Breast calcifications: Description and classification according to BI-RADS 5th edition

Breast calcifications: Description and classification according to BI-RADS 5th edition
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DOI:
10.1016/j.rchira.2016.06.004
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发表时间:
2016-06-01
期刊:
Revista chilena de radiología
影响因子:
--
通讯作者:
Sáez Tapia, Carla
Sáez Tapia, Carla
中科院分区:
其他
文献类型:
--
作者:
Arancibia Hernández, Patricia Lorena;Taub Estrada, Teresa;Sáez Tapia, Carla

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抽象的。乳腺钙化是乳腺X线摄影的常见表现。它们中的大多数具有良性起源,例如在对导管的炎性疾病或良性结节中的粗钙化的反应的情况下。这些钙化中的许多显示出特征性的良性外观,并且它们不需要被放大或监测。然而,其他钙化可以显示成组的模式,具有可疑的外观,并转化为原位导管癌或高危乳腺病变。了解这些钙化的形态和分布模式对于每个病例做出正确的决定是很重要的。在2013年第5版BI-RADS地图集中,修改了某些模式的类别和可疑程度。本文的目的是更新BI-RADS微钙化的描述符和类别,指出其最重要的特征和与每个描述符相关的恶性风险。
Abstract. Breast calcifications are frequent findings in mammography. Most of them have a benign origin, such as in the case of the response to inflammatory disease of the ducts or coarse calcifications in benign nodules. Many of these calcifications show a characteristic benign appearance, and they do not need to be magnified or monitored. However, other calcifications can show a grouped pattern, have a suspicious appearance, and transform into an in situ ductal carcinoma or a high risk breast lesion. It is important to know the morphological and distribution patterns of these calcifications in order to make right decisions for each case. In the 5th edition of the BI-RADS atlas, 2013, categories and levels of suspicion for some patterns were modified. The objective of this article is to update descriptors and categories of BI-RADS micro-calcifications, pointing out their most important features and malignancy risk linked to each descriptor.