New Analytics Approach Offers Potential of Reducing Unnecessary Breast Biopsies

Thursday, May 3, 2018 General News
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- Publication in AJR defines advanced statistical methods that can be used with diagnostic imaging output to downgrade breast mass risk classification -

FINAL ASSESSMENT CATEGORIES

Category

Management

Likelihood of cancer

0

Need Additional Imaging or Prior Examinations

Recall for Additional Imaging and/or Await Prior Examinations

n/a

1

Negative

Routine Screening

Essentially 0%

2

Benign

Routing Screening

Essentially 0%

3

Probably Benign

Short Interval Follow-up (6 month) or Continued

>0% but < 2%

4

Suspicious

Tissue Diagnosis

  • 4a. low suspicion for malignancy (>2% to < 10%)
  • 4b. moderate suspicion for malignancy (>10% to < 50%)
  • 4c. high suspicion for malignancy (>50% to <95%)

5

Highly Suggestive of Malignancy

Tissue Diagnosis

>95%

6

Known Biopsy-Proven

Surgical Excision when Clinically Appropriate

n/a

Table 1. BI-RADS Categories

Source: http://www.radiologyassistant.nl/data/bin/a53b4293920e94_TAB-Birads 



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