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Value of the US BI-RADS final assessment following mastectomy: BI-RADS 4 and 5 lesions

DC FieldValueLanguage
dc.contributor.author정진-
dc.contributor.author권혜미-
dc.contributor.author김정아-
dc.contributor.author손은주-
dc.contributor.author육지현-
dc.date.accessioned2014-12-19T16:21:49Z-
dc.date.available2014-12-19T16:21:49Z-
dc.date.issued2012-
dc.identifier.issn0284-1851-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/89386-
dc.description.abstractBACKGROUND: 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.statementOfResponsibilityopen-
dc.relation.isPartOfACTA RADIOLOGICA-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAdult-
dc.subject.MESHAged-
dc.subject.MESHBreast Neoplasms/diagnostic imaging*-
dc.subject.MESHBreast Neoplasms/surgery-
dc.subject.MESHFemale-
dc.subject.MESHFollow-Up Studies-
dc.subject.MESHHumans-
dc.subject.MESHMastectomy*-
dc.subject.MESHMiddle Aged-
dc.subject.MESHNeoplasm Recurrence, Local/diagnostic imaging*-
dc.subject.MESHNeoplasm Recurrence, Local/prevention & control-
dc.subject.MESHObserver Variation-
dc.subject.MESHPostoperative Complications/diagnostic imaging*-
dc.subject.MESHPredictive Value of Tests-
dc.subject.MESHRadiology Information Systems/statistics & numerical data*-
dc.subject.MESHReproducibility of Results-
dc.subject.MESHRetrospective Studies-
dc.subject.MESHUltrasonography, Mammary/methods*-
dc.titleValue of the US BI-RADS final assessment following mastectomy: BI-RADS 4 and 5 lesions-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Radiology (영상의학)-
dc.contributor.googleauthorHye Mi Gweon-
dc.contributor.googleauthorEun Ju Son-
dc.contributor.googleauthorJi Hyun Youk-
dc.contributor.googleauthorJeong-Ah Kim-
dc.contributor.googleauthorJin Chung-
dc.identifier.doi22302210-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA03740-
dc.contributor.localIdA00265-
dc.contributor.localIdA00888-
dc.contributor.localIdA01988-
dc.contributor.localIdA02537-
dc.relation.journalcodeJ00033-
dc.identifier.eissn1600-0455-
dc.identifier.pmid22302210-
dc.subject.keywordBreast cancer-
dc.subject.keywordmastectomy-
dc.subject.keywordrecurrence-
dc.subject.keywordultrasonography-
dc.subject.keywordBI-RADS-
dc.contributor.alternativeNameChung, Jin-
dc.contributor.alternativeNameGweon, Hye Mi-
dc.contributor.alternativeNameKim, Jeong Ah-
dc.contributor.alternativeNameSon, Eun Ju-
dc.contributor.alternativeNameYouk, Ji Hyun-
dc.contributor.affiliatedAuthorChung, Jin-
dc.contributor.affiliatedAuthorGweon, Hye Mi-
dc.contributor.affiliatedAuthorKim, Jeong Ah-
dc.contributor.affiliatedAuthorSon, Eun Ju-
dc.contributor.affiliatedAuthorYouk, Ji Hyun-
dc.citation.volume53-
dc.citation.number3-
dc.citation.startPage255-
dc.citation.endPage260-
dc.identifier.bibliographicCitationACTA RADIOLOGICA, Vol.53(3) : 255-260, 2012-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers

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