Diagnostic Effectiveness of BI-RADS Classifıcation In Suspected Breast Lesions: A Single Center Experience in the West Anatolia

Authors : Tuğberk Baştürk, Ramazan Oğuz Yüceer, Seda Baştürk, Mehmet Duran

Pages : 520-527

Doi:10.53394/akd.1343088

View : 52 | Download : 95

Publication Date : 2024-09-19

Article Type : Research Paper

Abstract :Objective: In this study, we aimed to investigate the histopathological and radiological compatibility of the lesions grouped as BI-RADS (Breast Imaging Reporting and Data System) categories 3, 4, and 5 with breast ultrasonography (US) and mammography and performed trucut biopsy (TCB) under US guidance. Material and methods: Between January 2019 and December 2022, 196 consecutive female patients who were diagnosed with BI-RADS 3, 4, and 5 lesions by US and mammography examinations and underwent US-guided TCB were retrospectively scanned and included in the study. Lesion localizations, largest diameters, biopsy results, and the relationship of benign-malignant lesions with age were examined. Negative predictive value (NPV) for malignancy in BI-RADS 3 lesions and positive predictive value (PPV) for malignancy in BI-RADS 4 and 5 lesions were calculated. Results: In patients with a mean age of 50.38±13.53 (18-80), the probability of malignancy increased over the age of 52. There was no statistical difference between the sizes and locations of benign and malignant lesions (p>0.05). There was a statistically strong and significant correlation between BIRADS and histopathological diagnosis (p<0.0001, r=0.725). The NPV for malignancy in BI-RADS 3 lesions was 93.5%, and the PPV for malignancy in BI-RADS 4 and 5 lesions was 61.4% and 96.7%, respectively. Conclusions: Breast trucut biopsy is an effective and reliable method for diagnosing lesions grouped as BI-RADS 3, 4, and 5. The NPV rate for malignancy in BI-RADS 3 lesions is relatively low. In BI-RADS 4 lesions, the PPV for malignancy is low because the lesion spectrum is quite wide, and the division into subcategories is subjective. The PPV for malignancy in BI-RADS 5 lesions is quite high.
Keywords : Meme kitlesi, BI RADS, Meme tru cut biyopsi