Breast Imaging Reporting and Data System - BI-RADS®: valor preditivo positivo das categorias 3, 4 e 5. revisão sistemática da literatura / Breast Imaging Reporting and Data System - BI-RADS®: positive predictive value of categories 3, 4 and 5. A systematic literature review
Radiol. bras
;
40(3): 173-177, maio-jun. 2007. tab
Article
in Portuguese
| LILACS
| ID: lil-458038
RESUMO
OBJETIVO:
Avaliar artigos, na literatura, que verificam o valor preditivo positivo das categorias 3, 4 e 5 do Breast Imaging Reporting and Data System (BI-RADS®).MATERIAIS E MÉTODOS:
Foi realizada pesquisa na base de dados Medline utilizando os termos "predictive value" e "BI-RADS". Foram incluídos 11 artigos nesta revisão.RESULTADOS:
O valor preditivo positivo das categorias 3, 4 e 5 variou entre 0 por cento e 8 por cento, 4 por cento e 62 por cento, 54 por cento e 100 por cento, respectivamente. Três artigos avaliaram, concomitantemente, os critérios morfológicos das lesões que apresentaram maior valor preditivo positivo na mamografia, sendo nódulo espiculado o critério com maior valor preditivo positivo.CONCLUSÃO:
Houve grande variabilidade do valor preditivo positivo das categorias 3, 4 e 5 do BI-RADS® em todos os estudos, porém foram identificadas diferenças metodológicas que limitaram a comparação desses estudos.ABSTRACT
OBJECTIVE:
To review the literature about the positive predictive value of Breast Imaging Reporting and Data System (BI-RADS®) categories 3, 4 and 5. MATERIALS ANDMETHODS:
A research was performed in the online Medline database, entering the terms "predictive value" and "BI-RADS". Eleven studies were included in this review.RESULTS:
The positive predictive values ranged respectively between 0 percent and 8 percent, 4 percent and 62 percent, and 54 percent and 100 percent for BI-RADS® categories 3, 4 and 5. Three studies have also evaluated morphological criteria with higher positive predictive value in mammography, mass with spiculated margins being the finding with highest positive predictive value for malignancy.CONCLUSION:
A high variability was found in the reviewed literature among positive predictive values of BI-RADS® categories 3, 4 and 5, although methodological differences have been identified, limiting the comparative analysis.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Mammography
/
Predictive Value of Tests
/
Meta-Analysis
Type of study:
Diagnostic study
/
Prognostic study
/
Risk factors
/
Systematic reviews
Language:
Portuguese
Journal:
Radiol. bras
Journal subject:
Diagnostic Imaging
/
Radiology
Year:
2007
Type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
Ministério da Saúde/BR
/
Universidade Estadual de Campinas/BR
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