Positive Predictive Value for the Malignancy of Mammographic Abnormalities Based on the Presence of an Ultrasound Correlate

Abstract Purpose To compare the outcomes of different mammographic lesions based on the presence of an ultrasound (US) correlate and to estimate how often targeted US can identify such lesions. Materials and Methods This retrospective study included all consecutive cases from 2010 to 2016, with Brea...

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Bibliographic Details
Published in:Ultrasound international open 2022-01, Vol.8 (1), p.E8-E14
Main Authors: Alshafeiy, Taghreed, Patrie, James, al-Shatouri, Mohammad
Format: Article
Language:English
Subjects:
areas
breast
mammography
methods & techniques
Original
Original Article
structures & systems
ultrasound
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Summary:Abstract Purpose To compare the outcomes of different mammographic lesions based on the presence of an ultrasound (US) correlate and to estimate how often targeted US can identify such lesions. Materials and Methods This retrospective study included all consecutive cases from 2010 to 2016, with Breast Imaging Reporting and Database System (BI-RADS) categories 4 & 5 who underwent US as part of their diagnostic workup. We compared the incidence of malignancy between lesions comprising a US correlate that underwent US-guided core needle biopsy (CNB) and those without a correlate that underwent stereotactic CNB. Results 833 lesions met the study criteria and included masses (64.3%), architectural distortion (19%), asymmetries (4.6%), and calcifications (12.1%). The CNB-based positive predictive value (PPV) was higher for lesions with a US correlate than for those without (40.2% [36.1, 44.4%] vs. 18.9% [14.5, 23.9%], respectively) (p
ISSN:2509-596X
2199-7152
DOI:10.1055/a-1832-1808