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Value of the US BI-RADS final assessment following mastectomy: BI-RADS 4 and 5 lesions
DC Field | Value | Language |
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dc.contributor.author | 정진 | - |
dc.contributor.author | 권혜미 | - |
dc.contributor.author | 김정아 | - |
dc.contributor.author | 손은주 | - |
dc.contributor.author | 육지현 | - |
dc.date.accessioned | 2014-12-19T16:21:49Z | - |
dc.date.available | 2014-12-19T16:21:49Z | - |
dc.date.issued | 2012 | - |
dc.identifier.issn | 0284-1851 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/89386 | - |
dc.description.abstract | BACKGROUND: Clinical examination is not entirely sufficient for evaluation of the postoperative site for follow-up of patients with mastectomy. A few studies have reported that postoperative follow-up US evaluation allows early detection and proper management of local tumor recurrence. PURPOSE: To evaluate the diagnostic performance of the American College of Radiology (ACR) ultrasonographic (US) Breast Imaging Reporting and Data System (BI-RADS) categories 4 and 5 breast lesions at the mastectomy site. MATERIAL AND METHODS: Our institutional review board approved this study and waived the need for informed consent. We retrospectively reviewed the consecutive post-mastectomy US exams for palpable and non-palpable lesions in the post-mastectomy chest wall that were categorized as BI-RADS 4 (subcategorized 4a, 4b, and 4c) or 5 between January 2007 and April 2010. The positive predictive value (PPV) for final assessment was evaluated. RESULTS: From 2681 post-mastectomy US examinations, we obtained a study population of 50 patients with 50 lesions (20 palpable, 30 non-palpable). There were nine (45%) malignancies among the palpable lesions and six (20%) malignancies among the non-palpable lesions. The palpability showed no significant correlation with malignancy in overall subcategorization (P >0.05). The PPVs of categories 4 and 5 were 14.3% for category 4a, 62.5% for category 4b, 100% for category 4c, and 100% for category 5. CONCLUSION: The ACR US BI-RADS categorization of 4a, 4b, 4c, and 5 for breast lesions at the mastectomy site is a feasible method for predicting local recurrence. All lesions should be managed according to US characteristics during evaluation of local recurrence at the mastectomy site, regardless of palpability. | - |
dc.description.statementOfResponsibility | open | - |
dc.relation.isPartOf | ACTA RADIOLOGICA | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.subject.MESH | Adult | - |
dc.subject.MESH | Aged | - |
dc.subject.MESH | Breast Neoplasms/diagnostic imaging* | - |
dc.subject.MESH | Breast Neoplasms/surgery | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Follow-Up Studies | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Mastectomy* | - |
dc.subject.MESH | Middle Aged | - |
dc.subject.MESH | Neoplasm Recurrence, Local/diagnostic imaging* | - |
dc.subject.MESH | Neoplasm Recurrence, Local/prevention & control | - |
dc.subject.MESH | Observer Variation | - |
dc.subject.MESH | Postoperative Complications/diagnostic imaging* | - |
dc.subject.MESH | Predictive Value of Tests | - |
dc.subject.MESH | Radiology Information Systems/statistics & numerical data* | - |
dc.subject.MESH | Reproducibility of Results | - |
dc.subject.MESH | Retrospective Studies | - |
dc.subject.MESH | Ultrasonography, Mammary/methods* | - |
dc.title | Value of the US BI-RADS final assessment following mastectomy: BI-RADS 4 and 5 lesions | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Radiology (영상의학) | - |
dc.contributor.googleauthor | Hye Mi Gweon | - |
dc.contributor.googleauthor | Eun Ju Son | - |
dc.contributor.googleauthor | Ji Hyun Youk | - |
dc.contributor.googleauthor | Jeong-Ah Kim | - |
dc.contributor.googleauthor | Jin Chung | - |
dc.identifier.doi | 22302210 | - |
dc.admin.author | false | - |
dc.admin.mapping | false | - |
dc.contributor.localId | A03740 | - |
dc.contributor.localId | A00265 | - |
dc.contributor.localId | A00888 | - |
dc.contributor.localId | A01988 | - |
dc.contributor.localId | A02537 | - |
dc.relation.journalcode | J00033 | - |
dc.identifier.eissn | 1600-0455 | - |
dc.identifier.pmid | 22302210 | - |
dc.subject.keyword | Breast cancer | - |
dc.subject.keyword | mastectomy | - |
dc.subject.keyword | recurrence | - |
dc.subject.keyword | ultrasonography | - |
dc.subject.keyword | BI-RADS | - |
dc.contributor.alternativeName | Chung, Jin | - |
dc.contributor.alternativeName | Gweon, Hye Mi | - |
dc.contributor.alternativeName | Kim, Jeong Ah | - |
dc.contributor.alternativeName | Son, Eun Ju | - |
dc.contributor.alternativeName | Youk, Ji Hyun | - |
dc.contributor.affiliatedAuthor | Chung, Jin | - |
dc.contributor.affiliatedAuthor | Gweon, Hye Mi | - |
dc.contributor.affiliatedAuthor | Kim, Jeong Ah | - |
dc.contributor.affiliatedAuthor | Son, Eun Ju | - |
dc.contributor.affiliatedAuthor | Youk, Ji Hyun | - |
dc.citation.volume | 53 | - |
dc.citation.number | 3 | - |
dc.citation.startPage | 255 | - |
dc.citation.endPage | 260 | - |
dc.identifier.bibliographicCitation | ACTA RADIOLOGICA, Vol.53(3) : 255-260, 2012 | - |
dc.identifier.rimsid | 34604 | - |
dc.type.rims | ART | - |
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