Diagnostic accuracy of the breast MRI Kaiser score in suspected architectural distortions and its comparison with mammography

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dc.authoridAslan, Özge/0000-0001-6935-1472
dc.authoridOKTAY ALFATLI, AYSE NUR/0000-0003-0209-5878
dc.contributor.authorAslan, Ozge
dc.contributor.authorOktay, Aysenur
dc.date.accessioned2024-08-31T07:50:34Z
dc.date.available2024-08-31T07:50:34Z
dc.date.issued2024
dc.departmentEge Üniversitesien_US
dc.description.abstractSuspicious architectural distortion is an elusive finding in breast cancer diagnosis. This study aimed to evaluate the diagnostic accuracy of the Kaiser score for suspicious architectural distortions observed on mammography and compare it with the BI-RADS score of the lesion. Mammograms performed between January 2013 and March 2023 were retrospectively analyzed for the presence of suspicious architectural distortion. Forty-one patients, who had at least 1 year of radiological follow-up or pathology results, and underwent breast MRI, were included in the study. Mammography findings and the BI-RADS category of the lesion were assessed. MRI findings were evaluated and Kaiser scoring was performed according to the tree flowchart. Ninety-one percent of the enhanced lesions had a Kaiser score of 5 and above. In the diagnosis of malignancy, the Kaiser score yielded an accuracy of 75.61% (AUC 0.833). A statistically significant correlation was observed indicating that a malignant diagnosis was more prevalent in patients with a Kaiser score of 5 and above (p < 0.05). Additionally statistically significant relationship was also observed between the BI-RADS category of architectural distortions on mammography and the Kaiser score (p = 0.007). The combined utilization of mammography findings and the evidence-based Kaiser score in suspected architectural distortions provides more accurate results in the differential diagnosis of breast cancer.en_US
dc.identifier.doi10.1038/s41598-023-50798-7
dc.identifier.issn2045-2322
dc.identifier.issue1en_US
dc.identifier.pmid38172557en_US
dc.identifier.scopus2-s2.0-85181249970en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.urihttps://doi.org/10.1038/s41598-023-50798-7
dc.identifier.urihttps://hdl.handle.net/11454/105284
dc.identifier.volume14en_US
dc.identifier.wosWOS:001145989400028en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherNature Portfolioen_US
dc.relation.ispartofScientific Reportsen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.snmz20240831_Uen_US
dc.subjectTomosynthesisen_US
dc.titleDiagnostic accuracy of the breast MRI Kaiser score in suspected architectural distortions and its comparison with mammographyen_US
dc.typeArticleen_US

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