD), which is the faction of dense area in a breast...
January 24, 2018: Medical Physics
https://www.readbyqxmd.com/read/29362157/contrast-enhanced-cone-beam-breast-ct-analysis-of-optimal-acquisition-time-for-discrimination-of-breast-lesion-malignancy
#16
Johannes Uhlig, Uwe Fischer, Alexey Surov, Joachim Lotz, Susanne Wienbeck
OBJECTIVE: To investigate the optimal acquisition time of contrast-enhanced cone-beam breast-CT (CBBCT) for best discrimination of breast lesion malignancy and whether contrast enhancement can aid in classification of tumor histology. MATERIAL AND METHODS: The study included patients with BI-RADS 4 or 5 lesions identified on mammography and/or ultrasound. All patients were examined by non-contrast (NC-CBBCT) and contrast-enhanced CBBCT (CE-CBBCT) at 2 and 3min after contrast media (CM) injection...
February 2018: European Journal of Radiology
https://www.readbyqxmd.com/read/29362145/evaluation-of-an-automated-breast-volume-scanner-according-to-the-fifth-edition-of-bi-rads-for-breast-ultrasound-compared-with-hand-held-ultrasound
#17
Eun Jung Choi, Hyemi Choi, Eun Hae Park, Ji Soo Song, Ji Hyun Youk
OBJECTIVES: To investigate the automated breast volume scanner (ABVS) in comparison with hand-held ultrasound (HHUS) according to the fifth edition of BI-RADS ultrasound. MATERIAL AND METHODS: A total of 831 lesions in 786 patients who underwent both HHUS and ABVS were included. Three radiologists independently evaluated the sonographic features of each lesion according to the fifth BI-RADS edition. The kappa coefficient (κ) was calculated for each BI-RADS descriptor and final assessment category...
February 2018: European Journal of Radiology
https://www.readbyqxmd.com/read/29356760/comparison-of-the-radiologic-and-clinical-findings-of-adolescents-with-breast-complaints
#18
Tamer Sekmenli, Hande Koksal, Metin Gunduz, Hasan Bostanci, Ilhan Ciftci, Yavuz Koksal
INTRODUCTION: The American College of Radiology's Breast Imaging Reporting and Data System (BI-RADS) was developed to guide imaging-based surgical treatment in patients with breast cancer. Studies confirming the BI-RADS did not include adolescents. To evaluate the validity of this classification system in adolescents, we aim to investigate the relationship between the BI-RADS and pathology findings in adolescents. METHODS: The medical data of 67 female adolescent patients, aged 12 to 18, referred to our clinic for breast-related complaints between 2013 and 2016 were reviewed retrospectively for demographic data and the results of radiologic and surgical pathologies...
January 19, 2018: Journal of Pediatric Hematology/oncology
https://www.readbyqxmd.com/read/29356645/beyond-bi-rads-density-a-call-for-quantification-in-the-breast-imaging-clinic
#19
Emily F Conant, Brian L Sprague, Despina Kontos
No abstract text is available yet for this article.
February 2018: Radiology
https://www.readbyqxmd.com/read/29351560/the-correlation-of-background-parenchymal-enhancement-in-the-contralateral-breast-with-patient-and-tumor-characteristics-of-mri-screen-detected-breast-cancers
#20
Suzan Vreemann, Albert Gubern-Mérida, Cristina Borelli, Peter Bult, Nico Karssemeijer, Ritse M Mann
PURPOSE: Higher background parenchymal enhancement (BPE) could be used for stratification of MRI screening programs since it might be related to a higher breast cancer risk. Therefore, the purpose of this study is to correlate BPE to patient and tumor characteristics in women with unilateral MRI-screen detected breast cancer who participated in an intermediate and high risk screening program. As BPE in the affected breast may be difficult to discern from enhancing cancer, we assumed that BPE in the contralateral breast is a representative measure for BPE in women with unilateral breast cancer...
2018: PloS One
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