BI-RADS 3, 4 and 5 lesions on US: Five categories and their diagnostic efficacy and pitfalls in interpretation

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Purpose. Methods and Materials

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BI-RADS 3, 4 and 5 lesions on US: Five categories and their diagnostic efficacy and pitfalls in interpretation e-poster: C-118 Congress: ECR 2008 Type: Educational Exhibit Topic: Breast / Ultrasound Authors: MeSH: M.K. Kim, S. Chong, Y.S. Kim, S.J. Park, E.S. Park; Seoul/KR Breast Diseases [C17.800.090] Ultrasonography, Mammary [E01.370.378.850] Keywords: Breast, US, BI-RADS Any information contained in this pdf file is automatically generated from digital material submitted to EPOS by third parties in the form of scientific presentations. References to any names, marks, products, or services of third parties or hypertext links to third-party sites or information are provided solely as a convenience to you and do not in any way constitute or imply ECR s endorsement, sponsorship or recommendation of the third party, information, product, or service. ECR is not responsible for the content of these pages and does not make any representations regarding the content or accuracy of material in this file. As per copyright regulations, any unauthorised use of the material or parts thereof as well as commercial reproduction or multiple distribution by any traditional or electronically based reproduction/publication method is strictly prohibited. You agree to defend, indemnify, and hold ECR harmless from and against any and all claims, damages, costs, and expenses, including attorneys fees, arising from or related to your use of these pages. Please note: Links to movies, ppt slideshows and any other multimedia files are not available in the pdf version of presentations. www.myesr.org

1. Learning objectives 1. To classify BI-RADS 3, 4 and 5 Lesions at US into five categories according to imaging-pathologic correlation. 2. To describe and illustrate their US and pathologic features. 3. To discuss the diagnostic efficacy and the interpretation pitfalls. 2. Background BI-RADS lexicon for breast sonography had been applied to standardize the characterization of sonographic lesions. Many studies have assessed the utility of sonographic features in distinguishing benign from malignant lesions. Several study found that descriptors from the sonographic BI-RADS lexicon can be useful in differentiating benign from malignant solid masses. However, there has been the discrepancy between the final clinical outcome of BI-RADS Category 3, 4 and 5 for diagnostic sonography. 3. Imaging findings OR Procedure details 1.jpg

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15.jpg In this pictorial assay, we categorized five forms of imaging-pathologic correlation in BIRADS 3, 4 and 5 Lesions at US, described and illustrated their US and pathologic features. This classification of imaging-pathologic correlation in BIRADS 3, 4 and 5 Lesions at US will be of help in the efficacious categorization and the accurate assessment of breast lesions at US. 4. Conclusions In this pictorial assay, we categorized five forms of imaging-pathologic correlation in BIRADS 3, 4 and 5 Lesions at US, described and illustrated their US and pathologic features. This classification of imaging-pathologic correlation in BIRADS 3, 4 and 5 Lesions at US will be of help in the efficacious categorization and the accurate assessment of breast lesions at US. 5. Personal Information Corresponding author: Semin Chong, MD Department of Radiology, Chung-Ang University Medical Center, Chung-Ang University College of Medicine 224-1, Heukseok-dong, Dongjak-gu, Seoul 156-755, Korea

Tel 82-2-6299-2666, Fax 82-2-6263-1557 e-mail: j3mn@chol.com Co-authors: Yang Soo Kim, MD Sung Jung Park, MD Department of Surgery, Chung-Ang University Medical Center, Chung-Ang University CollegeofMedicine, Seoul, Korea Eon Sub Park, MD Department of Pathology, Chung-Ang University Medical Center, Chung-Ang University CollegeofMedicine, Seoul, Korea Department of Radiology, Chung-Ang University Medical Center, Chung-Ang University CollegeofMedicine, Seoul, Korea

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