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Modified Bi-Rads Scoring of Breast Imaging Findings Improves Clinical Judgment.
Silberman, Howard; Sheth, Pulin A; Parisky, Yuri R; Hovanessian-Larsen, Linda J; Sheth, Sindu; Tripathy, Debasish.
Afiliación
  • Silberman H; Harold E. and Henrietta C. Lee Breast Center, Kenneth Norris Comprehensive Cancer Center, Keck School of Medicine, University of Southern California, Los Angeles, California.
  • Sheth PA; Department of Surgery, Kenneth Norris Comprehensive Cancer Center, Keck School of Medicine, University of Southern California, Los Angeles, California.
  • Parisky YR; Harold E. and Henrietta C. Lee Breast Center, Kenneth Norris Comprehensive Cancer Center, Keck School of Medicine, University of Southern California, Los Angeles, California.
  • Hovanessian-Larsen LJ; Radiology, Kenneth Norris Comprehensive Cancer Center, Keck School of Medicine, University of Southern California, Los Angeles, California.
  • Sheth S; Harold E. and Henrietta C. Lee Breast Center, Kenneth Norris Comprehensive Cancer Center, Keck School of Medicine, University of Southern California, Los Angeles, California.
  • Tripathy D; Radiology, Kenneth Norris Comprehensive Cancer Center, Keck School of Medicine, University of Southern California, Los Angeles, California.
Breast J ; 21(6): 642-50, 2015.
Article en En | MEDLINE | ID: mdl-26411901
ABSTRACT
In contrast with the reporting requirements currently mandated under the Federal Mammography Quality Standards Act (MQSA), we propose a modification of the Breast Imaging Reporting and Data System (Bi-Rads) in which a concluding assessment category is assigned, not to the examination as a whole, but to every potentially malignant abnormality observed. This modification improves communication between the radiologist and the attending clinician, thereby facilitating clinical judgment leading to appropriate management. In patients with breast cancer eligible for breast conserving therapy, application of this modification brings to attention the necessity for such patients to undergo pretreatment biopsies of all secondary, synchronous ipsilateral lesions scored Bi-Rads 3-5. All contralateral secondary lesions scored Bi-Rads 3-5 also require pretreatment biopsies. The application of this modification of the MSQA demonstrates the necessity to alter current recommendations ("short-interval follow-up") for secondary, synchronous Bi-Rads 3 ("probably benign") image-detected abnormalities prior to treatment of the index malignancy.
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Texto completo: 1 Colección: 01-internacional Banco de datos: MEDLINE Asunto principal: Radiología / Mama / Neoplasias de la Mama / Mamografía / Comunicación Interdisciplinaria / Neoplasias Primarias Múltiples Tipo de estudio: Diagnostic_studies / Guideline / Prognostic_studies Límite: Aged / Female / Humans / Middle aged País/Región como asunto: America do norte Idioma: En Revista: Breast J Asunto de la revista: NEOPLASIAS Año: 2015 Tipo del documento: Article

Texto completo: 1 Colección: 01-internacional Banco de datos: MEDLINE Asunto principal: Radiología / Mama / Neoplasias de la Mama / Mamografía / Comunicación Interdisciplinaria / Neoplasias Primarias Múltiples Tipo de estudio: Diagnostic_studies / Guideline / Prognostic_studies Límite: Aged / Female / Humans / Middle aged País/Región como asunto: America do norte Idioma: En Revista: Breast J Asunto de la revista: NEOPLASIAS Año: 2015 Tipo del documento: Article