n SA Journal of Radiology - Histo-pathological correlation of BI-RADS 4 lesions on mammography with emphasis on microcalcification patterns : original article

Volume 12, Issue 4
  • ISSN : 1027-202X
  • E-ISSN: 2078-6778



A retrospective study of 20 patients with breast imaging reporting and data system (BI-RADS) 4 lesions, who underwent biopsy, was undertaken and a comparison with histological analyses was performed to compare the radiological appearance of benign and malignant microcalcification patterns with the final histology reports.

The results showed that although the study was not statistically significant owing to an insufficient study population, interesting trends developed which suggest that there are deficiencies in the evaluation of microcalcifications using the BI-RADS, as some lesions that were thought to have benign calcification patterns were actually malignant, and vice versa. It is hoped that further study in this field will highlight problematic areas in the evaluation of microcalcifications.

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