According to the recommendations of the American College of Radiology (ACR) we accepted BIRADS (Breast Imaging Reporting and Data System) as a quality assurance tooland standardized mammography reports. Each lesion was classified according to BI RADS descriptors for masses (margins and shape) and calcifications (morphology and distribution) and was categorized by the BI RADS final assessment categories (numeric value 0-6). All breast findings should be differentiated in terms of benign or malignant, and the final impression needs to clearly state the degree of suspicion for...

The study was prospective and conducted at Oncology Institute, Department of Diagnostic Imaging at Sremska Kamenica, Serbia, between March 2009 to August 2013. We performed TS in 360 DM detected BIRADS3 lesions. We evaluated breasts during screening and after diagnostic exam on the Hologic Selenia Dimensions system. The radiologist independently reads DM and TS. As a part of the diagnostic procedure, after the mammography examination, in some patients core biopsy under ultrasound or stereotactic biopsies were performed. Most patients were followed up over a period...

Are shown in TABLE 1 and 2 Only 22.8% of BIRADS3 lesions (82/360) did not change within the category after TS. After TS, 77.2% (278/360) digital mammography noticed lesions were re-classified according to the BIRADS system. TS “downstaged” to BIRADS1 or 2 category the majority of cases (263/360) and “upstaged” 15 cases to BIRADS4 and 5. At the follow-up studies two-thirds of the DM detected BIRADS 3 lesions were “downstage” to BIRADS 1, 2 or stay in BIRADS 3 category and were stable in at...

Our results indicated that TS in BIRADS 3 category were performed after DM “downstage” in two-thirds of cases. It significantly reduced the need for additional mammographic views and frequent follow up studies. TS did not show any false-negative results in this study and it did not miss any cancers.In addition, reduction of numerous mammographic controls examination reduces the stress levels in women.Therefore, Tomosynthesis should be applied in the diagnostic algorithm in patients with mammography detected BIRADS3 lesions.

Nataša Prvulović Bunović, Radiologist e-mail : [email protected]

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