An analysis of diagnostic practices in a mammography unit in a tertiary hospital in South Africa
SA Journal of Radiology
| Field | Value | |
| Title | An analysis of diagnostic practices in a mammography unit in a tertiary hospital in South Africa | |
| Creator | Surridge, Clare A. Goodier, Matthew D.M. | |
| Description | Background: Breast cancer is the most common cancer in females in South Africa. The reporting of breast imaging has been standardised internationally using the Breast Imaging and Reporting Data System (BI-RADS), which includes guidelines for reporting of breast lesions and further management. Ultrasound-guided core-needle breast (UGCNB) biopsy is a widely used method of obtaining histological diagnoses of breast lesions to assist with planning definitive management.Objectives: To perform an audit of the UGCNB biopsies performed at the Grey’s Hospital Mammography Department and assess the accuracy of the radiologists’ use of the BI-RADS scoring system.Methods: Records of all patients who underwent UGCNB biopsy between 01 January 2014 and 31 October 2015 were reviewed. A retrospective study was performed.Results: A total of 304 UGCNB biopsies were performed on 291 patients. The mean age was 49.2 (s.d. = 15.9) years. Tissue samples from 303 lesions were adequate for histological assessment, and of these, 51% of the lesions were malignant whilst 49% were benign. The most common malignant and benign diagnoses were invasive ductal carcinoma and fibroadenoma respectively. The BI-RADS scoring of the radiologists demonstrated a positive predictive value of 61.6% for the identification of possible malignant lesions.Conclusion: This study describes the patient and lesion profile and unit practices in a tertiary hospital setting in South Africa. The radiologists’ application of the BI-RADS scoring largely conforms to the BI-RADS guidelines. The study highlights several challenges encountered by a breast imaging programme in an under-resourced setting as well as making recommendations in overcoming these challenges. | |
| Publisher | AOSIS | |
| Date | 2017-03-30 | |
| Identifier | 10.4102/sajr.v21i1.1059 | |
| Source | South African Journal of Radiology; Vol 21, No 1 (2017); 8 pages 2078-6778 1027-202X | |
| Language | eng | |
| Relation |
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:
https://sajr.org.za/index.php/sajr/article/view/1059/1391
https://sajr.org.za/index.php/sajr/article/view/1059/1389
https://sajr.org.za/index.php/sajr/article/view/1059/1392
https://sajr.org.za/index.php/sajr/article/view/1059/1397
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