Intraobserver interpretation of breast ultrasonography following the BI-RADS classification

• Published in: European journal of radiology Vol. 74; no. 3; pp. 525 - 528
• Main Authors: Calas, M.J.G, Almeida, R.M.V.R, Gutfilen, B, Pereira, W.C.A
• Format: Journal Article
• Language: English
• Published: Amsterdam Elsevier Ireland Ltd 01-06-2010; Elsevier
• Subjects: Adolescent; Adult; Aged; Aged, 80 and over; Biological and medical sciences; Brazil - epidemiology; Breast; Breast Neoplasms - diagnostic imaging; Breast Neoplasms - epidemiology; Female; Genital system. Mammary gland; Gynecology. Andrology. Obstetrics; Humans; Investigative techniques, diagnostic techniques (general aspects); Mammary gland diseases; Medical sciences; Middle Aged; Observer Variation; Radiodiagnosis. Nmr imagery. Nmr spectrometry; Radiology; Reproducibility of Results; Sensitivity and Specificity; Ultrasonography; Ultrasonography, Mammary - utilization; Young Adult; Breast; Observer Variation; Ultrasonography; Sonography; Human; Breast disease; Image interpretation; Differential diagnostic; Intraindividual comparison; Classification; Echography; Female; Mammary gland; Woman
• ISSN: 0720-048X; 1872-7727
• DOI: 10.1016/j.ejrad.2009.04.015

Abstract Purpose To use the BI-RADS ultrasound classification in an intraobserver retrospective study of the interpretation of breast images. Materials and Methods The study used 40 breast ultrasound images recorded in orthogonal planes, obtained from patients with an indication for surgery. Eight professionals experienced in breast imaging analysis retrospectively reviewed these lesions, in three rounds of image interpretation (with a 3-6 months interval between rounds). Observers had no access to information from medical records or histopathological results, and, without their knowledge, in each new round were assigned the same images previously interpreted by them. Fleiss-modified Kappa measures were the study main concordance index. Besides the BI-RADS, a scale grouping its categories 2 – 3 and 4 – 5 was also used. The statistical analysis concerned the intraobserver agreement. Results Kappa values ranged from 0.37 to 0.75 (original categories) and from 0.73 to 0.87 (grouped categories). Overall, out of the 8 observers, 7 presented moderate to substantial concordance (Kappa values 0.51 to 0.74). Conclusion The BI-RADS is a reporting tool that provides a standardized terminology for US exams. In this study, moderate to substantial concordance in Kappa values was found, in agreement with other studies of the literature.