Title: Efficacy of Mammography in Detecting Breast Masses Using Histopathology as Gold Standard
Authors: Dr Niya Ann Kurien, Dr Viji Krishnan
DOI: https://dx.doi.org/10.18535/jmscr/v5i4.57
Abstract
Background: Early detection is an essential step in decreasing the morbidity and mortality of breast cancer. Mammography is a proven effective tool for early breast cancer detection. The aim and objective of this study is to assess the efficacy of mammography in the evaluation of breast masses based on the Breast Imaging Reporting and Data System (BI-RADS) for differentiating between benign and malignant breast lesions keeping histopathology as gold standard
Materials and Methods: The present study is an analytical study of patients presenting with breast masses, with age group ranging between 31 to 89 years referred to the department of radio-diagnosis Findings of mammogram along with BI-RADS category were correlated with histopathological findings, keeping it as gold standard.
Results: Based on the BI-RADS 50 study cases were categorized and confirmed with histopathology, keeping it as gold standard. The diagnostic accuracy of BI-RADS IV &BI-RADS V was 96% and88 % and was found to be very high .The kappa value also shows statistical significance which were 0.92 and 0.75 respectively for BIRADS V and BIRADS IV and V.
Conclusion: This study proves the diagnostic accuracy of mammography as a method of choice to evaluate breast masses keeping histopathology as gold standard.
Keywords: Breast masses, Mammography, histopathology.
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