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Breast Imaging Reporting and Data System 5판에 근거하여 분석한 3차 병원의 검진 유방촬영술의 의학적 감사 보고

Other Titles
 Medical Audit of Screening Mammography at a Tertiary Referral Hospital Using the 5th Edition of Breast Imaging Reporting and Data System 
 변정희  ;  김민정  ;  박영진  ;  윤정현  ;  문희정  ;  김은경 
 Journal of the Korean Society of Radiology, Vol.80(3) : 513-523, 2019 
Journal Title
Journal of the Korean Society of Radiology(대한영상의학회지)
Issue Date
Breast Cancer ; Medical Audit ; Mammography ; Screening ; Tertiary Care Centers
Purpose : The purpose of this study is to analyze medical audit of screening digital mammography at a tertiary hospital and to review changes of medical audit according to newly revised standard.

Materials and Methods : We analyzed 7764 asymptomatic women who underwent screening mammogram at our hospital from January, 2013 to December, 2014. The family or past history of breast, gynecologic and other cancers was reviewed retrospectively. Analysis 1 defined category 3 as positive result and analysis 2 defined category 3 as negative.

Results : The overall cancer detection rate was 4.6 per 1000 cases. The cancer detection rate in patients with non-gynecological and non-thyroid cancer (n = 391, 51.2) was the highest compared to patients with family history of breast cancer (n = 691, 1.4), or gynecological cancer (n = 311, 12.9). In analysis 1, positive predictive value 1 decreased 1.3% (6.0% vs. 7.3%) and recall rate increased 1.3% (7.3% vs. 6.0%) compared with analysis 2. The results were appropriate for newly revised target.

Conclusion : The results of screening digital mammography in the tertiary medical institution showed excellent results even if category 3 was regarded as positive. In addition, screening tests for secondary cancer are needed in the tertiary hospital.
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1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Min Jung(김민정) ORCID logo https://orcid.org/0000-0003-4949-1237
Kim, Eun-Kyung(김은경) ORCID logo https://orcid.org/0000-0002-3368-5013
Moon, Hee Jung(문희정) ORCID logo https://orcid.org/0000-0002-5643-5885
Park, Vivian Youngjean(박영진) ORCID logo https://orcid.org/0000-0002-5135-4058
Yoon, Jung Hyun(윤정현) ORCID logo https://orcid.org/0000-0002-2100-3513
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