PURPOSE: The purpose of our study was to evaluate the results after using the BI-RADS categories in clinical mammography, especially in the BI-RADS 0 and BI-RADS 3 categories. MATERIAL AND METHODS: During 1 year clinical mammograms were performed in 1,777 patients. The assessment reported by radiologists was based on the American College of Radiology using BI-RADS categories. In BI-RADS 0 and BI-RADS 3 categories additional examinations, histopathological results, und follow-up results were reported. RESULTS: Of 1,777 mammograms, 135 (4.1%) were classified into the BI-RADS 0 category. In 60 of 67 (90%) findings categorized as BI-RADS 0, MR mammography was performed and the results of the mammograms were ultimately classified into the BI-RADS 2 category. In 18 of 135 (13.3%) patients with BI-RADS 0 no further examinations were done. In 113 of 1,777 (3.4%) mammograms were classified into the BI-RADS 3 category. In 11 of 113 (9.7%) patients with BI-RADS 3 histopathology was done. A follow-up mammogram after 6 months was done only in 24 of 102 (23%) patients. In 21 of 102 (18.5%) patients with BI-RADS 3 follow-up mammograms were not performed. CONCLUSIONS: Not all patients with mammographic lesions in the BI-RADS 0 category avail themselves of further diagnostic work-up. Therefore in BI-RADS 0 category lesions, additional work-up should be performed directly after mammography during the same consultation. In some cases of BI-RADS 0 category, MR mammography is able to resolve the problem. Therefore the indication for MR mammography should be more commonly used.
PURPOSE: The purpose of our study was to evaluate the results after using the BI-RADS categories in clinical mammography, especially in the BI-RADS 0 and BI-RADS 3 categories. MATERIAL AND METHODS: During 1 year clinical mammograms were performed in 1,777 patients. The assessment reported by radiologists was based on the American College of Radiology using BI-RADS categories. In BI-RADS 0 and BI-RADS 3 categories additional examinations, histopathological results, und follow-up results were reported. RESULTS: Of 1,777 mammograms, 135 (4.1%) were classified into the BI-RADS 0 category. In 60 of 67 (90%) findings categorized as BI-RADS 0, MR mammography was performed and the results of the mammograms were ultimately classified into the BI-RADS 2 category. In 18 of 135 (13.3%) patients with BI-RADS 0 no further examinations were done. In 113 of 1,777 (3.4%) mammograms were classified into the BI-RADS 3 category. In 11 of 113 (9.7%) patients with BI-RADS 3 histopathology was done. A follow-up mammogram after 6 months was done only in 24 of 102 (23%) patients. In 21 of 102 (18.5%) patients with BI-RADS 3 follow-up mammograms were not performed. CONCLUSIONS: Not all patients with mammographic lesions in the BI-RADS 0 category avail themselves of further diagnostic work-up. Therefore in BI-RADS 0 category lesions, additional work-up should be performed directly after mammography during the same consultation. In some cases of BI-RADS 0 category, MR mammography is able to resolve the problem. Therefore the indication for MR mammography should be more commonly used.
Authors: Karla Kerlikowske; Rebecca Smith-Bindman; Linn A Abraham; Constance D Lehman; Bonnie C Yankaskas; Rachel Ballard-Barbash; William E Barlow; Jennifer H Voeks; Berta M Geller; Patricia A Carney; Edward A Sickles Journal: Radiology Date: 2005-03 Impact factor: 11.105
Authors: Ximena Varas; José H Leborgne; Francisco Leborgne; Julieta Mezzera; Sylvia Jaumandreu; Felix Leborgne Journal: AJR Am J Roentgenol Date: 2002-09 Impact factor: 3.959