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Correlation of the BI‐RADS assessment categories of Papua New Guinean women with mammographic parenchymal patterns, age and diagnosis
INTRODUCTION: Women with increased breast density are at increased risk of breast cancer. The aim of this research is to evidence for the first time the mammographic breast findings of Papua New Guinean (PNG) women and the relationship between Breast Imaging‐Reporting and Data System (BI‐RADS) asses...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7754014/ https://www.ncbi.nlm.nih.gov/pubmed/32936540 http://dx.doi.org/10.1002/jmrs.422 |
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author | Pape, Ruth Spuur, Kelly Maree Wilkinson, Jenny Maree Umo, Pius |
author_facet | Pape, Ruth Spuur, Kelly Maree Wilkinson, Jenny Maree Umo, Pius |
author_sort | Pape, Ruth |
collection | PubMed |
description | INTRODUCTION: Women with increased breast density are at increased risk of breast cancer. The aim of this research is to evidence for the first time the mammographic breast findings of Papua New Guinean (PNG) women and the relationship between Breast Imaging‐Reporting and Data System (BI‐RADS) assessment, mammographic parenchymal patterns (MPPs) and age. METHODS: A retrospective analysis of 1357 mammograms of women imaged at the Pacific International Hospital (PIH) from August 2006 to July 2010 was undertaken. Mammographic findings were categorised using the BI‐RADS Atlas® 5th Edition. MPPs were recorded for each woman using the Tabár Pattern I‐V classification system. Age was recorded in years. Statistical analysis was by descriptive analysis and Kruskal–Wallis with Dunn’s post‐test and Spearman’s rho correlation for inferential analysis. RESULTS: True pathological findings (benign and malignant); BI‐RADS 2–5 were noted in 111 women (8.2%); 1242 (91.5%) were negative. BI‐RADS categories for malignancy were reported in 16 (88.9%) of women aged 30 to 60 years. The lower risk Tabár Type I, II and III MPPs were associated with 94.4% (n = 17) of malignancies. Linear correlations between variables were weak and not statistically significant: age and Tabár pattern r = 0.031, P = 0.0261; age and BI‐RADS r = 0.018, P = 0.517; Tabár pattern and BI‐RADS r = 0.020, P = 0.459 (n = 1357). CONCLUSION: There was no correlation demonstrated between BI‐RADS category, age and MPP. Importantly, there was no correlation demonstrated between BI‐RADS categories 4 and 5 for breast malignancy and high‐risk Tabár Type IV and V MPPs. The results of this study again reflect that the incidence of breast cancer in PNG cannot be explained by breast density and suggest that any formalised screening program in PNG has a target age group aimed at women younger than that of Western screening programs. |
format | Online Article Text |
id | pubmed-7754014 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-77540142020-12-23 Correlation of the BI‐RADS assessment categories of Papua New Guinean women with mammographic parenchymal patterns, age and diagnosis Pape, Ruth Spuur, Kelly Maree Wilkinson, Jenny Maree Umo, Pius J Med Radiat Sci Original Articles INTRODUCTION: Women with increased breast density are at increased risk of breast cancer. The aim of this research is to evidence for the first time the mammographic breast findings of Papua New Guinean (PNG) women and the relationship between Breast Imaging‐Reporting and Data System (BI‐RADS) assessment, mammographic parenchymal patterns (MPPs) and age. METHODS: A retrospective analysis of 1357 mammograms of women imaged at the Pacific International Hospital (PIH) from August 2006 to July 2010 was undertaken. Mammographic findings were categorised using the BI‐RADS Atlas® 5th Edition. MPPs were recorded for each woman using the Tabár Pattern I‐V classification system. Age was recorded in years. Statistical analysis was by descriptive analysis and Kruskal–Wallis with Dunn’s post‐test and Spearman’s rho correlation for inferential analysis. RESULTS: True pathological findings (benign and malignant); BI‐RADS 2–5 were noted in 111 women (8.2%); 1242 (91.5%) were negative. BI‐RADS categories for malignancy were reported in 16 (88.9%) of women aged 30 to 60 years. The lower risk Tabár Type I, II and III MPPs were associated with 94.4% (n = 17) of malignancies. Linear correlations between variables were weak and not statistically significant: age and Tabár pattern r = 0.031, P = 0.0261; age and BI‐RADS r = 0.018, P = 0.517; Tabár pattern and BI‐RADS r = 0.020, P = 0.459 (n = 1357). CONCLUSION: There was no correlation demonstrated between BI‐RADS category, age and MPP. Importantly, there was no correlation demonstrated between BI‐RADS categories 4 and 5 for breast malignancy and high‐risk Tabár Type IV and V MPPs. The results of this study again reflect that the incidence of breast cancer in PNG cannot be explained by breast density and suggest that any formalised screening program in PNG has a target age group aimed at women younger than that of Western screening programs. John Wiley and Sons Inc. 2020-09-16 2020-12 /pmc/articles/PMC7754014/ /pubmed/32936540 http://dx.doi.org/10.1002/jmrs.422 Text en © 2020 The Authors. Journal of Medical Radiation Sciences published by John Wiley & Sons Australia, Ltd on behalf of Australian Society of Medical Imaging and Radiation Therapy and New Zealand Institute of Medical Radiation Technology This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Articles Pape, Ruth Spuur, Kelly Maree Wilkinson, Jenny Maree Umo, Pius Correlation of the BI‐RADS assessment categories of Papua New Guinean women with mammographic parenchymal patterns, age and diagnosis |
title | Correlation of the BI‐RADS assessment categories of Papua New Guinean women with mammographic parenchymal patterns, age and diagnosis |
title_full | Correlation of the BI‐RADS assessment categories of Papua New Guinean women with mammographic parenchymal patterns, age and diagnosis |
title_fullStr | Correlation of the BI‐RADS assessment categories of Papua New Guinean women with mammographic parenchymal patterns, age and diagnosis |
title_full_unstemmed | Correlation of the BI‐RADS assessment categories of Papua New Guinean women with mammographic parenchymal patterns, age and diagnosis |
title_short | Correlation of the BI‐RADS assessment categories of Papua New Guinean women with mammographic parenchymal patterns, age and diagnosis |
title_sort | correlation of the bi‐rads assessment categories of papua new guinean women with mammographic parenchymal patterns, age and diagnosis |
topic | Original Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7754014/ https://www.ncbi.nlm.nih.gov/pubmed/32936540 http://dx.doi.org/10.1002/jmrs.422 |
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