Evidence map›Paper›PMID 29285740›Full record

ArticleJapanese journal of radiology2018

Grading system to categorize breast MRI using BI-RADS 5th edition: a statistical study of non-mass enhancement descriptors in terms of probability of malignancy.

Tatsunori Asada, Takayuki Yamada, Yoshihide Kanemaki, Keishi Fujiwara, Satoko Okamoto, Yasuo Nakajima

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Article in Japanese journal of radiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

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0cells of the map it votes in
29citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

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3 · Its place in the literature

Who cites it

29 citing papers in PubMed.

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  9. Characteristics of Suspicious Breast Lesions Visible Only on MR Imaging: Is It Possible to Classify into Immediate Biopsy and Careful Observation Groups?Magnetic resonance in medical sciences : MRMS : an official journal of Japan Society of Magnetic Resonance in Medicine · 2025
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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Tatsunori AsadaDepartment of Radiology, St. Marianna University School of Medicine, Yokohama City Seibu Hospital, 1197-1 Yasashicho, Asahi-ku, Yokohama, Kanagawa, 241-0811, Japan. tatsunori_a_a_a@yahoo.co.jp.
Takayuki YamadaDepartment of Radiology, St. Marianna University School of Medicine, Yokohama City Seibu Hospital, 1197-1 Yasashicho, Asahi-ku, Yokohama, Kanagawa, 241-0811, Japan.
Yoshihide KanemakiDepartment of Radiology, Breast and Imaging Center, St. Marianna University School of Medicine, 6-7-2 Mampukuji, Asao-ku, Kawasaki, Kanagawa, 215-0004, Japan.
Keishi FujiwaraDepartment of Radiology, St. Marianna University School of Medicine, 2-16-1 Sugao, Miyamae-ku, Kawasaki, Kanagawa, 216-8511, Japan.
Satoko OkamotoDepartment of Radiology, Breast and Imaging Center, St. Marianna University School of Medicine, 6-7-2 Mampukuji, Asao-ku, Kawasaki, Kanagawa, 215-0004, Japan.
Yasuo NakajimaDepartment of Radiology, St. Marianna University School of Medicine, 2-16-1 Sugao, Miyamae-ku, Kawasaki, Kanagawa, 216-8511, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo analyze the association of breast non-mass enhancement descriptors in the BI-RADS 5th edition with malignancy, and to establish a grading system and categorization of descriptors. MATERIALS AND

methodsThis study was approved by our institutional review board. A total of 213 patients were enrolled. Breast MRI was performed with a 1.5-T MRI scanner using a 16-channel breast radiofrequency coil. Two radiologists determined internal enhancement and distribution of non-mass enhancement by consensus. Corresponding pathologic diagnoses were obtained by either biopsy or surgery. The probability of malignancy by descriptor was analyzed using Fisher's exact test and multivariate logistic regression analysis. The probability of malignancy by category was analyzed using Fisher's exact and multi-group comparison tests.

resultsOne hundred seventy-eight lesions were malignant. Multivariate model analysis showed that internal enhancement (homogeneous vs others, p < 0.001, heterogeneous and clumped vs clustered ring, p = 0.003) and distribution (focal and linear vs segmental, p < 0.001) were the significant explanatory variables. The descriptors were classified into three grades of suspicion, and the categorization (3, 4A, 4B, 4C, and 5) by sum-up grades showed an incremental increase in the probability of malignancy (p < 0.0001).

conclusionThe three-grade criteria and categorization by sum-up grades of descriptors appear valid for non-mass enhancement.

Indexed as

AdultAgedAged, 80 and overBreastBreast NeoplasmsFemaleHumansMagnetic Resonance ImagingMiddle AgedNeoplasm GradingProbabilityRadiology Information SystemsRetrospective StudiesYoung AdultBI-RADS 5th editionBreastCategoryMagnetic resonance imagingNon-mass enhancement

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.