{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,24]],"date-time":"2026-02-24T01:25:58Z","timestamp":1771896358343,"version":"3.50.1"},"reference-count":28,"publisher":"Georg Thieme Verlag KG","issue":"01","license":[{"start":{"date-parts":[[2022,7,15]],"date-time":"2022-07-15T00:00:00Z","timestamp":1657843200000},"content-version":"vor","delay-in-days":195,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Ultrasound Int Open"],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Purpose To compare the outcomes of different mammographic lesions based on\n                    the presence of an ultrasound (US) correlate and to estimate how often targeted\n                    US can identify such lesions.<\/jats:p><jats:p>\n          Materials and Methods This retrospective study included all consecutive\n                    cases from 2010 to 2016, with Breast Imaging Reporting and Database System\n                    (BI-RADS) categories 4 &amp; 5 who underwent US as part of their diagnostic\n                    workup. We compared the incidence of malignancy between lesions comprising a US\n                    correlate that underwent US-guided core needle biopsy (CNB) and those without a\n                    correlate that underwent stereotactic CNB.<\/jats:p><jats:p>\n          Results 833 lesions met the study criteria and included masses\n                    (64.3%), architectural distortion (19%), asymmetries\n                    (4.6%), and calcifications (12.1%). The CNB-based positive\n                    predictive value (PPV) was higher for lesions with a US correlate than for those\n                    without (40.2% [36.1, 44.4%] vs. 18.9% [14.5,\n                    23.9%], respectively) (p&lt;0.001). Malignancy odds for masses,\n                    asymmetries, architectural distortion, and calcifications were greater by 2.70,\n                    4.17, 4.98, and 2.77 times, respectively, for the US-guided CNB\n                    (p&lt;0.001, p=0.091, p&lt;0.001, and p=0.034,\n                    respectively). Targeted US identified a correlate to 66.3% of the\n                    mammographic findings. The odds of finding a correlate were greater for masses\n                    (77.8%) than architectural distortions (53.8%) (p&lt;0.001)\n                    or calcifications (24.8%) (p&lt;0.001).<\/jats:p><jats:p>\n          Conclusion The success of targeted US in identifying a correlate varies\n                    significantly according to the type of mammographic lesion. The PPV of lesions\n                    with a US correlate was significantly higher than that of those with no\n                    correlate. However, the PPV of lesions with no US correlate is high enough\n                    (18.9%) to warrant a biopsy.<\/jats:p>","DOI":"10.1055\/a-1832-1808","type":"journal-article","created":{"date-parts":[[2022,7,15]],"date-time":"2022-07-15T23:09:57Z","timestamp":1657926597000},"page":"E8-E14","source":"Crossref","is-referenced-by-count":1,"title":["Positive Predictive Value for the Malignancy of Mammographic\n                    Abnormalities Based on the Presence of an Ultrasound Correlate"],"prefix":"10.1055","volume":"08","author":[{"given":"Taghreed","family":"Alshafeiy","sequence":"additional","affiliation":[{"name":"Radiology, Suez Canal University Faculty of Medicine, Ismailia,\n                    Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James","family":"Patrie","sequence":"additional","affiliation":[{"name":"Biostatistics, University of Virginia, Charlottesville, United\n                    States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohammad","family":"al-Shatouri","sequence":"additional","affiliation":[{"name":"Radiology, Suez Canal University Faculty of Medicine, Ismailia,\n                    Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2022,7,15]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"123","DOI":"10.1148\/radiology.196.1.7784555","article-title":"Solid breast nodules: use of sonography to distinguish between benign and\n                    malignant lesions","volume":"196","author":"A T Stavros","year":"1995","journal-title":"Radiology"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"1675","DOI":"10.2214\/ajr.180.6.1801675","article-title":"Mammography and subsequent whole-breast sonography of nonpalpable breast\n                    cancers: the importance of radiologic breast density","volume":"180","author":"I Leconte","year":"2003","journal-title":"AJR Am J Roentgenol"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"440","DOI":"10.1007\/s11547-006-0040-5","article-title":"Role of ultrasonography in detecting mammographically occult breast carcinoma in\n                    women with dense breasts","volume":"111","author":"V Corsetti","year":"2006","journal-title":"Radiol Med"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"311","DOI":"10.1148\/rg.2016150093","article-title":"Tomosynthesis-detected Architectural Distortion: Management Algorithm with\n                    Radiologic-Pathologic Correlation","volume":"36","author":"M A Durand","year":"2016","journal-title":"Radiographics."},{"key":"ref5","volume-title":"Breast Imaging Reporting and Data System: ACR BI-RADS breast imaging atlas","author":"CSE D\u2019Orsi","year":"2013"},{"key":"ref6","first-page":"119","article-title":"Approximate is better than \u201cexact\u201d for interval estimation of\n                    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Shetty","year":"2002","journal-title":"Ultrasound Q"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"941","DOI":"10.2214\/ajr.180.4.1800941","article-title":"Sonographic detection and sonographically guided biopsy of breast\n                    microcalcifications","volume":"180","author":"M S Soo","year":"2003","journal-title":"AJR Am J Roentgenol"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"996","DOI":"10.3348\/kjr.2015.16.5.996","article-title":"Breast Microcalcifications: Diagnostic Outcomes According to Image-Guided Biopsy\n                    Method","volume":"16","author":"S Bae","year":"2015","journal-title":"Korean J Radiol"},{"key":"ref12","doi-asserted-by":"crossref","first-page":"170","DOI":"10.1002\/jmrs.348","article-title":"A comparison of stereotactic and tomosynthesisguided localisation of impalpable\n                    breast lesions","volume":"66","author":"C Madeley","year":"2019","journal-title":"J Med Radiat Sci"},{"key":"ref13","doi-asserted-by":"crossref","first-page":"152","DOI":"10.1016\/j.jss.2014.11.032","article-title":"Malignancy rates after surgical excision of discordant breast biopsies","volume":"195","author":"B B Poole","year":"2015","journal-title":"J Surg Res"},{"key":"ref14","doi-asserted-by":"crossref","first-page":"2538","DOI":"10.1002\/1097-0142(20001215)89:12<2538::AID-CNCR4>3.0.CO;2-#","article-title":"Imaging-histologic discordance at percutaneous breast biopsy","volume":"89","author":"L Liberman","year":"2000","journal-title":"Cancer"},{"key":"ref15","doi-asserted-by":"crossref","first-page":"1771","DOI":"10.1016\/j.ultrasmedbio.2011.07.006","article-title":"Imaging-histologic discordance after sonographically guided percutaneous breast\n                    biopsy: a prospective observational study","volume":"37","author":"E J Son","year":"2011","journal-title":"Ultrasound Med Biol"},{"key":"ref16","doi-asserted-by":"crossref","first-page":"1824","DOI":"10.1002\/cncr.11278","article-title":"False-negative core needle biopsies of the breast: an analysis of clinical,\n                    radiologic, and pathologic findings in 27 concecutive cases of missed breast\n                    cancer","volume":"97","author":"V I Shah","year":"2003","journal-title":"Cancer"},{"key":"ref17","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1159\/000370219","article-title":"Imaging-histological discordance after sonographically guided percutaneous\n                    breast core biopsy","volume":"10","author":"A Soyder","year":"2015","journal-title":"Breast Care"},{"key":"ref18","doi-asserted-by":"crossref","first-page":"406","DOI":"10.1148\/radiol.2482071994","article-title":"US-guided 14-gauge core-needle breast biopsy: results of a validation study in\n                    1352 cases","volume":"248","author":"G Schueller","year":"2008","journal-title":"Radiology"},{"key":"ref19","first-page":"52","article-title":"Ultrasound-guided Large-Core Needle Biopsy of the Breast: Frequency and Results\n                    of Repeat Biopsy. Journal of Women\u2019s Imaging","volume":"4","author":"M Mainiero","year":"2002"},{"key":"ref20","first-page":"10","article-title":"Initial success and frequency of rebiopsy after ultrasound-guided 14-gauge core\n                    breast biopsy","volume":"180","author":"W Berg","year":"2003","journal-title":"American Journal of Roentgenology"},{"key":"ref21","doi-asserted-by":"crossref","first-page":"967","DOI":"10.7863\/jum.2001.20.9.967","article-title":"Fourteen-gauge ultrasonographically guided large-core needle biopsy of breast\n                    masses","volume":"20","author":"J M Schoonjans","year":"2001","journal-title":"J Ultrasound Med"},{"key":"ref22","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1002\/jcu.20089","article-title":"Accuracy of sonographically guided 14-gauge core-needle biopsy: results of 715\n                    consecutive breast biopsies with at least two-year follow-up of benign\n                    lesions","volume":"33","author":"P Crystal","year":"2005","journal-title":"J Clin Ultrasound"},{"key":"ref23","doi-asserted-by":"crossref","first-page":"665","DOI":"10.1148\/radiol.2523080670","article-title":"Breast imaging reporting and data system lexicon for US: interobserver agreement\n                    for assessment of breast masses","volume":"252","author":"N Abdullah","year":"2009","journal-title":"Radiology"},{"key":"ref24","doi-asserted-by":"crossref","first-page":"172","DOI":"10.14366\/usg.18012","article-title":"Interobserver agreement in breast ultrasound categorization in the Mammography\n                    and Ultrasonography Study for Breast Cancer Screening Effectiveness (MUST-BE)\n                    trial: results of a preliminary study","volume":"38","author":"E J Choi","year":"2019","journal-title":"Ultrasonography"},{"key":"ref25","doi-asserted-by":"crossref","first-page":"122","DOI":"10.5812\/iranjradiol.10708","article-title":"Interobserver and intraobserver agreement of sonographicBIRADS lexicon in the\n                    assessment of breast masses","volume":"10","author":"E Elverici","year":"2013","journal-title":"Iran J Radiol"},{"key":"ref26","doi-asserted-by":"crossref","first-page":"185","DOI":"10.6061\/clinics\/2012(02)16","article-title":"Interobserver concordance in the BI-RADS classification of breast ultrasound\n                    exams","volume":"67","author":"M J Calas","year":"2012","journal-title":"Clinics (Sao Paulo)"},{"key":"ref27","doi-asserted-by":"crossref","first-page":"293","DOI":"10.1016\/j.ejrad.2007.04.008","article-title":"Observer variability of Breast Imaging Reporting and Data System (BI-RADS) for\n                    breast ultrasound","volume":"65","author":"H J Lee","year":"2008","journal-title":"Eur J Radiol"},{"key":"ref28","doi-asserted-by":"crossref","first-page":"374","DOI":"10.14366\/usg.19021","article-title":"More than interobserver agreement is required for comparisons of categorization\n                    systems","volume":"38","author":"G Palazuelos","year":"2019","journal-title":"Ultrasonography"}],"container-title":["Ultrasound International Open"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-1832-1808.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,7,15]],"date-time":"2022-07-15T23:10:14Z","timestamp":1657926614000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-1832-1808"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,1]]},"references-count":28,"journal-issue":{"issue":"01","published-online":{"date-parts":[[2022,5,3]]},"published-print":{"date-parts":[[2022,1]]}},"URL":"https:\/\/doi.org\/10.1055\/a-1832-1808","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["2509-596X","2199-7152"],"issn-type":[{"value":"2509-596X","type":"print"},{"value":"2199-7152","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,1]]}}}