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Performance of hand-held whole-breast ultrasound based on BI-RADS in women with mammographically negative dense breast

Title
 Performance of hand-held whole-breast ultrasound based on BI-RADS in women with mammographically negative dense breast
Authors
 Ji Hyun Youk; Eun-Kyung Kim; Eun Ju Son; Jin Young Kwak; Min Jung Kim
Issue Date
2011
Journal Title
 European Radiology
ISSN
 0938-7994
Citation
 European Radiology, Vol.21(4) : 667~675, 2011
Abstract
OBJECTIVE: To assess the performance of breast ultrasound based on BI-RADS final assessment categories in women with mammographically negative dense breast. METHODS: Of 3,820 cases with mammographically negative dense breast and subsequent hand-held bilateral whole-breast ultrasound, a total of 1,507 cases in 1,046 women who had biopsy or at least 2-year follow-up ultrasound constituted the basis of this retrospective study. Cancer rate of each sonographic BI-RADS category was determined and medical audit was performed separately in screening-general, screening-treated, and diagnostic group. RESULTS: A total of 43 cases (2.9%) were confirmed as malignancy. Cancer rate among BI-RADS categories was significantly different (p < 0.0001). Among three groups, the cancer rate was significantly different (p < 0.0001) and the highest in diagnostic group (15.8%, 22 of 139). Abnormal interpretation rate, PPV of biopsy performed, cancer detection rate, and rate of early stage cancer, and the size of invasive cancer were significantly different among three groups and the highest in diagnostic group. Regarding cancer characteristics, the proportion of advanced cancer was the highest in diagnostic group. CONCLUSION: Breast ultrasound based on BI-RADS as an adjunctive to negative mammography can be useful for predicting malignancy in women with dense breast.
URI
http://ir.ymlib.yonsei.ac.kr/handle/22282913/92756
DOI
10.1007/s00330-010-1955-8
Appears in Collections:
1. 연구논문 > 1. College of Medicine > Dept. of Radiology
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Link
 http://link.springer.com/article/10.1007%2Fs00330-010-1955-8
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