دورية أكاديمية
The Utility of the Fifth Edition of the BI-RADS Ultrasound Lexicon in Category 4 Breast Lesions: A Prospective Multicenter Study in China.
| العنوان: | The Utility of the Fifth Edition of the BI-RADS Ultrasound Lexicon in Category 4 Breast Lesions: A Prospective Multicenter Study in China. |
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| المؤلفون: | Gu Y; Department of Ultrasound, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, No.1 Shuai Fu Yuan, Dong Cheng District, Beijing 100730, China., Tian JW; Department of Ultrasound, The Second Affiliated Hospital of Harbin Medical University, Harbin, China., Ran HT; Department of Ultrasound, The Second Affiliated Hospital of Chongqing Medical University, Chongqing Key Laboratory of Ultrasound Molecular Imaging, Chongqing, China., Ren WD; Department of Ultrasound, Shengjing Hospital of China Medical University, Shenyang, China., Chang C; Department of Medical Ultrasound, Fudan University Shanghai Cancer Center & Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, China., Yuan JJ; Department of Ultrasonography, Henan Provincial People's Hospital, Zhengzhou, China., Kang CS; Department of Ultrasound, Shanxi Academy of Medical Science, Dayi Hospital of Shanxi Medical University, Taiyuan, China., Deng YB; Department of Medical Ultrasound, Tongji Hospital, Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China., Wang H; Department of Ultrasound, China-Japan Union Hospital of Jilin University, Changchun, China., Luo BM; Department of Ultrasound, The Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China., Guo SL; Department of Ultrasonography, First Affiliated Hospital of Guangxi Medical University, Nanning, China., Zhou Q; Department of Medical Ultrasound, The Second Affiliated Hospital, School of Medicine, Xi'an Jiaotong University, Xi'an, China., Xue ES; Department of Ultrasound, Union Hospital of Fujian Medical University, Fujian Institute of Ultrasound Medicine, Fuzhou, China., Zhan WW; Department of Ultrasound, Ruijin Hospital, Shanghai Jiaotong University, School of Medicine, Shanghai, China., Zhou Q; Department of Ultrasonography, Renmin Hospital of Wuhan University, Wuhan, China., Li J; Department of Ultrasound, Qilu Hospital, Shandong University, Jinan, China., Zhou P; Department of Ultrasound, The Third Xiangya Hospital of Central South University, Changsha, China., Zhang CQ; Department of Ultrasound, The Second Affiliated Hospital of Nanchang University, Nanchang, Jiangxi, China., Chen M; Department of Ultrasound Medicine, Tongren Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China., Gu Y; Department of Ultrasonography, The Affiliated Hospital of Guizhou Medical University, Guiyang, China., Xu JF; Department of Ultrasound, Shenzhen People's Hospital, The Second Clinical Medical College of Jinan University, Shenzhen, China., Chen W; Department of Ultrasound, The First Hospital of Shanxi Medical University, Taiyuan, China., Zhang YH; Department of Ultrasound, The Second Hospital of Dalian Medical University, Dalian, China., Wang HQ; Department of Ultrasound, The Affiliated Hospital of Qingdao University, Qingdao, China., Li JC; Department of Ultrasound, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, No.1 Shuai Fu Yuan, Dong Cheng District, Beijing 100730, China., Wang HY; Department of Ultrasound, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, No.1 Shuai Fu Yuan, Dong Cheng District, Beijing 100730, China. Electronic address: whychina@126.com., Jiang YX; Department of Ultrasound, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, No.1 Shuai Fu Yuan, Dong Cheng District, Beijing 100730, China. |
| المصدر: | Academic radiology [Acad Radiol] 2022 Jan; Vol. 29 Suppl 1, pp. S26-S34. Date of Electronic Publication: 2020 Aug 04. |
| نوع المنشور: | Journal Article; Multicenter Study; Research Support, Non-U.S. Gov't |
| اللغة: | English |
| بيانات الدورية: | Publisher: Association Of University Radiologists Country of Publication: United States NLM ID: 9440159 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1878-4046 (Electronic) Linking ISSN: 10766332 NLM ISO Abbreviation: Acad Radiol Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Reston Va : Association Of University Radiologists Original Publication: Reston, VA : Association of University Radiologists, c1994- |
| مواضيع طبية MeSH: | Breast Neoplasms*/diagnostic imaging , Ultrasonography, Mammary*/methods, Adult ; Aged ; Aged, 80 and over ; Female ; Humans ; Middle Aged ; Prospective Studies ; Retrospective Studies ; Ultrasonography ; Young Adult |
| مستخلص: | Rationale and Objectives: The objective of this study was to evaluate the utility of the fifth edition of the Breast Imaging-Reporting and Data System (BI-RADS) in clinical breast radiology by using prospective multicenter real-time analyses of ultrasound (US) images. Materials and Methods: We prospectively studied 2049 female patients (age range, 19-86 years; mean age 46.88 years) with BI-RADS category 4 breast masses in 32 tertiary hospitals. All the patients underwent B-mode, color Doppler US, and US elastography examination. US features of the mass and associated features were described and categorized according to the fifth edition of the BI-RADS US lexicon. The pathological results were used as the reference standard. The positive predictive values (PPVs) of subcategories 4a-4c were calculated. Results: A total of 2094 masses were obtained, including 1124 benign masses (54.9%) and 925 malignant masses (45.1%). For BI-RADS US features of mass shape, orientation, margin, posterior features, calcifications, architectural distortion, edema, skin changes, vascularity, and elasticity assessment were significantly different for benign and malignant masses (p< 0.05). Typical signs of malignancy were irregular shape (PPV, 57.2%), spiculated margin (PPV, 83.7%), nonparallel orientation (PPV, 63.9%), and combined pattern of posterior features (PPV, 60.6%). For the changed or newly added US features, the PPVs for intraductal calcifications were 80%, 56.4% for internal vascularity, and 80% for a hard pattern on elastography. The associated features such as architectural distortion (PPV, 89.3%), edema (PPV, 69.2%), and skin changes (PPV, 76.2%) displayed high predictive value for malignancy. The rate of malignant was 7.4% (72/975) in category 4a, 61.4% (283/461) in category 4b, and 93.0% (570/613) in category 4c. The PPV for category 4b was higher than the likelihood ranges specified in BI-RADS and the PPVs for categories 4a and 4c were within the acceptable performance ranges specified in the fifth edition of BI-RADS in our study. Conclusion: Not only the US features of the breast mass, but also associated features, including vascularity and elasticity assessment, have become an indispensable part of the fifth edition of BI-RADS US lexicon to distinguish benign and malignant breast lesions. The subdivision of category 4 lesions into categories 4a, 4b, and 4c for US findings is helpful for further assessment of the likelihood of malignancy of breast lesions. (Copyright © 2020 The Association of University Radiologists. Published by Elsevier Inc. All rights reserved.) |
| فهرسة مساهمة: | Keywords: Breast; Breast Imaging-Reporting and Data System (BI-RADS); Breast neoplasms; Ultrasonography |
| تواريخ الأحداث: | Date Created: 20200810 Date Completed: 20220310 Latest Revision: 20220311 |
| رمز التحديث: | 20221213 |
| DOI: | 10.1016/j.acra.2020.06.027 |
| PMID: | 32768352 |
| قاعدة البيانات: | MEDLINE |
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Full Text Finder | تدمد: | 1878-4046 |
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| DOI: | 10.1016/j.acra.2020.06.027 |