The positive predictive value of the breast imaging reporting and data system (BI-RADS) as a method of quality assessment in breast imaging in a hospital population

European Radiology
H M ZonderlandArend J Nieborg

Abstract

Evaluation of the diagnostic performance of mammography and US in our hospital, based upon the positive predictive value (PPV) for breast cancer of the breast imaging reporting and data system (BI-RADS) final assessment categories, has been performed. A follow-up study of 2,762 mammograms was performed, along with 955 diagnostic exams and 1,807 screening exams. Additional US was performed in 655 patients (23.7%). The combined reports were assigned a BI-RADS category. Follow-up was obtained by pathologic examination, mammography at 12 months or from PALGA, a nationwide network and registry of histo- and cytopathology. Overall sensitivity was 85% (specificity 98.7%); sensitivity of the diagnostic examinations was 92.9% (specificity 97.7%) and of the screening examinations 69.2% (specificity 99.2%). The PPV of BI-RADS 1 was 5 of 1,542 (0.3%), and of BI-RADS 2, it was 6 of 935 (0.6%). BI-RADS 3 was 6 of 154 (3.9%), BI-RADS 4 was 39 of 74 (52.7%) and BI-RADS 5 was 57 of 57 (100%). The difference between BI-RADS 1 and 2 vs. BI-RADS 3 was statistically significant (P<0.01). Analysis of BI-RADS 3 cases revealed inconsistencies in its assignment. Evaluation of the BI-RADS final assessment categories enables a valid analysis of the diagn...Continue Reading

References

Mar 1, 1992·AJR. American Journal of Roentgenology·D B Kopans
Jan 1, 1997·British Journal of Cancer·L E DuijmD Willebrand
Feb 4, 1999·AJR. American Journal of Roentgenology·L S CaplanD L Monticciolo
Jun 3, 1999·Radiology·S G OrelD C Sullivan
Jul 13, 1999·Journal of the American College of Surgeons·M A LacquementA B Hollingsworth
Nov 7, 1999·Radiology·H M ZonderlandA E van Voorthuisen
Feb 27, 2001·AJR. American Journal of Roentgenology·K E Dee, E A Sickles
Jul 28, 2001·Seminars in Roentgenology·E B MendelsonC R Merritt
Feb 22, 2002·AJR. American Journal of Roentgenology·Rita E SohlichKatherine E Dee
Apr 4, 2002·Radiology·Eric L RosenMary Scott Soo
Jul 16, 2002·Radiologic Clinics of North America·Laura Liberman, Jennifer H Menell
Aug 8, 2002·Journal of the National Cancer Institute·William E BarlowStephen H Taplin
Mar 20, 2003·Journal of the National Cancer Institute·Shagufta YasmeenSusan L Hendrix
Oct 23, 2003·JAMA : the Journal of the American Medical Association·Rebecca Smith-BindmanKarla Kerlikowske

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Citations

Apr 28, 2005·European Radiology·S ObenauerE Grabbe
Jan 23, 2009·European Radiology·Eduardo F C FleuryDecio Roveda Junior
May 12, 2010·International Journal of Clinical Practice·F J H M van den BiggelaarK Flobbe
Apr 24, 2008·AJR. American Journal of Roentgenology·Eun-Kyung KimByoung-Woo Park
Nov 11, 2009·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Turgay AyerElizabeth S Burnside
Dec 24, 2010·Radiology·Ryan W WoodsElizabeth S Burnside
Mar 19, 2014·Revue D'épidémiologie Et De Santé Publique·F Papin-LefebvreUNKNOWN GRED/INCa
Jan 25, 2008·Journal of Digital Imaging·Denise GuliatoRobson C Soares
Apr 24, 2008·European Radiology·Luc D B VercauterenKarin Flobbe
Nov 1, 2011·Seminars in Roentgenology·Emily Sedgwick
Nov 24, 2007·The Breast : Official Journal of the European Society of Mastology·E A OomsA C Ansink
Jan 28, 2010·International Journal of Cancer. Journal International Du Cancer·Allan JensenElsebeth Lynge
Aug 13, 2009·International Journal of Cancer. Journal International Du Cancer·Frank J H M van den BiggelaarKarin Flobbe
Feb 3, 2007·The Breast : Official Journal of the European Society of Mastology·Nehmat HoussamiMeagan Brennan
Jun 24, 2015·AJR. American Journal of Roentgenology·João Ricardo Maltez de AlmeidaMário de Seixas Rocha
Apr 23, 2009·Molecular Oncology·Leonard Fass
Aug 5, 2014·Medical Physics·Sabee MolloiStephen A Feig
Jul 17, 2009·Radiología·J M Santana MontesdeocaA Jorrín Moreno
Feb 2, 2006·International Journal of Cancer. Journal International Du Cancer·Allan JensenElsebeth Lynge
Oct 6, 2006·Journal of Digital Imaging·Rangaraj M Rangayyan, Thanh M Nguyen
Mar 19, 2013·Journal of Digital Imaging·Yirong WuElizabeth S Burnside
Sep 28, 2010·European Journal of Nuclear Medicine and Molecular Imaging·Kathy SchillingLarraine Chrystal
Aug 1, 2013·Korean Journal of Radiology : Official Journal of the Korean Radiological Society·Joo Hwa MyongYeong Yi An
Mar 1, 2012·Clinical Medicine : Journal of the Royal College of Physicians of London·Andrew Spencer
Sep 30, 2017·Current Opinion in Obstetrics & Gynecology·Manuel Martín-DíazAurora Bueno-Cavanillas
Jun 10, 2021·Breast Cancer : Basic and Clinical Research·Tchin DarréGado Napo-Koura
Aug 14, 2021·Tzu Chi Medical Journal·Kian-Hwee ChongJia-Hui Chen

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