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:: Volume 12, Issue 4 (Autumn 2021) ::
Caspian J Intern Med 2021, 12(4): 573-579 Back to browse issues page
Accuracy of mammography and ultrasonography and their BI-RADS in detection of the breast malignancies
Naser Ghaemian , Neda Haji Ghazi Tehrani , Mehrdad Nabahati *
Department of Radiology, Shahid Beheshti Hospital, Babol University of Medical Sciences, Babol, Iran , mehrdadnabahati@gmail.com
Abstract:   (3253 Views)
Background: We aimed to compare the diagnostic accuracy of mammography and ultrasonography and their breast imaging-reporting and data system (BI-RADS) classification versus breast core needle biopsy (CNB) findings in distinguishing the breast masses.
Methods: This cross-sectional study was conducted during 2016-2018 on female patients who were referred to a radiology center in Babol, northern Iran, for routine screening and/or for CNB. Patients underwent sonography and mammography by a senior radiologist. The breast lesions were also evaluated according to BI-RADS classification. CNB was performed on the breast masses by the same radiologist and pathological procedures were performed by an expert pathologist. Descriptive statistics were used to analyze the data.
Results: In total, 213 breast masses were finally assessed, of which 107 (50.2 %) masses were benign and 106 (49.8 %) masses were malignant. The sensitivity for mammography and ultrasound alone was 72.6% and 68.9%, respectively. This rate for combined mammography and ultrasound was 84.9%. About BI-RADS classification, 28 masses were classified as BI-RADS 3, 99 as BI-RADS 4A, 4 as BI-RADS 4B, 18 as BI-RADS 4C, and 64 as BI-RADS 5. BI-RADS 4A had the highest sensitivity (70.1%) among BI-RADS categories. The highest specificity pertained to BI-RADS 3 and 5 (100%) among BI-RADS categories. Also, the highest accuracy was related to BI-RADS 5 (80.3%).
Conclusion: The results of the present study showed that combined mammography and ultrasound had a higher rate of accuracy than mammography or ultrasound alone. Furthermore, the imaging methods BI-RADS classification had an acceptable positive predictive value.
Keywords: Ultrasonography, mammography, core needle biopsy, breast malignancy
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Type of Study: Original Article | Subject: Radiology
Received: 2021/01/2 | Accepted: 2021/03/13 | Published: 2021/09/19
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Ghaemian N, Haji Ghazi Tehrani N, Nabahati M. Accuracy of mammography and ultrasonography and their BI-RADS in detection of the breast malignancies. Caspian J Intern Med. 2021; 12 (4) :573-579
URL: http://caspjim.com/article-1-2681-en.html

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Volume 12, Issue 4 (Autumn 2021) Back to browse issues page
Caspian Journal of Internal Medicine
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