APPLICATION OF KAISER SCORE IN CLASSIFICATION THE RISK OF MALIGNANCY OF ENHANCEMENT LESIONS IN BREAST MAGNETIC RESONANCE IMAGING

Phương Thanh Lưu, Phương Thanh Lưu, Tiến Lưu Đoàn

Main Article Content

Abstract

Purposes: To evaluate the role of Kaiser score in BIRADS category of enhancement lesions in breast MRI. Subjects and Methods: Between January 2023 and June 2023 at National Cancer Hospital, 114 patients were performed breast MRI, with a mean age of 51±9,9 years and the size of the most lesions from 1-2cm. All lesions were evaluate according to the Kaiser score, then they were classified by BIRADS category and paralleled with pathology result. Results: There were 88,1% malignant (76,4% masses and 23,6% non-mass lesions); 21,9% benign (72% masses and 28% non-mass lesions). About the kinetic curve, 42,1% type 1, 41,2% type 2, 16,7% type 3. There were 18,4% BIRADS 3 category, 81,6% BIRADS 4 or 5 category. 4/114 lesions had no proptional between BIRADS category and pathology result. The sensitivity and specificity of Kaiser score is 100% and 84%. Conclusion: The Kaiser score has effective in evaluation of the suspicious lesion, improve the accuracy in diagnosis.

Article Details

References

Heywang SH, Hahn D, Schmidt H, et al. MR imaging of the breast using gadolinium-DTPA. J Comput Assist Tomogr. Mar-Apr 1986;10(2):199-204. doi:10.1097/00004728-198603000-00005
2. Kaiser WA, Zeitler E. MR imaging of the breast: fast imaging sequences with and without Gd-DTPA. Preliminary observations. Radiology. Mar 1989;170(3 Pt 1):681-6. doi:10.1148/radiology. 170.3.2916021
3. Lehman CD, Schnall MD. Imaging in breast cancer: magnetic resonance imaging. Breast Cancer Res. 2005;7(5):215-9. doi:10.1186/bcr1309
4. Hylton N. Magnetic resonance imaging of the breast: opportunities to improve breast cancer management. J Clin Oncol. Mar 10 2005;23(8): 1678-84. doi:10.1200/JCO.2005.12.002
5. American College of Radiology. Breast Imaging Reporting and Data System (BI-RADS). 5 ed. 2013.
6. Baltzer PA, Dietzel M, Kaiser WA. A simple and robust classification tree for differentiation between benign and malignant lesions in MR-mammography. Eur Radiol. Aug 2013;23(8):2051-60. doi:10.1007/s00330-013-2804-3
7. Woitek R, Spick C, Schernthaner M, et al. A simple classification system (the Tree flowchart) for breast MRI can reduce the number of unnecessary biopsies in MRI-only lesions. Eur Radiol. Sep 2017;27(9):3799-3809. doi:10.1007/ s00330-017-4755-6
8. Wengert GJ, Pipan F, Almohanna J, et al. Impact of the Kaiser score on clinical decision-making in BI-RADS 4 mammographic calcifications examined with breast MRI. Eur Radiol. Mar 2020; 30(3):1451-1459. doi:10.1007/s00330-019-06444-w
9. Milos RI, Pipan F, Kalovidouri A, et al. The Kaiser score reliably excludes malignancy in benign contrast-enhancing lesions classified as BI-RADS 4 on breast MRI high-risk screening exams. Eur Radiol. Nov 2020;30(11):6052-6061. doi:10.1007/s00330-020-06945-z
10. Mann RM, Cho N, Moy L. Breast MRI: State of the Art. Radiology. Sep 2019;292(3):520-536. doi:10.1148/radiol.2019182947