BI-RADS categorisation of 2,708 consecutive nonpalpable breast lesions in patients referred to a dedicated breast care unit. Hamy, A., Giacchetti, S, Albiter, M, de Bazelaire, C, Cuvier, C, Perret, F, Bonfils, S, Charvériat, P, Hocini, H, de Roquancourt, A, & Espie, M Eur Radiol, 22(1):9–17, 2012.
BI-RADS categorisation of 2,708 consecutive nonpalpable breast lesions in patients referred to a dedicated breast care unit [link]Paper  abstract   bibtex   
OBJECTIVES: To determine the malignancy rate of nonpalpable breast lesions, categorised according to the Breast Imaging Reporting and Data System (BI-RADS) classification in the setting of a Breast Care Unit. METHODS: All nonpalpable breast lesions from consecutive patients referred to a dedicated Breast Care Unit were prospectively reviewed and classified into 5 BI-RADS assessment categories (0, 2, 3, 4, and 5). RESULTS: A total of 2708 lesions were diagnosed by mammography (71.6%), ultrasound (8.7%), mammography and ultrasound (19.5%), or MRI (0.2%). The distribution of the lesions by BI-RADS category was: 152 in category 0 (5.6%), 56 in category 2 (2.1%), 742 in category 3 (27.4%), 1523 in category 4 (56.2%) and 235 in category 5 (8.7%). Histology revealed 570 malignant lesions (32.9%), 152 high-risk lesions (8.8%), and 1010 benign lesions (58.3%). Malignancy was detected in 17 (2.3%) category 3 lesions, 364 (23.9%) category 4 lesions and 185 (78.7%) category 5 lesions. Median follow-up was 36.9 months. CONCLUSION: This pragmatic study reflects the assessment and management of breast impalpable abnormalities referred for care to a specialized Breast Unit. Multidisciplinary evaluation with BI-RADS classification accurately predicts malignancy, and reflects the quality of management. This assessment should be encouraged in community practice appraisal.
@article{hamy_bi-rads_2012,
	title = {{BI}-{RADS} categorisation of 2,708 consecutive nonpalpable breast lesions in patients referred to a dedicated breast care unit},
	volume = {22},
	issn = {1432-1084},
	shorttitle = {{BI}-{RADS} categorisation of 2,708 consecutive nonpalpable breast lesions in patients referred to a dedicated breast care unit},
	url = {http://dx.doi.org/10.1007/s00330-011-2201-8},
	abstract = {OBJECTIVES: To determine the malignancy rate of nonpalpable breast lesions, categorised according to the Breast Imaging Reporting and Data System (BI-RADS) classification in the setting of a Breast Care Unit. METHODS: All nonpalpable breast lesions from consecutive patients referred to a dedicated Breast Care Unit were prospectively reviewed and classified into 5 BI-RADS assessment categories (0, 2, 3, 4, and 5). RESULTS: A total of 2708 lesions were diagnosed by mammography (71.6\%), ultrasound (8.7\%), mammography and ultrasound (19.5\%), or MRI (0.2\%). The distribution of the lesions by BI-RADS category was: 152 in category 0 (5.6\%), 56 in category 2 (2.1\%), 742 in category 3 (27.4\%), 1523 in category 4 (56.2\%) and 235 in category 5 (8.7\%). Histology revealed 570 malignant lesions (32.9\%), 152 high-risk lesions (8.8\%), and 1010 benign lesions (58.3\%). Malignancy was detected in 17 (2.3\%) category 3 lesions, 364 (23.9\%) category 4 lesions and 185 (78.7\%) category 5 lesions. Median follow-up was 36.9 months. CONCLUSION: This pragmatic study reflects the assessment and management of breast impalpable abnormalities referred for care to a specialized Breast Unit. Multidisciplinary evaluation with BI-RADS classification accurately predicts malignancy, and reflects the quality of management. This assessment should be encouraged in community practice appraisal.},
	number = {1},
	journal = {Eur Radiol},
	author = {Hamy, A-S and Giacchetti, S and Albiter, M and de Bazelaire, C and Cuvier, C and Perret, F and Bonfils, S and Charvériat, P and Hocini, H and de Roquancourt, A and Espie, M},
	year = {2012},
	pages = {9--17}
}

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