Use of the American College of Radiology BI-RADS to report on the mammographic evaluation of women with signs and symptoms of breast disease

Berta M. Geller, William E. Barlow, Rachel Ballard-Barbash, Virginia L. Ernster, Bonnie C. Yankaskas, Edward A. Sickles, Patricia (Patty) Carney, Mark B. Dignan, Robert D. Rosenberg, Nicole Urban, Yingye Zheng, Stephen H. Taplin

Research output: Contribution to journalArticle

75 Citations (Scopus)

Abstract

PURPOSE: To examine whether mammographic assessments and recommendations are linked as expected, based on the Breast Imaging Reporting and Data System (BI-RADS), for the evaluation of women with signs and symptoms of breast disease. MATERIALS AND METHODS: Eight mammography registries from the Breast Cancer Surveillance Consortium contributed mammographic data from 1996 through 1997 for women 25 years of age or older, with signs or symptoms of breast cancer. The association of assessments and recommendations and the relationship of self-reported symptoms to assessments are described. RESULTS: A total of 51,673 diagnostic mammograms were included in the analyses and the expected management recommendation was provided 85%-90% of the time for mammograms classified as assessment categories 1, 2, 4, or 5. Category 3 ("probably benign finding") had the most variability in associated management recommendations, with only 40% (2,998 of 7,423) of cases associated with the recommendation for short interval follow-up. Of the 1,648 category 0 mammograms ("needs additional imaging") that did not have a final assessment, 64% were recommended for additional imaging, while another 20% of the cases were recommended for either a consultation or biopsy. The number of women who reported a lump as a symptom decreased with age but was associated with higher BI-RADS assessments. CONCLUSION: BI-RADS assessment categories were generally used as intended for all categories but 0 and 3. Additional education about the use of these categories may be warranted. The inconsistencies between assessment category and management recommendations may present difficulties in conducting outcome audits.

Original languageEnglish (US)
Pages (from-to)536-542
Number of pages7
JournalRadiology
Volume222
Issue number2
StatePublished - 2002
Externally publishedYes

Fingerprint

Breast Diseases
Radiology
Information Systems
Signs and Symptoms
Breast
Breast Neoplasms
Symptom Assessment
Mammography
Registries
Referral and Consultation
Biopsy
Education

Keywords

  • Breast neoplasms, diagnosis
  • Breast radiography, quality assurance
  • Breast, ACR Reporting Data System
  • Cancer screening

ASJC Scopus subject areas

  • Radiological and Ultrasound Technology

Cite this

Geller, B. M., Barlow, W. E., Ballard-Barbash, R., Ernster, V. L., Yankaskas, B. C., Sickles, E. A., ... Taplin, S. H. (2002). Use of the American College of Radiology BI-RADS to report on the mammographic evaluation of women with signs and symptoms of breast disease. Radiology, 222(2), 536-542.

Use of the American College of Radiology BI-RADS to report on the mammographic evaluation of women with signs and symptoms of breast disease. / Geller, Berta M.; Barlow, William E.; Ballard-Barbash, Rachel; Ernster, Virginia L.; Yankaskas, Bonnie C.; Sickles, Edward A.; Carney, Patricia (Patty); Dignan, Mark B.; Rosenberg, Robert D.; Urban, Nicole; Zheng, Yingye; Taplin, Stephen H.

In: Radiology, Vol. 222, No. 2, 2002, p. 536-542.

Research output: Contribution to journalArticle

Geller, BM, Barlow, WE, Ballard-Barbash, R, Ernster, VL, Yankaskas, BC, Sickles, EA, Carney, PP, Dignan, MB, Rosenberg, RD, Urban, N, Zheng, Y & Taplin, SH 2002, 'Use of the American College of Radiology BI-RADS to report on the mammographic evaluation of women with signs and symptoms of breast disease', Radiology, vol. 222, no. 2, pp. 536-542.
Geller BM, Barlow WE, Ballard-Barbash R, Ernster VL, Yankaskas BC, Sickles EA et al. Use of the American College of Radiology BI-RADS to report on the mammographic evaluation of women with signs and symptoms of breast disease. Radiology. 2002;222(2):536-542.
Geller, Berta M. ; Barlow, William E. ; Ballard-Barbash, Rachel ; Ernster, Virginia L. ; Yankaskas, Bonnie C. ; Sickles, Edward A. ; Carney, Patricia (Patty) ; Dignan, Mark B. ; Rosenberg, Robert D. ; Urban, Nicole ; Zheng, Yingye ; Taplin, Stephen H. / Use of the American College of Radiology BI-RADS to report on the mammographic evaluation of women with signs and symptoms of breast disease. In: Radiology. 2002 ; Vol. 222, No. 2. pp. 536-542.
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abstract = "PURPOSE: To examine whether mammographic assessments and recommendations are linked as expected, based on the Breast Imaging Reporting and Data System (BI-RADS), for the evaluation of women with signs and symptoms of breast disease. MATERIALS AND METHODS: Eight mammography registries from the Breast Cancer Surveillance Consortium contributed mammographic data from 1996 through 1997 for women 25 years of age or older, with signs or symptoms of breast cancer. The association of assessments and recommendations and the relationship of self-reported symptoms to assessments are described. RESULTS: A total of 51,673 diagnostic mammograms were included in the analyses and the expected management recommendation was provided 85{\%}-90{\%} of the time for mammograms classified as assessment categories 1, 2, 4, or 5. Category 3 ({"}probably benign finding{"}) had the most variability in associated management recommendations, with only 40{\%} (2,998 of 7,423) of cases associated with the recommendation for short interval follow-up. Of the 1,648 category 0 mammograms ({"}needs additional imaging{"}) that did not have a final assessment, 64{\%} were recommended for additional imaging, while another 20{\%} of the cases were recommended for either a consultation or biopsy. The number of women who reported a lump as a symptom decreased with age but was associated with higher BI-RADS assessments. CONCLUSION: BI-RADS assessment categories were generally used as intended for all categories but 0 and 3. Additional education about the use of these categories may be warranted. The inconsistencies between assessment category and management recommendations may present difficulties in conducting outcome audits.",
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AU - Ballard-Barbash, Rachel

AU - Ernster, Virginia L.

AU - Yankaskas, Bonnie C.

AU - Sickles, Edward A.

AU - Carney, Patricia (Patty)

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AU - Rosenberg, Robert D.

AU - Urban, Nicole

AU - Zheng, Yingye

AU - Taplin, Stephen H.

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N2 - PURPOSE: To examine whether mammographic assessments and recommendations are linked as expected, based on the Breast Imaging Reporting and Data System (BI-RADS), for the evaluation of women with signs and symptoms of breast disease. MATERIALS AND METHODS: Eight mammography registries from the Breast Cancer Surveillance Consortium contributed mammographic data from 1996 through 1997 for women 25 years of age or older, with signs or symptoms of breast cancer. The association of assessments and recommendations and the relationship of self-reported symptoms to assessments are described. RESULTS: A total of 51,673 diagnostic mammograms were included in the analyses and the expected management recommendation was provided 85%-90% of the time for mammograms classified as assessment categories 1, 2, 4, or 5. Category 3 ("probably benign finding") had the most variability in associated management recommendations, with only 40% (2,998 of 7,423) of cases associated with the recommendation for short interval follow-up. Of the 1,648 category 0 mammograms ("needs additional imaging") that did not have a final assessment, 64% were recommended for additional imaging, while another 20% of the cases were recommended for either a consultation or biopsy. The number of women who reported a lump as a symptom decreased with age but was associated with higher BI-RADS assessments. CONCLUSION: BI-RADS assessment categories were generally used as intended for all categories but 0 and 3. Additional education about the use of these categories may be warranted. The inconsistencies between assessment category and management recommendations may present difficulties in conducting outcome audits.

AB - PURPOSE: To examine whether mammographic assessments and recommendations are linked as expected, based on the Breast Imaging Reporting and Data System (BI-RADS), for the evaluation of women with signs and symptoms of breast disease. MATERIALS AND METHODS: Eight mammography registries from the Breast Cancer Surveillance Consortium contributed mammographic data from 1996 through 1997 for women 25 years of age or older, with signs or symptoms of breast cancer. The association of assessments and recommendations and the relationship of self-reported symptoms to assessments are described. RESULTS: A total of 51,673 diagnostic mammograms were included in the analyses and the expected management recommendation was provided 85%-90% of the time for mammograms classified as assessment categories 1, 2, 4, or 5. Category 3 ("probably benign finding") had the most variability in associated management recommendations, with only 40% (2,998 of 7,423) of cases associated with the recommendation for short interval follow-up. Of the 1,648 category 0 mammograms ("needs additional imaging") that did not have a final assessment, 64% were recommended for additional imaging, while another 20% of the cases were recommended for either a consultation or biopsy. The number of women who reported a lump as a symptom decreased with age but was associated with higher BI-RADS assessments. CONCLUSION: BI-RADS assessment categories were generally used as intended for all categories but 0 and 3. Additional education about the use of these categories may be warranted. The inconsistencies between assessment category and management recommendations may present difficulties in conducting outcome audits.

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