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Related Experiment Video

Updated: Sep 27, 2025

Conducting Respiratory Oscillometry in an Outpatient Setting
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Value of BI-RADS 3 Audits.

Prithwijit Roychowdhury1, Gopal R Vijayaraghavan1,2, John Roubil1

  • 1Department of Medicine, University of Massachusetts Medical School, 55 Lake Ave N, Worcester, MA 01655.

Biomedical Journal of Scientific & Technical Research
|April 8, 2022
PubMed
Summary

Auditing Breast Imaging Reporting and Data System (BI-RADS) 3 assessments is crucial for quality control. This study found the cancer yield for BI-RADS 3 cases aligns with the expected low malignancy probability, supporting its clinical utility.

Keywords:
BI-RADS 3BI-RADS criteriabreast cancermammographyradiologyscreening

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Area of Science:

  • Radiology
  • Oncology
  • Medical Imaging

Background:

  • Breast Imaging Reporting and Data System (BI-RADS) 3 signifies a probably benign finding with ≤2% malignancy risk.
  • Monitoring adherence to BI-RADS 3 criteria and establishing quality benchmarks remain challenging.
  • Effective quality control is essential for managing clinical practice and patient outcomes.

Purpose of the Study:

  • To explore quantifiable parameters for quality control in BI-RADS 3 assessments.
  • To evaluate the adherence of BI-RADS 3 assignments to established malignancy probability benchmarks.
  • To provide insights for clinical practice management through regular auditing of BI-RADS 3 metrics.

Main Methods:

  • Retrospective analysis of BI-RADS 3 cases in women over 40 recalled from screening exams (Jan 2014-Dec 2017).
  • Inclusion criteria: initial BI-RADS 3 assignment after diagnostic workup.
  • Quantitative quality control metrics assessed over a 2-year follow-up period.

Main Results:

  • 1,037 BI-RADS 3 cases were analyzed from 135,765 screening exams.
  • The 24-month follow-up rate was 86.7%.
  • Cancer yield was 2.51%, consistent with the ≤2% malignancy probability of BI-RADS 3. Upgrade rate was 7.4%, and PPV3 was 33.8%.

Conclusions:

  • Regular auditing of BI-RADS 3 metrics offers valuable insights for clinical practice management.
  • Establishing benchmarks through data from diverse clinical settings and expert input is recommended.
  • The study supports the continued appropriate use of BI-RADS 3 in breast cancer screening quality control.