Consensus review: A method of assessment of calcifications that appropriately undergo a six-month follow-up

Academic Radiology
Cherie M KuzmiakRobert McLelland

Abstract

Breast calcifications seen on mammography may be associated with benign conditions or malignancies. Accurate characterization of these calcifications is crucial to providing optimal care that may spare women unnecessary biopsies and appropriately allow interval mammography. The purpose of this study is to determine if consensus characterization of calcifications by two breast imaging experts using standardized criteria can establish that follow-up is a safe option. For this retrospective study, our breast imaging database was reviewed and the cases imaged between the years 1999 and 2001 were used to identify patients with calcifications who were recommended for a six-month follow-up or biopsy. All cases had been prospectively assessed by at least two expert breast imagers using standardized features to assess the findings before a recommendation for follow-up or a biopsy was made. A retrospective chart review examining the radiology reports was done to determine the percentage of women from each of the two groups who developed malignancies. Of 744 patients who had mammographically identified clusters of calcifications, 490 clusters (409 single and 81 multiple) were diagnosed as probably-benign, and a short-interval 6-month foll...Continue Reading

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Citations

Jul 6, 2010·Breast Cancer : the Journal of the Japanese Breast Cancer Society·Parissa TabrizianTehillah S Menes
Oct 1, 2013·European Radiology·B L StehouwerM A A J van den Bosch
Nov 7, 2013·International Journal of Breast Cancer·Melissa CraftKaren M Flegg

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