Back to Journals » Cancer Management and Research » Volume 4

Breast imaging reports for malignant lesions: are we maintaining recommended BI-RADS® lexicon standards?

Authors Masroor I, Muhammad A, Hafeez S, BEG M, Sohail S, Ahmad, Haq, Mehboob

Received 9 August 2012

Accepted for publication 27 September 2012

Published 7 November 2012 Volume 2012:4 Pages 379—382

DOI https://doi.org/10.2147/CMAR.S36879

Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 2


Imrana Masroor,1 Muhammad Azeemuddin,1 Saima Sakhawat,1 Madiha Beg,1 Saba Sohail,2 Rashid Ahmed,3 Irfan-Ul-Haq,4 Javed Mehboob5

1Radiology Department, Aga Khan University Hospital, 2Radiology Department, Civil Hospital, 3Advanced Radiology Clinic, 4Radiology Department, Pakistan Naval Station Shifa Hospital, 5Karachi Institute of Radiotherapy and Nuclear Medicine, Karachi, Pakistan

Background: The purpose of this study was to evaluate mammography reports for diagnosed breast cancer cases in major government and private centers in Karachi, Pakistan, with respect to concordance with the Breast Imaging Reports And Data System (BI-RADS®) lexicon.
Methods: A prospective, descriptive, multicenter study was conducted in the radiology sections of the Aga Khan University Hospital, Pakistan Naval Station Shifa Hospital, Advanced Radiology Clinic, Karachi Institute of Radiotherapy and Nuclear Medicine, and Civil Hospital Karachi between May and October 2010 after approval from the ethical review committee of Aga Khan University. Mammograms reported as BI-RADS category 4 and 5 were included in the study. Mammograms reported as BI-RADS category 0, 1, 2 and 3 were excluded. Fifty reports were collected from each center. Data were collected about the clinical indication, breast density, location and description of the lesion, calcification, and comments on axillary lymph nodes. This description was compared with the BI-RADS lexicon.
Results: The mean age of the patients was 50 ± 12 years. The clinical indication, breast parenchymal density, lesion location, and presence of calcification were better described by the private centers, while description of lymph node status was better stated by the government centers. This difference was statistically significant, except for lesion description. The description of masses by the two reporting groups was comparable.
Conclusion: Mammographic reporting of malignant breast lesions in the private sector is more in line with the BI-RADS lexicon, as compared with government sector hospitals in Karachi, Pakistan. Lymph node documentation was better in government sector reports.

Keywords: breast cancer, BI-RADS®, mammography, public sector, private sector

Creative Commons License This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License. By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms.

Download Article [PDF]  View Full Text [HTML][Machine readable]