Validation of the fifth edition BI-RADS ultrasound lexicon with comparison of fourth and fifth edition diagnostic performance using video clips
- Authors
- Yoon, Jung Hyun; Kim, Min Jung; Lee, Hye Sun; Kim, Sung Hun; Youk, Ji Hyun; Jeong, Sun Hye; Kim, You Me
- Issue Date
- Oct-2016
- Publisher
- 대한초음파의학회
- Keywords
- Breast neoplasms; Biopsy; Breast Imaging Reporting and Data System (BI-RADS); Ultrasonography
- Citation
- ULTRASONOGRAPHY, v.35, no.4, pp 318 - 326
- Pages
- 9
- Journal Title
- ULTRASONOGRAPHY
- Volume
- 35
- Number
- 4
- Start Page
- 318
- End Page
- 326
- URI
- https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/8718
- DOI
- 10.14366/usg.16010
- ISSN
- 2288-5919
2288-5943
- Abstract
- Purpose: The aim of this study was to evaluate the positive predictive value (PPV) and the diagnostic performance of the ultrasonographic descriptors in the fifth edition of BI-RADS, comparing with the fourth edition using video clips. Methods: From September 2013 to July 2014, 80 breast masses in 74 women (mean age, 47.5 +/- 10.7 years) from five institutions of the Korean Society of Breast Imaging were included. Two radiologists individually reviewed the static and video images and analyzed the images according to the fourth and fifth edition of BI-RADS. The PPV of each descriptor was calculated and diagnostic performances between the fourth and fifth editions were compared. Results: Of the 80 breast masses, 51 (63.8%) were benign and 29 (36.2%) were malignant. Suspicious ultrasonographic features such as irregular shape, non-parallel orientation, angular or spiculated margins, and combined posterior features showed higher PPV in both editions (all P<0.05). No significant differences were found in the diagnostic performances between the two editions (all P>0.05). The area under the receiver operating characteristics curve was higher in the fourth edition (0.708 to 0.690), without significance (P=0.416). Conclusion: The fifth edition of the BI-RADS ultrasound lexicon showed comparable performance to the fourth edition and can be useful in the differential diagnosis of breast masses using ultrasonography.
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