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Outcomes of unconventional utilization of BI-RADS category 3 assessment at opportunistic screening

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dc.contributor.authorTÜRELİ, DERYA
dc.contributor.authorsAltas, Hilal; Tureli, Derya; Cengic, Ismet; Kucukkaya, Fikret; Aribal, Erkin; Kaya, Handan
dc.date.accessioned2022-03-12T20:28:57Z
dc.date.available2022-03-12T20:28:57Z
dc.date.issued2016
dc.description.abstractBackground An important difficulty regarding the Breast Imaging Reporting and Data System (BI-RADS) category 3 assessment is the need for extensive diagnostic workup and an additional 6-month follow-up study. Purpose To evaluate the feasibility of the BI-RADS category 3 assessments at opportunistic screening. Material and Methods Mammography charts of 9062 screening patients in a major teaching hospital situated in an urban setting of a developing country were evaluated retrospectively (1997-2010). BI-RADS category 3 patients, called for a 6-month follow-up, which comprised a single-view spot or magnification mammogram. The length of follow-up period, compliance to periodic mammographic surveillance, cancer detection rate, and negative predictive values of category 3 assessments were calculated. Results Of the screened population, 9.2% were assigned BI-RADS category 3, and 31.2% of these cases were lost to follow-up. The mean follow-up period for 606 patients was 36.9 months. The negative predictive values for 6-month, 12-month, and final control studies were 90.9%, 87.5%, and 100%, respectively. Patient compliance for 6 months, 12 months, and any control evaluations beyond 12 months was low (50.0%, 29.8%, and 47.5%, respectively). Cancer detection rate was 0.8%. Conclusion Results of the study supports the feasibility of the BI-RADS category 3 assessments at opportunistic screening without any additional diagnostic workup. The practice of category 3 assessment following screening mammograms may be a more cost-effective method for developing countries with high recall rates and low resources in eliminating the maximum risk with minimum cost within the limits of available resources.
dc.identifier.doi10.1177/0284185115587733
dc.identifier.eissn1600-0455
dc.identifier.issn0284-1851
dc.identifier.pubmed26019241
dc.identifier.urihttps://hdl.handle.net/11424/234001
dc.identifier.wosWOS:000386008800006
dc.language.isoeng
dc.publisherSAGE PUBLICATIONS LTD
dc.relation.ispartofACTA RADIOLOGICA
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectBreast cancer
dc.subjectscreening mammography
dc.subjectBI-RADS category 3
dc.subjectshort-interval follow-up
dc.subjectcancer detection rate
dc.subjectPROBABLY BENIGN LESIONS
dc.subjectMAMMOGRAPHIC FOLLOW-UP
dc.subjectAMERICAN-COLLEGE
dc.subjectPREDICTIVE-VALUE
dc.subjectBREAST
dc.subjectMANAGEMENT
dc.subjectRECOMMENDATION
dc.subjectPATIENT
dc.titleOutcomes of unconventional utilization of BI-RADS category 3 assessment at opportunistic screening
dc.typearticle
dspace.entity.typePublication
local.avesis.id8ba0f597-2140-4137-82b4-21b1e7098a46
local.import.packageSS17
local.indexed.atWOS
local.indexed.atSCOPUS
local.indexed.atPUBMED
local.journal.numberofpages6
local.journal.quartileQ2
oaire.citation.endPage1309
oaire.citation.issue11
oaire.citation.startPage1304
oaire.citation.titleACTA RADIOLOGICA
oaire.citation.volume57
relation.isAuthorOfPublication88507fe5-da7b-40c8-b5f7-83b63d66dae9
relation.isAuthorOfPublication.latestForDiscovery88507fe5-da7b-40c8-b5f7-83b63d66dae9

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