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- Title
Use of the probably benign (BI‐RADS category 3) assessment for masses on breast MRI: Is it transferable to general clinical practice?
- Authors
Price, Elissa R.; Sickles, Edward A.; Yitta, Silaja; Brasic, Natasha; Yeh, Melinda J.; Allen, Isabel E.; Joe, Bonnie N.
- Abstract
Abstract: The purpose of this study was to identify potential BI‐RADS 3 mass descriptors on breast magnetic resonance imaging by systematically defining positive predictive values (PPV). In a blinded retrospective review of BI‐RADS 4 masses, reader 1 identified 132 masses and reader 2 identified 76 masses. PPV for mass descriptors and for descriptor combinations was determined. No mass descriptor resulted in a PPV ≤2% (BI‐RADS 3 threshold). Descriptors with the lowest PPVs were circumscribed margin (8%), rim internal enhancement and persistent kinetics (13% each), and oval shape (15%). The results demonstrate the difficulty in transferring the theoretical concept of lesion surveillance to systematic clinical use.
- Subjects
BIOPSY; BREAST; BREAST diseases; MAMMOGRAMS; MAGNETIC resonance imaging; TERMS &; phrases; PREDICTIVE tests; INTER-observer reliability; RETROSPECTIVE studies
- Publication
Breast Journal, 2018, Vol 24, Issue 2, p109
- ISSN
1075-122X
- Publication type
Article
- DOI
10.1111/tbj.12865