Reproducibility of mammographic parenchymal patterns and Breast Density on Full-Field Digital Mammography (FFDM): comparison of the two classification systems

Objective: The aim of the study is to compare inter-observer agreement between general radiologists in the classification of mammographic breast density using TABAR’s pattern and BI-RADS classification from two-view Full-Field Digital Mammography (FFDM). Methods: A data set of 400 mammograms was...

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Main Authors: Hassan, Radhiana, Ab Rahman, Jamalludin, Zaini, Izwan Zanni, Abdulateef, Reem Mohammed Saeed
Format: Article
Language:English
Published: Faculty of Medicine, International Islamic University Malaysia 2015
Subjects:
Online Access:http://irep.iium.edu.my/39216/
http://irep.iium.edu.my/39216/1/39216.pdf
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author Hassan, Radhiana
Ab Rahman, Jamalludin
Zaini, Izwan Zanni
Abdulateef, Reem Mohammed Saeed
author_facet Hassan, Radhiana
Ab Rahman, Jamalludin
Zaini, Izwan Zanni
Abdulateef, Reem Mohammed Saeed
author_sort Hassan, Radhiana
building IIUM Repository
collection Online Access
description Objective: The aim of the study is to compare inter-observer agreement between general radiologists in the classification of mammographic breast density using TABAR’s pattern and BI-RADS classification from two-view Full-Field Digital Mammography (FFDM). Methods: A data set of 400 mammograms was evaluated by three general radiologists. The radiologists independently reviewed the images and classified the parenchymal pattern according to BI-RADS and TABAR classification systems. Inter-observer agreements were analyzed using kappa statistics. Results: Inter-observer agreement for the BI-RADS is slight to fair (Reviewer 1 versus Reviewer 2: k=0.19, Reviewer 1 versus Reviewer 3, k=0.07 and Reviewer 2 versus Reviewer 3, k=0.49) and for TABAR is fair to moderate (Reviewer 1 versus Reviewer 2: k=0.23, Reviewer 1 versus Reviewer 3, k=0.31 and Reviewer 2 versus Reviewer 3, k=0.50). Conclusion: Our study demonstrates a poor level of agreement in breast parenchymal pattern and density based on both BI-RADS and TABAR classifications. Thus, breast density in risk stratification of breast cancer should be used with caution in our local practice.
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spelling iium-392162018-06-12T03:20:39Z http://irep.iium.edu.my/39216/ Reproducibility of mammographic parenchymal patterns and Breast Density on Full-Field Digital Mammography (FFDM): comparison of the two classification systems Hassan, Radhiana Ab Rahman, Jamalludin Zaini, Izwan Zanni Abdulateef, Reem Mohammed Saeed R Medicine (General) Objective: The aim of the study is to compare inter-observer agreement between general radiologists in the classification of mammographic breast density using TABAR’s pattern and BI-RADS classification from two-view Full-Field Digital Mammography (FFDM). Methods: A data set of 400 mammograms was evaluated by three general radiologists. The radiologists independently reviewed the images and classified the parenchymal pattern according to BI-RADS and TABAR classification systems. Inter-observer agreements were analyzed using kappa statistics. Results: Inter-observer agreement for the BI-RADS is slight to fair (Reviewer 1 versus Reviewer 2: k=0.19, Reviewer 1 versus Reviewer 3, k=0.07 and Reviewer 2 versus Reviewer 3, k=0.49) and for TABAR is fair to moderate (Reviewer 1 versus Reviewer 2: k=0.23, Reviewer 1 versus Reviewer 3, k=0.31 and Reviewer 2 versus Reviewer 3, k=0.50). Conclusion: Our study demonstrates a poor level of agreement in breast parenchymal pattern and density based on both BI-RADS and TABAR classifications. Thus, breast density in risk stratification of breast cancer should be used with caution in our local practice. Faculty of Medicine, International Islamic University Malaysia 2015-12 Article PeerReviewed application/pdf en http://irep.iium.edu.my/39216/1/39216.pdf Hassan, Radhiana and Ab Rahman, Jamalludin and Zaini, Izwan Zanni and Abdulateef, Reem Mohammed Saeed (2015) Reproducibility of mammographic parenchymal patterns and Breast Density on Full-Field Digital Mammography (FFDM): comparison of the two classification systems. International Medical Journal Malaysia, 14 (supp.1). p. 4. ISSN 1823-4631 http://iiumedic.net/imjm/v1/download/volume_14_supplement/IMJM-Vol-14-Supp-p04-Radhiana-Binti-Hassan.pdf
spellingShingle R Medicine (General)
Hassan, Radhiana
Ab Rahman, Jamalludin
Zaini, Izwan Zanni
Abdulateef, Reem Mohammed Saeed
Reproducibility of mammographic parenchymal patterns and Breast Density on Full-Field Digital Mammography (FFDM): comparison of the two classification systems
title Reproducibility of mammographic parenchymal patterns and Breast Density on Full-Field Digital Mammography (FFDM): comparison of the two classification systems
title_full Reproducibility of mammographic parenchymal patterns and Breast Density on Full-Field Digital Mammography (FFDM): comparison of the two classification systems
title_fullStr Reproducibility of mammographic parenchymal patterns and Breast Density on Full-Field Digital Mammography (FFDM): comparison of the two classification systems
title_full_unstemmed Reproducibility of mammographic parenchymal patterns and Breast Density on Full-Field Digital Mammography (FFDM): comparison of the two classification systems
title_short Reproducibility of mammographic parenchymal patterns and Breast Density on Full-Field Digital Mammography (FFDM): comparison of the two classification systems
title_sort reproducibility of mammographic parenchymal patterns and breast density on full-field digital mammography (ffdm): comparison of the two classification systems
topic R Medicine (General)
url http://irep.iium.edu.my/39216/
http://irep.iium.edu.my/39216/
http://irep.iium.edu.my/39216/1/39216.pdf