Evidence map›Paper›PMID 34924771›Full record

ArticleCancer management and research2021

A National Chinese Survey on Ultrasound Feature Interpretation and Risk Assessment of Breast Masses Under ACR BI-RADS.

Wen Wen, Jingyan Liu, Junren Wang, Heng Jiang, Yulan Peng

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Article in Cancer management and research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

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4citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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4 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Wen WenDepartment of Ultrasound, West China Hospital, Sichuan University, Chengdu, Sichuan, People's Republic of China.ORCID 0000-0003-2958-0451
Jingyan LiuDepartment of Ultrasound, West China Hospital, Sichuan University, Chengdu, Sichuan, People's Republic of China.
Junren WangBiomedical Big Data Center, West China Hospital, Sichuan University, Chengdu, Sichuan, People's Republic of China.
Heng JiangCollege of Medicine, University of Nebraska Medical Center, Omaha, NE, USA.
Yulan PengDepartment of Ultrasound, West China Hospital, Sichuan University, Chengdu, Sichuan, People's Republic of China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThrough this nationwide survey on ACR BI-RADS including ultrasound images of 10 selected breast lesions, we aimed to learn about consistency in feature interpretation and assessment categories and to identify factors that might contribute to inconsistencies, thereby promoting the application of BI-RADS in China. MATERIALS AND

methodsThe survey was delivered through a self-developed website about blinded image interpretation and was released to the public through online platforms and social media. A total of 10 representative lesions were selected by an experienced radiologist to gather information about the general practice of BI-RADS lexicons and categories. The Kappa statistic, the chi-squared test, and descriptive statistics were used for data analysis.

resultsNine hundred ultrasound workers completed the questionnaire, coming from all provinces and major cities in China. They had different positions, grades of work organization, and seniority. The interrater agreement of BI-RADS features was fair to substantial (kappa value: 0.37-0.66). For BI-RADS categories, the highest agreement was observed in the typical benign group (average constituent rate = 74.78%), and generally lower agreement was observed in the typical malignant (average constituent rate = 36.03%) and suspicious groups (average constituent rate = 39.02%).

conclusionWe found inconsistencies in BI-RADS applications, providing direction for image feature research using big data. Therefore, we call for more efforts to improve the consistency of BI-RADS application and provide an evidence-based basis for identifying benign and malignant lesions by sonographic features.

Indexed as

BI-RADS lexiconsbreast ultrasoundinterrater agreementnational survey

Identifiers

PMID34924771
PMCPMC8674576

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