Simple rules for ultrasonographic subcategorization of BI-RADS (R)-US 4 breast masses

dc.creatorJales, RM
dc.creatorSarian, LO
dc.creatorTorresan, R
dc.creatorMarussi, EF
dc.creatorAlvares, BR
dc.creatorDerchain, S
dc.date2013
dc.dateAUG
dc.date2014-07-30T19:57:41Z
dc.date2015-11-26T17:52:17Z
dc.date2014-07-30T19:57:41Z
dc.date2015-11-26T17:52:17Z
dc.date.accessioned2018-03-29T00:35:45Z
dc.date.available2018-03-29T00:35:45Z
dc.identifierEuropean Journal Of Radiology. Elsevier Ireland Ltd, v. 82, n. 8, n. 1231, n. 1235, 2013.
dc.identifier0720-048X
dc.identifierWOS:000321496900028
dc.identifier10.1016/j.ejrad.2013.02.032
dc.identifierhttp://www.repositorio.unicamp.br/jspui/handle/REPOSIP/74149
dc.identifierhttp://repositorio.unicamp.br/jspui/handle/REPOSIP/74149
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/1290204
dc.descriptionObjectives: To evaluate an objective method for ultrasonographic (US) subcategorization of BI-RADS (R)-US 4 breast masses based on clear and simple rules in order for woman to benefit from a more complete and homogeneous breast mass analysis. Methods: In this cross-sectional study, we selected 330 women, with 339 US breast masses, classified as BI-RADSS (R)-US 4. Three physicians experienced in breast imaging independently reviewed all US images, assessing mass shape, margins, orientation, echo texture and vascularity. These experts further subdivided the masses into subcategories 4a, 4b and 4c, according to simple US rules. Inter-observer agreement was calculated for US features categories and for final subcategory assessment. We also estimated the positive predictive value (PPV) for BI-RADS (R)-US subcategories 4a, 4b and 4c assigned by each of the three observers. Results: Pathological examination of all masses confirmed 144 (42%) malignant and 195 (58%) benign tumors. Moderate agreement was obtained for mass shape, margins, vascularity and for final BI-RADS (R)-US 4 subcategory. Substantial agreement was obtained for the description of mass orientation and echo texture. The PPV for subcategories 4a, 4b and 4c were, 17%, 45% and 85%, respectively, for the first observer and 20%, 38% and 79% and 17%, 40% and 85% for the other two observers. Conclusion: Standardization of a US subcategorization of BI-RADS (R)-US 4 breast masses seems to be feasible, with substantial inter-observer agreement and progressive increase in the PPV in the subcategories 4a, 4b and 4c, provided that clear and simple classification rules are defined. (C) 2013 Elsevier Ireland Ltd. All rights reserved.
dc.description82
dc.description8
dc.description1231
dc.description1235
dc.languageen
dc.publisherElsevier Ireland Ltd
dc.publisherClare
dc.publisherIrlanda
dc.relationEuropean Journal Of Radiology
dc.relationEur. J. Radiol.
dc.rightsfechado
dc.rightshttp://www.elsevier.com/about/open-access/open-access-policies/article-posting-policy
dc.sourceWeb of Science
dc.subjectBreast neoplasm
dc.subjectUltrasonography
dc.subjectBI-RADS (R)
dc.subjectPositive Predictive-value
dc.subjectBi-rads
dc.subjectObserver Agreement
dc.subjectUs
dc.subjectVariability
dc.subjectMammography
dc.subjectSonography
dc.subjectUltrasound
dc.subjectLexicon
dc.titleSimple rules for ultrasonographic subcategorization of BI-RADS (R)-US 4 breast masses
dc.typeArtículos de revistas


Este ítem pertenece a la siguiente institución