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[Radiologic types in mammography in the 90-s. New classification].

C Tetti1, A Tetti

  • 1Istituto di Radiologia, Università di Torino.

Minerva Ginecologica
|September 1, 1992
PubMed
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Mammography classification review shows increased use in younger women. The trabecular breast type is now more common, reflecting earlier screening ages and the diagnostic value of mammography for asymptomatic individuals.

Area of Science:

  • Radiology
  • Oncology
  • Breast Imaging

Background:

  • The 1986 mammography classification system requires review due to evolving screening practices.
  • Screening asymptomatic populations has changed mammography indications.
  • Personal experience and a large dataset inform this critical analysis.

Purpose of the Study:

  • To critically review the 1986 mammography classification.
  • To analyze radiological factors in 6,072 mammographies.
  • To interpret findings in light of current screening trends.

Main Methods:

  • Analysis of 6,072 non-selected mammographies over 12 months.
  • Focus solely on radiological factors, excluding clinical or epidemiological data.
  • Comparison of current findings with the 1986 classification system.

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Main Results:

  • The trabecular type (33.7%) is now the most common, particularly in women in their 40s.
  • The fibroadipose type (26.8%) has decreased in relative frequency due to earlier mammography initiation.
  • Increased mammographic screening in younger, asymptomatic women is evident.

Conclusions:

  • Mammography's diagnostic value for asymptomatic women is widely recognized.
  • Standardization of mammography techniques and inter-center data exchange are crucial for diagnostic accuracy.
  • The shift towards earlier mammography necessitates updated classification and interpretation approaches.