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Complete internal audit of a mammography service in a reference institution for breast imaging

OBJECTIVE: Undertaking of a complete audit of the service of mammography, as recommended by BI-RADS(®), in a private reference institution for breast cancer diagnosis in the city of São Paulo, SP, Brazil, and comparison of results with those recommended by the literature. MATERIALS AND METHODS: Retr...

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Autores principales: Badan, Gustavo Machado, Roveda Júnior, Décio, Ferreira, Carlos Alberto Pecci, de Noronha Junior, Ozeas Alves
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Colégio Brasileiro de Radiologia e Diagnóstico por Imagem 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4337155/
https://www.ncbi.nlm.nih.gov/pubmed/25741052
http://dx.doi.org/10.1590/S0100-39842014000200007
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author Badan, Gustavo Machado
Roveda Júnior, Décio
Ferreira, Carlos Alberto Pecci
de Noronha Junior, Ozeas Alves
author_facet Badan, Gustavo Machado
Roveda Júnior, Décio
Ferreira, Carlos Alberto Pecci
de Noronha Junior, Ozeas Alves
author_sort Badan, Gustavo Machado
collection PubMed
description OBJECTIVE: Undertaking of a complete audit of the service of mammography, as recommended by BI-RADS(®), in a private reference institution for breast cancer diagnosis in the city of São Paulo, SP, Brazil, and comparison of results with those recommended by the literature. MATERIALS AND METHODS: Retrospective, analytical and cross-sectional study including 8,000 patients submitted to mammography in the period between April 2010 and March 2011, whose results were subjected to an internal audit. The patients were followed-up until December 2012. RESULTS: The radiological classification of 7,249 screening mammograms, according to BI-RADS, was the following: category 0 (1.43%), 1 (7.82%), 2 (80.76%), 3 (8.35%), 4 (1.46%), 5 (0.15%) and 6 (0.03%). The breast cancer detection ratio was 4.8 cases per 1,000 mammograms. Ductal carcinoma in situ was found in 22.8% of cases. Positive predictive values for categories 3, 4 and 5 were 1.3%, 41.3% and 100%, respectively. In the present study, the sensitivity of the method was 97.1% and specificity, 97.4%. CONCLUSION: The complete internal audit of a service of mammography is essential to evaluate the quality of such service, which reflects on an early breast cancer detection and reduction of mortality rates.
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spelling pubmed-43371552015-03-04 Complete internal audit of a mammography service in a reference institution for breast imaging Badan, Gustavo Machado Roveda Júnior, Décio Ferreira, Carlos Alberto Pecci de Noronha Junior, Ozeas Alves Radiol Bras Original Article OBJECTIVE: Undertaking of a complete audit of the service of mammography, as recommended by BI-RADS(®), in a private reference institution for breast cancer diagnosis in the city of São Paulo, SP, Brazil, and comparison of results with those recommended by the literature. MATERIALS AND METHODS: Retrospective, analytical and cross-sectional study including 8,000 patients submitted to mammography in the period between April 2010 and March 2011, whose results were subjected to an internal audit. The patients were followed-up until December 2012. RESULTS: The radiological classification of 7,249 screening mammograms, according to BI-RADS, was the following: category 0 (1.43%), 1 (7.82%), 2 (80.76%), 3 (8.35%), 4 (1.46%), 5 (0.15%) and 6 (0.03%). The breast cancer detection ratio was 4.8 cases per 1,000 mammograms. Ductal carcinoma in situ was found in 22.8% of cases. Positive predictive values for categories 3, 4 and 5 were 1.3%, 41.3% and 100%, respectively. In the present study, the sensitivity of the method was 97.1% and specificity, 97.4%. CONCLUSION: The complete internal audit of a service of mammography is essential to evaluate the quality of such service, which reflects on an early breast cancer detection and reduction of mortality rates. Colégio Brasileiro de Radiologia e Diagnóstico por Imagem 2014 /pmc/articles/PMC4337155/ /pubmed/25741052 http://dx.doi.org/10.1590/S0100-39842014000200007 Text en © Colégio Brasileiro de Radiologia e Diagnóstico por Imagem http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Badan, Gustavo Machado
Roveda Júnior, Décio
Ferreira, Carlos Alberto Pecci
de Noronha Junior, Ozeas Alves
Complete internal audit of a mammography service in a reference institution for breast imaging
title Complete internal audit of a mammography service in a reference institution for breast imaging
title_full Complete internal audit of a mammography service in a reference institution for breast imaging
title_fullStr Complete internal audit of a mammography service in a reference institution for breast imaging
title_full_unstemmed Complete internal audit of a mammography service in a reference institution for breast imaging
title_short Complete internal audit of a mammography service in a reference institution for breast imaging
title_sort complete internal audit of a mammography service in a reference institution for breast imaging
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4337155/
https://www.ncbi.nlm.nih.gov/pubmed/25741052
http://dx.doi.org/10.1590/S0100-39842014000200007
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