Characterization of Solid Breast Masses: Use of the Sonographic Breast Imaging Reporting and Data System Lexicon
The purpose of this study was to determine the reliability of sonographic American College of Radiology Breast Imaging Reporting And Data System (BI-RADS) classification in differentiating benign from malignant breast masses. One hundred seventy-eight breast masses studied by sonography with a known...
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| Veröffentlicht in: | Journal of ultrasound in medicine 2006-05, Vol.25 (5), p.649-659 |
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| creator | Costantini, Melania Belli, Paolo Lombardi, Roberta Franceschini, Gianluca Mule, Antonino Bonomo, Lorenzo |
| description | The purpose of this study was to determine the reliability of sonographic American College of Radiology Breast Imaging Reporting And Data System (BI-RADS) classification in differentiating benign from malignant breast masses.
One hundred seventy-eight breast masses studied by sonography with a known diagnosis were reviewed. All lesions were classified according to the sonographic BI-RADS lexicon. Pathologic results were compared with sonographic features. Sensitivity, specificity, accuracy, and positive predictive value (PPV) and negative predictive value (NPV) for the sonographic BI-RADS lexicon were calculated.
Twenty-six cases were assigned to class 3, 73 to class 4, and 79 to class 5. Pathologic results revealed 105 malignant and 73 benign lesions. The sonographic BI-RADS lexicon showed 71.3% accuracy, 98.1% sensitivity, 32.9% specificity, 67.8% PPV, and 92.3% NPV. The NPV for class 3 was 92.3%. The PPVs for classes 4 and 5 were 46.6% and 87.3%. Typical signs of malignancy were irregular shape, antiparallel orientation, noncircumscribed margin, echogenic halo, and decreased sound transmission. Typical signs of benignity were oval shape and circumscribed margin.
The sonographic BI-RADS lexicon is an important system for describing and classifying breast lesions. |
| doi_str_mv | 10.7863/jum.2006.25.5.649 |
| format | Article |
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One hundred seventy-eight breast masses studied by sonography with a known diagnosis were reviewed. All lesions were classified according to the sonographic BI-RADS lexicon. Pathologic results were compared with sonographic features. Sensitivity, specificity, accuracy, and positive predictive value (PPV) and negative predictive value (NPV) for the sonographic BI-RADS lexicon were calculated.
Twenty-six cases were assigned to class 3, 73 to class 4, and 79 to class 5. Pathologic results revealed 105 malignant and 73 benign lesions. The sonographic BI-RADS lexicon showed 71.3% accuracy, 98.1% sensitivity, 32.9% specificity, 67.8% PPV, and 92.3% NPV. The NPV for class 3 was 92.3%. The PPVs for classes 4 and 5 were 46.6% and 87.3%. Typical signs of malignancy were irregular shape, antiparallel orientation, noncircumscribed margin, echogenic halo, and decreased sound transmission. Typical signs of benignity were oval shape and circumscribed margin.
The sonographic BI-RADS lexicon is an important system for describing and classifying breast lesions.</description><identifier>ISSN: 0278-4297</identifier><identifier>EISSN: 1550-9613</identifier><identifier>DOI: 10.7863/jum.2006.25.5.649</identifier><identifier>PMID: 16632790</identifier><language>eng</language><publisher>England: Am inst Ulrrasound Med</publisher><subject>Adult ; Aged ; Breast Neoplasms - classification ; Breast Neoplasms - diagnostic imaging ; Breast Neoplasms - epidemiology ; Breast Neoplasms - pathology ; Female ; Humans ; Maryland - epidemiology ; Middle Aged ; Reproducibility of Results ; Sensitivity and Specificity ; Severity of Illness Index ; Terminology as Topic ; Ultrasonography, Mammary - methods ; Ultrasonography, Mammary - standards ; Ultrasonography, Mammary - statistics & numerical data</subject><ispartof>Journal of ultrasound in medicine, 2006-05, Vol.25 (5), p.649-659</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c281t-cd4b2bae400abb5631089db7c62e8e0a5203a0769871c047aadba9da6be3c3613</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16632790$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Costantini, Melania</creatorcontrib><creatorcontrib>Belli, Paolo</creatorcontrib><creatorcontrib>Lombardi, Roberta</creatorcontrib><creatorcontrib>Franceschini, Gianluca</creatorcontrib><creatorcontrib>Mule, Antonino</creatorcontrib><creatorcontrib>Bonomo, Lorenzo</creatorcontrib><title>Characterization of Solid Breast Masses: Use of the Sonographic Breast Imaging Reporting and Data System Lexicon</title><title>Journal of ultrasound in medicine</title><addtitle>J Ultrasound Med</addtitle><description>The purpose of this study was to determine the reliability of sonographic American College of Radiology Breast Imaging Reporting And Data System (BI-RADS) classification in differentiating benign from malignant breast masses.
One hundred seventy-eight breast masses studied by sonography with a known diagnosis were reviewed. All lesions were classified according to the sonographic BI-RADS lexicon. Pathologic results were compared with sonographic features. Sensitivity, specificity, accuracy, and positive predictive value (PPV) and negative predictive value (NPV) for the sonographic BI-RADS lexicon were calculated.
Twenty-six cases were assigned to class 3, 73 to class 4, and 79 to class 5. Pathologic results revealed 105 malignant and 73 benign lesions. The sonographic BI-RADS lexicon showed 71.3% accuracy, 98.1% sensitivity, 32.9% specificity, 67.8% PPV, and 92.3% NPV. The NPV for class 3 was 92.3%. The PPVs for classes 4 and 5 were 46.6% and 87.3%. Typical signs of malignancy were irregular shape, antiparallel orientation, noncircumscribed margin, echogenic halo, and decreased sound transmission. Typical signs of benignity were oval shape and circumscribed margin.
The sonographic BI-RADS lexicon is an important system for describing and classifying breast lesions.</description><subject>Adult</subject><subject>Aged</subject><subject>Breast Neoplasms - classification</subject><subject>Breast Neoplasms - diagnostic imaging</subject><subject>Breast Neoplasms - epidemiology</subject><subject>Breast Neoplasms - pathology</subject><subject>Female</subject><subject>Humans</subject><subject>Maryland - epidemiology</subject><subject>Middle Aged</subject><subject>Reproducibility of Results</subject><subject>Sensitivity and Specificity</subject><subject>Severity of Illness Index</subject><subject>Terminology as Topic</subject><subject>Ultrasonography, Mammary - methods</subject><subject>Ultrasonography, Mammary - standards</subject><subject>Ultrasonography, Mammary - statistics & numerical data</subject><issn>0278-4297</issn><issn>1550-9613</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkE2P0zAQhi0EYrsLP4AL8gVuCWMnthNuUBZYqQiJZc_WxJk2XuUL21VZfj0pLXCakeZ5X2kexl4IyE2lizf3-yGXADqXKle5LutHbCWUgqzWonjMViBNlZWyNhfsMsZ7AAnClE_ZhdC6kKaGFZvXHQZ0iYL_hclPI5-2_HbqfcvfB8KY-BeMkeJbfhfpeEsdLfdx2gWcO-_-UjcD7vy4499onkI6bji2_AMm5LcPMdHAN_TTu2l8xp5ssY_0_Dyv2N3H6-_rz9nm66eb9btN5mQlUubaspENUgmATaN0IaCq28Y4LakiQCWhQDC6roxwUBrEtsG6Rd1Q4Yrl_Sv2-tQ7h-nHnmKyg4-O-h5HmvbRalPVoP6A4gS6MMUYaGvn4AcMD1aAPWq2i2Z71GylssoumpfMy3P5vhmo_Z84e12AVyeg87vu4APZOGDfL7iwh8PhX9FvwmGHdg</recordid><startdate>20060501</startdate><enddate>20060501</enddate><creator>Costantini, Melania</creator><creator>Belli, Paolo</creator><creator>Lombardi, Roberta</creator><creator>Franceschini, Gianluca</creator><creator>Mule, Antonino</creator><creator>Bonomo, Lorenzo</creator><general>Am inst Ulrrasound Med</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20060501</creationdate><title>Characterization of Solid Breast Masses: Use of the Sonographic Breast Imaging Reporting and Data System Lexicon</title><author>Costantini, Melania ; Belli, Paolo ; Lombardi, Roberta ; Franceschini, Gianluca ; Mule, Antonino ; Bonomo, Lorenzo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c281t-cd4b2bae400abb5631089db7c62e8e0a5203a0769871c047aadba9da6be3c3613</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Breast Neoplasms - classification</topic><topic>Breast Neoplasms - diagnostic imaging</topic><topic>Breast Neoplasms - epidemiology</topic><topic>Breast Neoplasms - pathology</topic><topic>Female</topic><topic>Humans</topic><topic>Maryland - epidemiology</topic><topic>Middle Aged</topic><topic>Reproducibility of Results</topic><topic>Sensitivity and Specificity</topic><topic>Severity of Illness Index</topic><topic>Terminology as Topic</topic><topic>Ultrasonography, Mammary - methods</topic><topic>Ultrasonography, Mammary - standards</topic><topic>Ultrasonography, Mammary - statistics & numerical data</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Costantini, Melania</creatorcontrib><creatorcontrib>Belli, Paolo</creatorcontrib><creatorcontrib>Lombardi, Roberta</creatorcontrib><creatorcontrib>Franceschini, Gianluca</creatorcontrib><creatorcontrib>Mule, Antonino</creatorcontrib><creatorcontrib>Bonomo, Lorenzo</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of ultrasound in medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Costantini, Melania</au><au>Belli, Paolo</au><au>Lombardi, Roberta</au><au>Franceschini, Gianluca</au><au>Mule, Antonino</au><au>Bonomo, Lorenzo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Characterization of Solid Breast Masses: Use of the Sonographic Breast Imaging Reporting and Data System Lexicon</atitle><jtitle>Journal of ultrasound in medicine</jtitle><addtitle>J Ultrasound Med</addtitle><date>2006-05-01</date><risdate>2006</risdate><volume>25</volume><issue>5</issue><spage>649</spage><epage>659</epage><pages>649-659</pages><issn>0278-4297</issn><eissn>1550-9613</eissn><abstract>The purpose of this study was to determine the reliability of sonographic American College of Radiology Breast Imaging Reporting And Data System (BI-RADS) classification in differentiating benign from malignant breast masses.
One hundred seventy-eight breast masses studied by sonography with a known diagnosis were reviewed. All lesions were classified according to the sonographic BI-RADS lexicon. Pathologic results were compared with sonographic features. Sensitivity, specificity, accuracy, and positive predictive value (PPV) and negative predictive value (NPV) for the sonographic BI-RADS lexicon were calculated.
Twenty-six cases were assigned to class 3, 73 to class 4, and 79 to class 5. Pathologic results revealed 105 malignant and 73 benign lesions. The sonographic BI-RADS lexicon showed 71.3% accuracy, 98.1% sensitivity, 32.9% specificity, 67.8% PPV, and 92.3% NPV. The NPV for class 3 was 92.3%. The PPVs for classes 4 and 5 were 46.6% and 87.3%. Typical signs of malignancy were irregular shape, antiparallel orientation, noncircumscribed margin, echogenic halo, and decreased sound transmission. Typical signs of benignity were oval shape and circumscribed margin.
The sonographic BI-RADS lexicon is an important system for describing and classifying breast lesions.</abstract><cop>England</cop><pub>Am inst Ulrrasound Med</pub><pmid>16632790</pmid><doi>10.7863/jum.2006.25.5.649</doi><tpages>11</tpages></addata></record> |
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| ispartof | Journal of ultrasound in medicine, 2006-05, Vol.25 (5), p.649-659 |
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| source | MEDLINE; Access via Wiley Online Library |
| subjects | Adult Aged Breast Neoplasms - classification Breast Neoplasms - diagnostic imaging Breast Neoplasms - epidemiology Breast Neoplasms - pathology Female Humans Maryland - epidemiology Middle Aged Reproducibility of Results Sensitivity and Specificity Severity of Illness Index Terminology as Topic Ultrasonography, Mammary - methods Ultrasonography, Mammary - standards Ultrasonography, Mammary - statistics & numerical data |
| title | Characterization of Solid Breast Masses: Use of the Sonographic Breast Imaging Reporting and Data System Lexicon |
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