Breast imaging reporting and data system (BI-RADS™): como tem sido utilizado?

Abstract

O Breast Imaging Reporting and Data System (BI-RADS™), do American College of hRadiology, foi concebido para padronizar o laudo mamográfico e reduzir os fatores de confusão na descrição e interpretação das imagens, além de facilitar o monitoramento do resultado final. OBJETIVO: Identificar a maneira como vem sendo utilizado o BI-RADS™, gerando informações que possam auxiliar o Colégio Brasileiro de Radiologia a desenvolver estratégias para aperfeiçoar o seu uso. MATERIAIS E MÉTODOS: Os dados foram coletados na cidade de Goiânia, GO. Foram solicitados os exames de mamografia anteriores a todas as mulheres que se dirigiram ao serviço para realização de mamografia entre janeiro/2003 e junho/2003. Foram incluídos na análise exames anteriores, realizados entre 1/7/2001 e 30/6/2003. RESULTADOS: Foram coletados 104 laudos anteriores, emitidos por 40 radiologistas de 33 diferentes serviços. Dos 104 laudos, 77% (n = 80) utilizavam o BI-RADS™. Destes, apenas 15% (n = 12) eram concisos, nenhum utilizava a estrutura e organização recomendadas pelo sistema, 98,75% (n = 79) não respeitavam o léxico e 65% (n = 51) não faziam recomendação de conduta. CONCLUSÃO: O BI-RADS™, apesar de bastante utilizado, não foi reconhecido como sistema para padronização dos laudos. Foi usado quase exclusivamente como forma de classificação final dos exames.

Positive predictive values of Breast Imaging Reporting and Data System (BI-RADS®) categories 3, 4 and 5 in breast lesions submitted to percutaneous biopsy

“…Considering the absence of anatomo-radiological correlation, the patient underwent surgery that revealed the same anatomopathological finding. ficient training of radiologists, influencing PPV results (18,19) . For this reason, all the cases were reclassified by a highly experienced team specialized in breast radiology before undergoing biopsy.…”

Valor preditivo positivo das categorias 3, 4 e 5 do Breast Imaging Reporting and Data System (BI-RADS®)

“…It should be taken into consideration that the BI-RADS may present limitations related to the classification itself and the training of radiologists involved in the utilization of this system (24,25) .…”

Construction of an index of information from clinical practice in Radiology and Imaging Diagnosis based on text mining and thesaurus

“…The contents analysis process (22) may be described as a systematic, objective and quantitative method of analysis of the characteristics of a message. The most relevant advantages in the application of contents Focused on the human, non computational use of the terminology Medical professional trained in the use of the lexicon for diagnostic description in mammography, breast magnetic resonance imaging and breast ultrasonography (7) Computational implementation of its structure for electronic use in radiology information systems Computational implementation of its structure for electronic use in radiology and other electronic applications (8,26) Computational implementation of its structure for electronic use in radiology and other electronic applications Focused on the human and computational use of the terminology Functionality Classification of clinical cases for the teaching of Radiology (6,20,24) Structuring of information into electronic reports (20,24) Vocabulary modeling for communication compatible with PACS and electronic Radiology information systems (6,20,24) Facilitate the retrieval of images and reports in physical archives (6,20,24) Improving mammographic reports by means of descriptive terminology standardization (7,25,26) Reduce the factors of confusion and uncertainties in the images interpretation (7,25) Facilitate the monitoring of the final result from mammography exams (7,25) Enhance the final quality of the medical assistance to the patient (7,25) Information structuring into electronic reports Terminological supplementation to other vocabularies in the area (8) Possibility of accessing and manipulating the terminology through the internet, with capacity of exportation of the structure in Web Ontology language (owl † ) (8,(27)(28)(29) Indexing and retrieving sources of information in Radiology and Imaging Diagnosis (27,2...…”

“…The BI-RADS Atlas (Table 2), on its turn, is a system specific for standardization of the description and conclusion of mammographic reports (7,25) . It is widely utilized in the practice of Radiology and Imaging Diagnosis, as well as by correlated areas involved in diagnostic investigation.…”