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Breast imaging and reporting data system

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https://www.readbyqxmd.com/read/29673997/breast-lesion-shape-and-margin-evaluation-bi-rads-based-metrics-understate-radiologists-actual-levels-of-agreement
#1
Mohammad Rawashdeh, Sarah Lewis, Maha Zaitoun, Patrick Brennan
BACKGROUND: While there is much literature describing the radiologic detection of breast cancer, there are limited data available on the agreement between experts when delineating and classifying breast lesions. The aim of this work is to measure the level of agreement between expert radiologists when delineating and classifying breast lesions as demonstrated through Breast Imaging Reporting and Data System (BI-RADS) and quantitative shape metrics. METHODS: Forty mammographic images, each containing a single lesion, were presented to nine expert breast radiologists using a high specification interactive digital drawing tablet with stylus...
April 13, 2018: Computers in Biology and Medicine
https://www.readbyqxmd.com/read/29664342/downgrading-of-breast-masses-suspicious-for-cancer-by-using-optoacoustic-breast-imaging
#2
Gisela L G Menezes, Ruud M Pijnappel, Carla Meeuwis, Robertus Bisschops, Jeroen Veltman, Philip T Lavin, Marc J van de Vijver, Ritse M Mann
Purpose To assess the ability of optoacoustic (OA) ultrasonography (US) to help correctly downgrade benign masses classified as Breast Imaging Reporting and Data System (BI-RADS) 4a and 4b to BI-RADS 3 or 2. Materials and Methods OA/US technology uses laser light to detect relative amounts of oxygenated and deoxygenated hemoglobin in and around suspicious breast masses. In this prospective, multicenter study, results of 209 patients with 215 breast masses classified as BI-RADS 4a or 4b at US are reported. Patients were enrolled between 2015 and 2016...
April 17, 2018: Radiology
https://www.readbyqxmd.com/read/29660916/comparison-of-strain-and-acoustic-radiation-force-impulse-elastography-of-breast-lesions-by-qualitative-evaluation
#3
Qing Zhao, Xiao-Lei Wang, Jia-Wei Sun, Zhao-Peng Jiang, Lin Tao, Xian-Li Zhou
OBJECTIVES: To compare the diagnostic performance of conventional strain elastography (CSE) and acoustic radiation force impulse (ARFI) induced SE for qualitative assessment of breast lesions and evaluate the additional value of the two techniques combined with Breast Imaging Reporting and Data System (BI-RADS) respectively for the differentiation of benign and malignant breast lesions. METHODS: In a cohort of 110 women, the conventional ultrasound (US) features and the elasticity scores of CSE and ARFI induced SE were recorded...
April 13, 2018: Clinical Hemorheology and Microcirculation
https://www.readbyqxmd.com/read/29660903/complex-cystic-and-solid-breast-lesions-diagnostic-performance-of-conventional-ultrasound-strain-imaging-and-point-shear-wave-speed-measurement
#4
Ying Zhang, Hui-Xiong Xu, Chong-Ke Zhao, Xiao-Long Li, Xiao-Wan Bo, Ya-Ping He, Bo-Ji Liu, Dan Wang, Wei-Wei Ren
OBJECTIVE: To assess the performance of conventional high frequency ultrasound (US) and US elastography in diagnosis of complex cystic and solid breast lesions. METHODS: Ninety three lesions in 93 patients underwent conventional US and US elastography, including strain elastography, acoustic radiation force impulse (ARFI) imaging, and point shear wave speed (SWS) measurement. RESULTS: Pathological examination revealed 31 (33.3%) of the 93 lesions were malignant and the remaining 62 (66...
April 13, 2018: Clinical Hemorheology and Microcirculation
https://www.readbyqxmd.com/read/29658793/growing-bi-rads-category-3-lesions-on-follow-up-breast-ultrasound-malignancy-rates-and-worrisome-features
#5
Su Min Ha, Eun Young Chae, Joo Hee Cha, Hee Jung Shin, Woo Jung Choi, Hak Hee Kim
OBJECTIVE: To determine the frequency and malignancy rate among growing Breast Imaging Reporting and Data System (BI-RADS) category 3 lesions diagnosed on follow-up breast ultrasound (US) and to evaluate the radiological and clinical features associated with malignancy. METHODS: Of the 38,482 women who underwent breast US between January 2010 and December 2011, 11,582 (30.1%) patients had 12,514 BI-RADS category 3 lesions. Patients whose lesions showed ≥20% enlargement on follow-up US were selected for this study...
April 16, 2018: British Journal of Radiology
https://www.readbyqxmd.com/read/29658110/prenatal-diethylstilbestrol-des-exposure-and-mammographic-density
#6
William C Strohsnitter, Kimberly A Bertrand, Rebecca Troisi, Christopher G Scott, Andrea L Cheville, Robert N Hoover, Julie R Palmer, Celine M Vachon
In a prospective cohort study of the health effects associated with prenatal Diethylstilbestrol (DES) exposure, DES was associated with an increased breast cancer risk after 40 years of age. It is unknown whether it is associated with greater mammographic density, which strongly predicts breast cancer risk. A cohort of DES-exposed and unexposed women was assembled at the Mayo Clinic in 1975, and followed through 2012 as part of the National Cancer Institute's DES Follow-up Study. Mammographic density from 3,637 mammograms for 332 (222 DES-exposed, 110 unexposed) women in this cohort screened at the Mayo Clinic, Rochester between 1996 and 2015 were determined clinically using the Breast Imaging Reporting and Data System (BI-RADS)...
April 15, 2018: International Journal of Cancer. Journal International du Cancer
https://www.readbyqxmd.com/read/29657941/investigation-of-frequency-distribution-of-breast-imaging-reporting-and-data-system-birads-classification-and-epidemiological-factors-related-to-breast-cancer-in-iran-a-7-year-study-2010-2016
#7
Mehri Sirous, Parisa Sotoodeh Shahnani, Amirmasoud Sirous
Background: The first cause of women mortality due to cancer is breast cancer. Mammography plays a central part in early detection of breast cancers. The screening methods can play a major role to reduce the morbidity and mortality rate due to this malignancy. We sought the basic data in this study on our population because knowing about the baseline data is apt and vital. Materials and Methods: In this study, data were collected from a questionnaire, contained baseline bio data information, and mammographic imaging of the patients came during 7 years...
2018: Advanced Biomedical Research
https://www.readbyqxmd.com/read/29651638/improvement-in-diagnostic-performance-of-breast-cancer-comparison-between-conventional-digital-mammography-alone-and-conventional-mammography-plus-digital-breast-tomosynthesis
#8
Ryoko Ohashi, Michinobu Nagao, Izumi Nakamura, Takahiro Okamoto, Shuji Sakai
BACKGROUND: The aim of this study was to determine if the diagnostic performance of breast lesion examinations could be improved using both digital breast tomosynthesis (DBT) and conventional digital mammography (CDM). METHODS: Our institutional review board approved the protocol, and patients were provided the opportunity to opt out of the study. A total of 628 patients aged 22-91 years with abnormal screening results or clinical symptoms were consecutively enrolled between June 2015 and March 2016...
April 12, 2018: Breast Cancer: the Journal of the Japanese Breast Cancer Society
https://www.readbyqxmd.com/read/29644993/apparent-diffusion-coefficient-to-subdivide-breast-imaging-reporting-and-data-system-magnetic-resonance-imaging-bi-rads-mri-category-4-lesions
#9
Dandan Liu, Zhaogui Ba, Xiaoli Ni, Linhong Wang, Dexin Yu, Xiangxing Ma
BACKGROUND This study aims to subdivide BI-RADS-MRI (Breast Imaging Reporting and Data System Magnetic Resonance Imaging) Category 4 lesions and to evaluate the role of Fischer's scoring system, apparent diffusion coefficient (ADC), and Fischer's + ADC in differential diagnosis of breast lesions. MATERIAL AND METHODS This study retrospectively analyzed the data of 143 patients (150 breast lesions), who were diagnosed by biopsy, and received dynamic contrast enhancement and diffusion-weighted imaging. The diagnostic efficacies of ADC, Fischer's scoring system, and the Fischer's + ADC were analyzed by the receiver operating characteristics curve...
April 12, 2018: Medical Science Monitor: International Medical Journal of Experimental and Clinical Research
https://www.readbyqxmd.com/read/29625911/specialized-second-opinion-interpretations-of-breast-imaging-impact-on-additional-workup-and-management
#10
R Jared Weinfurtner, Bethany Niell, Yasmin Mekhail, Emily Aguila, Leena Kamat
BACKGROUND: Women with breast imaging often seek second opinions at tertiary care centers. Our study measures the frequency of discrepancy between initial and second opinion breast imaging recommendations and evaluates the impact on patient management. MATERIALS AND METHODS: A retrospective chart review was conducted on 504 consecutive patients with second opinion breast radiology interpretations performed by 6 sub-specialized breast radiologists at a dedicated cancer center from January 1, 2014 through September 1, 2014...
March 16, 2018: Clinical Breast Cancer
https://www.readbyqxmd.com/read/29622124/breast-mr-imaging-atlas-of-anatomy-physiology-pathophysiology-and-breast-imaging-reporting-and-data-systems-lexicon
#11
REVIEW
Sarah R Martaindale
The latest edition of the Breast Imaging Reporting and Data Systems lexicon, copyrighted in 2013, contains several changes to the breast MR imaging section. Most changes were implemented to standardize descriptors across breast imaging modalities. New sections on special topics and implant evaluation are included. We review basic MR imaging breast anatomy and a detailed pictorial review of the Breast Imaging Reporting and Data Systems lexicon, including these new sections. In each section we discuss which descriptors are more concerning for malignancy and information radiologists can use to better categorize findings as lower risk or benign...
May 2018: Magnetic Resonance Imaging Clinics of North America
https://www.readbyqxmd.com/read/29621362/long-term-accuracy-of-breast-cancer-risk-assessment-combining-classic-risk-factors-and-breast-density
#12
Adam R Brentnall, Jack Cuzick, Diana S M Buist, Erin J Aiello Bowles
Importance: Accurate long-term breast cancer risk assessment for women attending routine screening could help reduce the disease burden and intervention-associated harms by personalizing screening recommendations and preventive interventions. Objective: To report the accuracy of risk assessment for breast cancer during a period of 19 years. Design, Setting, and Participants: This cohort study of the Kaiser Permanente Washington breast imaging registry included women without previous breast cancer, aged 40 to 73 years, who attended screening from January 1, 1996, through December 31, 2013...
April 5, 2018: JAMA Oncology
https://www.readbyqxmd.com/read/29620604/diffusion-weighted-imaging-with-apparent-diffusion-coefficient-mapping-for-breast-cancer-detection-as-a-stand-alone-parameter-comparison-with-dynamic-contrast-enhanced-and-multiparametric-magnetic-resonance-imaging
#13
Katja Pinker, Linda Moy, Elizabeth J Sutton, Ritse M Mann, Michael Weber, Sunitha B Thakur, Maxine S Jochelson, Zsuzsanna Bago-Horvath, Elizabeth A Morris, Pascal At Baltzer, Thomas H Helbich
PURPOSE: The aims of this study were to compare dynamic contrast-enhanced (DCE) magnetic resonance imaging (MRI) with diffusion-weighted imaging (DWI) with apparent diffusion coefficient mapping as a stand-alone parameter without any other supportive sequence for breast cancer detection and to assess its combination as multiparametric MRI (mpMRI) of the breast. MATERIALS AND METHODS: In this institutional review board-approved single-center study, prospectively acquired data of 106 patients who underwent breast MRI from 12/2010 to 09/2014 for an imaging abnormality (Breast Imaging Reporting and Data System 0, 4/5) were retrospectively analyzed...
April 3, 2018: Investigative Radiology
https://www.readbyqxmd.com/read/29616496/how-to-use-the-kaiser-score-as-a-clinical-decision-rule-for-diagnosis-in-multiparametric-breast-mri-a-pictorial-essay
#14
REVIEW
Matthias Dietzel, Pascal A T Baltzer
Due to its superior sensitivity, breast MRI (bMRI) has been established as an important additional diagnostic tool in the breast clinic and is used for screening in patients with an elevated risk for breast cancer. Breast MRI, however, is a complex tool, providing multiple images containing several contrasts. Thus, reading bMRI requires a structured approach. A lack of structure will increase the rate of false-positive findings and sacrifice most of the advantages of bMRI as additional work-up will be required...
April 3, 2018: Insights Into Imaging
https://www.readbyqxmd.com/read/29599377/clinicopathological-analysis-of-ultrasound-guided-vacuum-assisted-breast-biopsy-for-the-diagnosis-and-treatment-of-breast-disease
#15
Hai-Lin Park, Ka Young Kim, Jong Seob Park, Ji-Eun Shin, Hye-Rin Kim, Bora Yang, Ji-Young Kim, Jeong Yun Shim, Eun-Ah Shin, Song-Mi Noh
BACKGROUND/AIM: To evaluate the usefulness and safety of vacuum-assisted breast biopsy (VABB) for breast lesion diagnosis and treatment. PATIENTS AND METHODS: Clinical and histopathological data of 8,748 patients, who underwent 11,221 VABB procedures were analyzed. RESULTS: Most patients (58.2%) were <40 years old. Most lesions (39.6%) were 0.6-1.0 cm in diameter while 3.2% were ≥3.0 cm; fibroadenomas were the most common (46.6%). Eight (14% of 57) cases of atypical ductal hyperplasia were underestimated...
April 2018: Anticancer Research
https://www.readbyqxmd.com/read/29598924/oncentra-brachytherapy-planning-system
#16
REVIEW
Jack Yang
In modern cancer management, treatment planning has progressed as a contemporary tool with all the advances in computing power in recent years. One of the advanced planning tools uses 3-dimensional (3D) data sets for accurate dose distributions in patient prescription. Among these planning processes, brachytherapy has been a very important part of a successful cancer management program, offering clinical benefits with specific or combined treatments with external beam therapy. In this chapter, we mainly discussed the Elekta Oncentra planning system, which is the main treatment planning tool for high-dose rate (HDR) modality in our facility and in many other facilities in the United States...
March 27, 2018: Medical Dosimetry: Official Journal of the American Association of Medical Dosimetrists
https://www.readbyqxmd.com/read/29594402/contrast-enhanced-cone-beam-breast-ct-cbbct-clinical-performance-compared-to-mammography-and-mri
#17
Susanne Wienbeck, Uwe Fischer, Susanne Luftner-Nagel, Joachim Lotz, Johannes Uhlig
OBJECTIVES: To evaluate the diagnostic accuracy of contrast-enhanced (CE) cone-beam breast computed tomography (CBBCT) in dense breast tissue and compare it to non-contrast (NC) CBBCT, mammography (MG) and magnetic resonance imaging (MRI). METHODS: This prospective institutional review board-approved study included 41 women (52 breasts) with American College of Radiology (ACR) density types c or d and Breast Imaging Reporting and Data System (BI-RADS) 4 or 5 assessments in MG or ultrasound (US)...
March 28, 2018: European Radiology
https://www.readbyqxmd.com/read/29584593/outcome-of-architectural-distortion-detected-only-at-breast-tomosynthesis-versus-2d-mammography
#18
Taghreed I Alshafeiy, Jonathon V Nguyen, Carrie M Rochman, Brandi T Nicholson, James T Patrie, Jennifer A Harvey
Purpose To compare the outcome of architectural distortion (AD) without associated mass only on digital breast tomosynthesis (DBT) with AD seen at two-dimensional (2D) mammography and to evaluate if the incidence of malignancy is influenced by the presence of a correlate at ultrasonography (US). Materials and Methods This retrospective study had institutional review board approval and was HIPAA compliant. All consecutive cases in which patients with AD were ultimately assigned Breast Imaging Reporting and Data System (BI-RADS) 4 or 5 categories from 2009 to 2016 were reviewed by three readers for visibility (2D vs DBT)...
March 27, 2018: Radiology
https://www.readbyqxmd.com/read/29560542/proposing-new-radlex-terms-by-analyzing-free-text-mammography-reports
#19
Hakan Bulu, Dorothy A Sippo, Janie M Lee, Elizabeth S Burnside, Daniel L Rubin
After years of development, the RadLex terminology contains a large set of controlled terms for the radiology domain, but gaps still exist. We developed a data-driven approach to discover new terms for RadLex by mining a large corpus of radiology reports using natural language processing (NLP) methods. Our system, developed for mammography, discovers new candidate terms by analyzing noun phrases in free-text reports to extend the mammography part of RadLex. Our NLP system extracts noun phrases from free-text mammography reports and classifies these noun phrases as "Has Candidate RadLex Term" or "Does Not Have Candidate RadLex Term...
March 20, 2018: Journal of Digital Imaging: the Official Journal of the Society for Computer Applications in Radiology
https://www.readbyqxmd.com/read/29558507/clinical-and-ultrasonographic-features-of-male-breast-tumors-a-retrospective-analysis
#20
Wei-Hsin Yuan, Anna Fen-Yau Li, Yi-Hong Chou, Hui-Chen Hsu, Ying-Yuan Chen
OBJECTIVE: The purpose of this study was to determine clinical and ultrasonographic characteristics of male breast tumors. METHODS: The medical records of male patients with breast lesions were retrieved from an electronic medical record database and a pathology database and retrospectively reviewed. A total of 112 men (125 breast masses) with preoperative breast ultrasonography (US) were included (median age, 59.50 years; age range, 15-96 years). Data extracted included patient age, if the lesions were bilateral, palpable, and tender, and the presence of nipple discharge...
2018: PloS One
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