VALIDITY OF ULTRASONOGRAPHIC FINDINGS BASED ON ACR-BIRADS SCORES TO DIAGNOSIS BREAST DISEASES IN SULAIMANI BREAST DISEASE TREATMENT CENTER

Authors

  • Kwestan Mahmood Karim Sulaimani Breast Disease Treatment Center, Kurdistan Region, Iraq.
  • Mezjda Ismail Rashaan Department of Surgery, College of Medicine, University of Sulaimani, Kurdistan Region, Iraq.
  • Kalthwm Abdulla Sofi Ali Sulaimani Breast Disease Treatment Center, Kurdistan Region, Iraq.
  • Shad Muhammed Mustafa Sulaimani Breast Disease Treatment Center, Kurdistan Region, Iraq.

DOI:

https://doi.org/10.17656/jsmc.10218

Keywords:

Breast diseases, Ultrasound, ACR-BIRADS scores, Comparison, Histopathology

Abstract

Background 

Breast diseases are common in females all over the world. Breast cancer is the second common causes of concept mortality; early detection of breast cancer promotes outcomes.

Objectives

To evaluate the validity of ultrasonographic findings based on American College of Radiology Breast-Imaging Reporting and Data System (ACR-BIRADS) in diagnosis of breast diseases, and determine sensitivity and specificity of ultrasonographic finding in breast and axillary lesions in Sulaimani breast disease treatment centre.

Materials and Methods

This retrospective descriptive study was performed on 427 patients with different breast and axillary lesions at Sulaimani breast disease treatment center, from January 2014 till December of 2018. Ethical consideration by the regulatory bodies was followed. Information was recorded according to inclusion criteria by using a questionnaire paper. Finding of ultrasonography by using ACR-BIRADS system was compared with histopathology reports, The Chi-square test was used and the obtained results were judged statistically significant at P≤0.05, P-value < 0.001 is regarded as highly significant. statistical analysis was performed using statistical package for social science SPSS (version 21).

Results

Age range was 22-84 years old, average age of participants with the standard deviation was 45.32(±11.763). 128 (30.0%) and 125 (29.3%) of all breast lesions were in the range of BIRADS 5 and 3 respectively. Among 427 cases, most of the breast lesions 222 (52.2%) were malignant on histopathology, while 205 (47.8%) were benign on histopathology. Sensitivity; Specificity of ultrasound for breast was 87.38%, 85.85%, respectively. Also Sensitivity, Specificity of ultrasound for axilla was 78.16%, 10%, respectively. In finding correlation between ACR-BIRADS system and histopathology results using chi square P-value was < 0.001 which is highly significant for both breast and axilla.

Conclusions

Sensitivity and specificity of using ultrasound based on ACR-BIRADS scores in diagnosis of breast pathology were high; it makes a good way for diagnosis of breast diseases. But using BIRADS ultrasound system as sole investigation in diagnosis of breast pathology is the matter of debate. Using ultrasound based on Sensitivity and specificity for axilla didn’t make it an ideal way for diagnosis of pathological lymph nodes.

References

Ebubedike, Uzoamaka R., "Accuracy of clinical and ultrasound examination of palpable breast lesions in a resource-poor society." Tropical Journal of Medical Research 20.2 (2017): 166.

Brem RF, Lenihan MJ, Lieberman J, Torrente J. Screening breast ultrasound: past, present, and future. American Journal of Roentgenology. 2015 Feb; 204(2):234-40.

Taori, Kishor,. Evaluation of breast masses using mammography and sonography as first line investigations. Open Journal of Medical Imaging. 2013 Mar 4; 3(01):40.

Tamaki, Kentaro, "The correlation between ultrasonographic findings and pathologic features in breast disorders." Japanese journal of clinical oncology. 2010 May 21; 40(10):905-12.

Athanasiou A, Tardivon A, Ollivier L, Thibault F, El Khoury C, Neuenschwander S. et al How to optimize breast ultrasound. European journal of radiology. 2009 Jan 1; 69(1):6-13.

Kornecki A. Current status of breast ultrasound. Canadian Association of Radiologists Journal. 2011 Feb 1; 62(1):31-40.

Thigpen D, Kappler A, Brem R. The role of ultrasound in screening dense breasts—A review of the literature and practical solutions for implementation. Diagnostics. 2018 Mar; 8(1):20.

Mundinger, Alexander. "Advanced breast ultrasound and interventions: an update." In Musculoskeletal Diseases 2013–2016, pp. 282-289. Springer, Milano, 2013.

Mustafa AA. BI-RADS 4 and 5 breast lesions: correlation between sonographic findings and histopathological results following ultrasound-guided FNAC. kufa Journal for Nursing sciences. 2014; 4(2):188-95.

Costantini M, Belli P, Ierardi C, Franceschini G, La Torre G, Bonomo L. Solid breast mass characterisation: use of the sonographic BI-RADS classification. La radiologia medica. 2007 Sep 1;112(6):877-94.

Navya BN, Thomas S, Hiremath R, Alva SR. Comparison Of Diagnostic Accuracy Of BIRADS Score With Pathologic Findings In Breast Lumps. Annals of Pathology and Laboratory Medicine. 2017 Jun 4; 4(3):A236-242.

Gokhale S. Ultrasound characterization of breast masses. The Indian journal of radiology & imaging. 2009 Aug; 19(3):242.

Kim EK, Ko KH, Oh KK, Kwak JY, You JK, Kim MJ, Park BW. Clinical application of the BI-RADS final assessment to breast sonography in conjunction with mammography. American journal of roentgenology. 2008 May; 190(5):1209-15.

Kazi M, Parshad R, Seenu V, Mathur S, Haresh KP. Fine-Needle Aspiration Cytology (FNAC) in Breast Cancer: A Reappraisal Based on Retrospective Review of 698 Cases. World journal of surgery. 2017 Jun 1; 41(6):1528-33.

El-Daly H, Gudi M. Evaluation of nipple discharge cytology and diagnostic value of red blood cells in cases with negative cytology: a cytohistologic correlation. Acta cytologica. 2010; 54(4):560-2.

Dialani V, James DF, Slanetz PJ. A practical approach to imaging the axilla. Insights into imaging. 2015 Apr; 6(2):217.

Pinheiro DJ, Elias S, Nazário AC. Axillary lymph nodes in breast cancer patients: sonographic evaluation. Radiologia brasileira. 2014 Aug; 47(4):240-

Madjar H. Role of breast ultrasound for the detection and differentiation of breast lesions. Breast Care. 2010; 5(2):109-14

Lalchan, Subita, . "Role of mammography combined with ultrasonography in evaluation of breast lump." Am J Public Health Res. 2015; 3(5):95-8.

Haghighi F, Naseh G, Mohammadifard M, Abdollahi N. Comparison of mammography and ultrasonography findings with pathology results in patients with breast cancer in Birjand, Iran. Electronic physician. 2017 Oct; 9(10):5494.

Kiyak, Gulten, " Management of idiopathic granulomatous mastitis: dilemmas in diagnosis and treatment. BMC surgery. 2014 Dec; 14(1):66." BMC surgery. 2014 Dec; 14(1):66

Wang ZL, Li N, Li M, Wan WB. Non-mass-like lesions on breast ultrasound: classification and correlation with histology. La radiologia medica. 2015 Oct 1; 120(10):905-10.

Alhamami QS, Almetlag MH, Hussain MA, Al Hashan GM, Alyami AR. Correlation of Ultrasound & Mammography to Histopathology Results in Breast Cancer. A One Year Study at King Khalid Hospital, Najran, Saudi Arabia. Egyptian Journal of Hospital Medicine. 2018 Apr 8; 71(2).

Khan TS. Role of Ultrasound as an Adjunct Modality to Mammography in the Diagnostic Evaluation of Breast Cancer. Journal of Rawalpindi Medical College. 2016 Sep 30; 20(3):193-7.

Stachs, A., "Assessment of ultrasound features predicting axillary nodal metastasis in breast cancer: the impact of cortical thickness." Ultrasound international open. 2015 Jul; 1(01):E19-24.

Liu Q, Xing P, Dong H, Zhao T, Jin F. Preoperative assessment of axillary lymph node status in breast cancer patients by ultrasonography combined with mammography: A STROBE compliant article. Medicine. 2018 Jul; 97(30).

Published

2019-12-21

How to Cite

VALIDITY OF ULTRASONOGRAPHIC FINDINGS BASED ON ACR-BIRADS SCORES TO DIAGNOSIS BREAST DISEASES IN SULAIMANI BREAST DISEASE TREATMENT CENTER. (2019). JOURNAL OF SULAIMANI MEDICAL COLLEGE, 9(4), 293-300. https://doi.org/10.17656/jsmc.10218