Yıl: 2021 Cilt: 12 Sayı: 1 Sayfa Aralığı: 12 - 18 Metin Dili: İngilizce DOI: 10.31067/acusaglik.838928 İndeks Tarihi: 07-07-2021

BI-RADS OUTCOME ASSESSMENT OF MAMMOGRAPHY SCREENING; MEDICAL AUDIT OF A BREAST IMAGING CENTER

Öz:
Aim: To audit our mammography screening practice according to the American College of Radiology (ACR)recommendations in the years 2017 and 2018.Method: We documented and analyzed our breast imaging data collected between March 14th, 2017 and December31st, 2018 and performed a medical audit related to our mammography screening practice. The results were evaluatedaccording to ACR BI-RADS recommendations and performance benchmarks.Results: The total number of mammographic screening patients who had no personal history of breast cancer was 2413in 2017 and 2018. Our PPV1, PPV2 and PPV3 values were 5.6%, 30.8%, 52.9% accordingly. The recall rate was 11%.Outcomes for cancer detection rate, minimal cancer rate, early-stage cancer rate and lymph node negativity were 0.74%,50%, 77% and 64% respectively.Conclusion: The mammographic screening outcomes are in accordance with ACR performance benchmarks. Despitea desired high early cancer detection rate, axillary lymph node negativity was found to be below the desired range of75%. Medical auditing is important for a breast imaging unit to monitor the effectiveness of screening and diagnosticprocedures and presents as an effective feedback tool to improve the practice.
Anahtar Kelime:

MAMOGRAFİ TARAMA SONUÇLARININ BI-RADS’A GÖRE DEĞERLENDİRİLMESİ; BİR MEME GÖRÜNTÜLEME MERKEZİNİN TIBBİ DENETİMİ

Öz:
Amaç: Kliniğimizde 2017 ve 2018 yıllarında yapılan tarama mamografilerinin sonuçlarının American College of Radiology (ACR) önerileri doğrultusunda karşılaştırmalı olarak değerlendirmeyi amaçladık. Yöntem: 14 Mart 2017 ve 31 Aralık 2018 tarihleri arasında yapılan tarama mamografi sonuçlarını kaydedip analiz ettik. Bu analizleri kullanarak tarama mamografi uygulamalarımızı denetledik. Sonuçlar ACR BI-RADS önerileri ve performans kriterlerine göre değerlendirildi. Bulgular: Meme kanseri öyküsü bulunmayan kadınlara yapılan tarama mamografisi sayısı toplam 2413‘tü. Pozitif Öngörü Değeri (PÖD)1, PÖD2 ve PÖD3 hesaplamalarımız sırasıyla %5,6, %30,8 ve %52,9 idi. Geri çağırma oranı ise %11’di. Kanser saptama oranı, minimal kanser oranı, erken evre kanser oranı ve lenf nodu negatifliği çıktıları sırasıyla %0,74, %50, %77 ve %64 olarak saptandı. Sonuç: Tarama mamografilerinin değerlendirme çıktılarının ACR performans kriterleri ile uyumlu olduğu görüldü. Erken evre meme kanseri saptama oranı istenildiği gibi yüksek olmasına rağmen aksiller lenf nodu negatiflik oranının istenilen %75’lik oranın altında kaldığı görüldü. Medikal denetleme, meme görüntüleme biriminin tarama ve tanı çalışmalarının etkinliğini gösterme ve birimin uygulamalarının iyileşmesi için etkili bir geri bildirim yöntemi olması açısından önemlidir.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1.Acheson HWK. Medical Audit and General Practice. Vol. 1, Lancet. 1975. 511–513 p. Crossref
  • 2.CJ. D. 2013 ACR BI-RADS Atlas: Breast Imaging Reporting and Data System, 5th edition. Am Coll Radiol. 2014;537–53.
  • 3.A Sickles E. Quality Assurance: How to audit your own mammography practice. Vol. 30, Radiologic clinics of North America. 1992. 265–275 p.
  • 4.Gürdemir B, Aribal E. Assessment of mammography quality in İstanbul. Diagnostic Interv Radiol. 2012; 18: 468-472. Crossref
  • 5.Sickles EA, Miglioretti DL, Ballard-Barbash R, Geller BM, Leung JWT, Rosenberg RD, et al. Performance benchmarks for diagnostic mammography. Radiology. 2005 Jun;235(3):775–90.
  • 6.Feig SA. Auditing and benchmarks in screening and diagnostic mammography. Radiol Clin North Am. 2007 Sep;45(5):791–800, vi. Crossref
  • 7.Carney PA, Sickles EA, Monsees BS, Bassett LW, Brenner RJ, Feig SA, et al. Identifying minimally acceptable interpretive performance criteria for screening mammography. Radiology 2010 May; 255(2):354–61. Crossref
  • 8.Giuliano AE, Connolly JL, Edge SB, Mittendorf EA, Rugo HS, Solin LJ, et al. Breast CancerMajor changes in the American Joint Committee on Cancer eighth edition cancer staging manual. CA Cancer J Clin. 2017 Jul;67(4):290–303. Crossref
  • 9.Edge SB, Compton CC. The American Joint Committee on Cancer: the 7th edition of the AJCC cancer staging manual and the future of TNM. Vol. 17, Annals of surgical oncology. United States; 2010. p. 1471–4. Crossref
  • 10. Türk A, Aribal E. Medical audit of mammography screening examinations. Marmara Med J. 2002; 15: 27-31. Crossref
  • 11. Tuncbilek I, Ozdemir A, Gultekin S, Ogur T, Erman R, Yuce C. Clinical outcome assessment in mammography: an audit of 7,506 screening and diagnostic mammography examinations. Diagn Interv Radiol. 2007 Dec;13(4):183–7.
  • 12. Zackrisson S, Lang K, Rosso A, Johnson K, Dustler M, Fornvik D, et al. One-view breast tomosynthesis versus two-view mammography in the Malmo Breast Tomosynthesis Screening Trial (MBTST): a prospective, population-based, diagnostic accuracy study. Lancet Oncol. 2018 Nov;19(11):1493–503. Crossref
  • 13. Skaane P, Sebuodegard S, Bandos AI, Gur D, Osteras BH, Gullien R, et al. Performance of breast cancer screening using digital breast tomosynthesis: results from the prospective populationbased Oslo Tomosynthesis Screening Trial. Breast Cancer Res Treat. 2018 Jun;169(3):489–96. Crossref
  • 14. Gultekin M, Ozturk C, Ozturker Z, Boztaş G, Hatice Turan S, Dundar S, et al. Centralization of mammography reporting with mobile trucks: Turkish experience. Vol. 10, Preventive Medicine Reports. 2018.
  • 15. Kayhan A, Gurdal SO, Ozaydin N, Cabioglu N, Ozturk E, Ozcinar B, et al. Successful first round results of a Turkish breast cancer screening program with mammography in Bahcesehir, Istanbul. Asian Pac J Cancer Prev. 2014;15(4):1693–7. Crossref
  • 16. Aribal E, Mora P, Chaturvedi AK, Hertl K, Davidovic J, Salama DH, et al. Improvement of early detection of breast cancer through collaborative multi-country efforts: Observational clinical study. Eur J Radiol. 2019 Jun;115: 31–8. Crossref
APA guldogan n, GURLEYIK D, Küçükkaya F, ARIBAL E (2021). BI-RADS OUTCOME ASSESSMENT OF MAMMOGRAPHY SCREENING; MEDICAL AUDIT OF A BREAST IMAGING CENTER. , 12 - 18. 10.31067/acusaglik.838928
Chicago guldogan nilgun,GURLEYIK DAMLA,Küçükkaya Fikret,ARIBAL Erkin BI-RADS OUTCOME ASSESSMENT OF MAMMOGRAPHY SCREENING; MEDICAL AUDIT OF A BREAST IMAGING CENTER. (2021): 12 - 18. 10.31067/acusaglik.838928
MLA guldogan nilgun,GURLEYIK DAMLA,Küçükkaya Fikret,ARIBAL Erkin BI-RADS OUTCOME ASSESSMENT OF MAMMOGRAPHY SCREENING; MEDICAL AUDIT OF A BREAST IMAGING CENTER. , 2021, ss.12 - 18. 10.31067/acusaglik.838928
AMA guldogan n,GURLEYIK D,Küçükkaya F,ARIBAL E BI-RADS OUTCOME ASSESSMENT OF MAMMOGRAPHY SCREENING; MEDICAL AUDIT OF A BREAST IMAGING CENTER. . 2021; 12 - 18. 10.31067/acusaglik.838928
Vancouver guldogan n,GURLEYIK D,Küçükkaya F,ARIBAL E BI-RADS OUTCOME ASSESSMENT OF MAMMOGRAPHY SCREENING; MEDICAL AUDIT OF A BREAST IMAGING CENTER. . 2021; 12 - 18. 10.31067/acusaglik.838928
IEEE guldogan n,GURLEYIK D,Küçükkaya F,ARIBAL E "BI-RADS OUTCOME ASSESSMENT OF MAMMOGRAPHY SCREENING; MEDICAL AUDIT OF A BREAST IMAGING CENTER." , ss.12 - 18, 2021. 10.31067/acusaglik.838928
ISNAD guldogan, nilgun vd. "BI-RADS OUTCOME ASSESSMENT OF MAMMOGRAPHY SCREENING; MEDICAL AUDIT OF A BREAST IMAGING CENTER". (2021), 12-18. https://doi.org/10.31067/acusaglik.838928
APA guldogan n, GURLEYIK D, Küçükkaya F, ARIBAL E (2021). BI-RADS OUTCOME ASSESSMENT OF MAMMOGRAPHY SCREENING; MEDICAL AUDIT OF A BREAST IMAGING CENTER. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi, 12(1), 12 - 18. 10.31067/acusaglik.838928
Chicago guldogan nilgun,GURLEYIK DAMLA,Küçükkaya Fikret,ARIBAL Erkin BI-RADS OUTCOME ASSESSMENT OF MAMMOGRAPHY SCREENING; MEDICAL AUDIT OF A BREAST IMAGING CENTER. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 12, no.1 (2021): 12 - 18. 10.31067/acusaglik.838928
MLA guldogan nilgun,GURLEYIK DAMLA,Küçükkaya Fikret,ARIBAL Erkin BI-RADS OUTCOME ASSESSMENT OF MAMMOGRAPHY SCREENING; MEDICAL AUDIT OF A BREAST IMAGING CENTER. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi, vol.12, no.1, 2021, ss.12 - 18. 10.31067/acusaglik.838928
AMA guldogan n,GURLEYIK D,Küçükkaya F,ARIBAL E BI-RADS OUTCOME ASSESSMENT OF MAMMOGRAPHY SCREENING; MEDICAL AUDIT OF A BREAST IMAGING CENTER. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi. 2021; 12(1): 12 - 18. 10.31067/acusaglik.838928
Vancouver guldogan n,GURLEYIK D,Küçükkaya F,ARIBAL E BI-RADS OUTCOME ASSESSMENT OF MAMMOGRAPHY SCREENING; MEDICAL AUDIT OF A BREAST IMAGING CENTER. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi. 2021; 12(1): 12 - 18. 10.31067/acusaglik.838928
IEEE guldogan n,GURLEYIK D,Küçükkaya F,ARIBAL E "BI-RADS OUTCOME ASSESSMENT OF MAMMOGRAPHY SCREENING; MEDICAL AUDIT OF A BREAST IMAGING CENTER." Acıbadem Üniversitesi Sağlık Bilimleri Dergisi, 12, ss.12 - 18, 2021. 10.31067/acusaglik.838928
ISNAD guldogan, nilgun vd. "BI-RADS OUTCOME ASSESSMENT OF MAMMOGRAPHY SCREENING; MEDICAL AUDIT OF A BREAST IMAGING CENTER". Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 12/1 (2021), 12-18. https://doi.org/10.31067/acusaglik.838928