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Effect of clinical information on diagnostic performance in breast sonography

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Název: Effect of clinical information on diagnostic performance in breast sonography
Přispěvatelé: Song-Ee Baek, Min Jung Kim, Eun-Kyung Kim, Ji Hyun Youk, Hye-Jeong Lee, MD, Eun Ju Son, Lee, Hye Jeong, Kim, Min Jung, Kim, Eun Kyung, Baek, Song Ee, Son, Eun Ju, Youk, Ji Hyun, Kim, Eun-Kyung
Zdroj: T200902867.pdf
Rok vydání: 2009
Témata: Adult, Aged, Breast Neoplasms/diagnostic imaging, Breast Neoplasms/epidemiology, Female, Health Knowledge, Attitudes, Practice, Humans, Incidence, Korea/epidemiology, Medical History Taking/statistics & numerical data, Middle Aged, Physical Examination/statistics & numerical data, Practice Patterns, Physicians'/statistics & numerical data, Reproducibility of Results, Sensitivity and Specificity, Ultrasonography, Mammary/statistics & numerical data, Young Adult, Breast Imaging Reporting and Data System lexicon, breast sonography, clinical information
Popis: OBJECTIVE: The purpose of this study was to assess whether the clinical information (CI) of patients affects the degree of suspicion for malignancy by radiologists performing breast sonography. METHODS: We included 150 breast lesions in 144 patients who underwent breast sonography and sonographically guided core needle biopsy. A pathologic diagnosis was available for all 150 breast lesions: 78 (52%) were malignant, and 72 (48%) were benign. Three radiologists retrospectively reviewed the sonograms of all lesions twice at 8-week intervals first without any CI for the patients (first review) and then with CI such as patient age, palpability, and personal history of risk factors for breast cancer (second review). The reviewers categorized the final assessment according to the American College of Radiology Breast Imaging Reporting and Data System. We compared diagnostic performance such as sensitivity and specificity and the degree of suspicion for malignancy between the image reviews with and without CI. RESULTS: In the second review, sensitivity was improved in all 3 reviewers (94.0 to 99.2%; P < .05), and specificity was decreased (39.8 to 30.8%; P = .04). There was a significant increase of suspicion for malignancy with the patients' CI (P < .05). CONCLUSIONS: Clinical information about a patient's breast cancer history and clinical presentation with a palpable mass can increase the suspicion for malignancy on sonography and the sensitivity of sonographic interpretation. ; open
Druh dokumentu: article in journal/newspaper
Popis souboru: 1349~1356
Jazyk: unknown
Relation: JOURNAL OF ULTRASOUND IN MEDICINE; J01920; https://ir.ymlib.yonsei.ac.kr/handle/22282913/104460; T200902867; 54134
Dostupnost: https://ir.ymlib.yonsei.ac.kr/handle/22282913/104460
Rights: CC BY-NC-ND 2.0 KR ; https://creativecommons.org/licenses/by-nc-nd/2.0/kr/
Přístupové číslo: edsbas.26A4B525
Databáze: BASE
Popis
Abstrakt:OBJECTIVE: The purpose of this study was to assess whether the clinical information (CI) of patients affects the degree of suspicion for malignancy by radiologists performing breast sonography. METHODS: We included 150 breast lesions in 144 patients who underwent breast sonography and sonographically guided core needle biopsy. A pathologic diagnosis was available for all 150 breast lesions: 78 (52%) were malignant, and 72 (48%) were benign. Three radiologists retrospectively reviewed the sonograms of all lesions twice at 8-week intervals first without any CI for the patients (first review) and then with CI such as patient age, palpability, and personal history of risk factors for breast cancer (second review). The reviewers categorized the final assessment according to the American College of Radiology Breast Imaging Reporting and Data System. We compared diagnostic performance such as sensitivity and specificity and the degree of suspicion for malignancy between the image reviews with and without CI. RESULTS: In the second review, sensitivity was improved in all 3 reviewers (94.0 to 99.2%; P < .05), and specificity was decreased (39.8 to 30.8%; P = .04). There was a significant increase of suspicion for malignancy with the patients' CI (P < .05). CONCLUSIONS: Clinical information about a patient's breast cancer history and clinical presentation with a palpable mass can increase the suspicion for malignancy on sonography and the sensitivity of sonographic interpretation. ; open