A STUDY OF FACTORS ASSOCIATED WITH BI-RADS OUTCOMES ON BREAST IMAGING IN A COMMUNITY PARTICIPATING IN FREE SCREENING AT VINMEC CAN THO

Hoàng Nguyên Phan, Thanh Quân Nguyễn, Ngọc Thanh Trần, Đồng Khởi Trịnh, Thị Minh Thái Nguyễn, Thị Thắm Nguyễn, Công Định Võ, Trung Tín Huỳnh, Ngọc Phùng Trịnh, Thị Ngọc Tú Nguyễn, Hoàng Trung Tạ, Quốc Cường Trần

Main Article Content

Abstract

Objective: To evaluate the outcomes of breast imaging screening and identify factors associated with breast imaging diagnoses in a community-based cohort. Subjects and Methods: This cross-sectional retrospective study included 1,482 women aged 21-80 years who participated in a free breast cancer screening program at Vinmec International General Hospital in Can Tho from May 1 to December 1, 2025. Results: The majority of participants were aged ≥40 years (78.9%), married, and parous. Breast imaging results were predominantly benign (BI-RADS categories 1-3, >95%), with a 3.85% rate of suspicious findings (BI-RADS 4). Only one case (0.07%) was histopathologically confirmed as breast cancer. Older age, menopausal status, and nulliparity were significantly associated with a higher likelihood of suspicious imaging findings. Conclusion: This study identified three factors significantly associated with suspicious or malignant BI-RADS outcomes (categories 4-6) in a screening population: older age, menopause, and nulliparity.

Article Details

References

Bray F, Laversanne M, Sung H, et al. Global cancer statistics 2022: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2024 May-Jun;74(3):229-263.
2. Van Minh H, Van Thuan T, Shu XO. Scientific Evidence for Cancer Control in Vietnam. Cancer Control. 2019 Jan-Dec;26(1):1073274819866450.
3. Siegel RL, Miller KD, Wagle NS, et al. Cancer statistics, 2023. CA Cancer J Clin. 2023 Jan;73(1):17-48.
4. Magny SJ, Shikhman R, Keppke AL. Breast Imaging Reporting and Data System. 2023 Aug 28.
5. Takkar N, Kochhar S, Garg P, et al. Screening methods (clinical breast examination and mammography) to detect breast cancer in women aged 40-49 years. J Midlife Health. 2017 Jan-Mar;8(1):2-10.
6. Mittal M, Deolia S, Agrawal A, et al. Prevalence of breast imaging reporting and data system (BIRADS) categories and breast consistencies in Central India -A cross-sectional survey. J Family Med Prim Care. 2021 Sep;10(9):3219-3222.
7. Mittal M, Deolia S, Agrawal A, et al. Prevalence of breast imaging reporting and data system (BIRADS) categories and breast consistencies in Central India -A cross-sectional survey. J Family Med Prim Care. 2021 Sep;10(9):3219-3222.
8. Trieu PD, Mello-Thoms C, Brennan PC. Female breast cancer in Vietnam: a comparison across Asian specific regions. Cancer Biol Med. 2015 Sep;12(3):238-45.
9. Łukasiewicz S, Czeczelewski M, Forma A, et al. Breast Cancer-Epidemiology, Risk Factors, Classification, Prognostic Markers, and Current Treatment Strategies-An Updated Review. Cancers (Basel). 2021 Aug 25;13(17):4287.
10. Do KA, Treloar SA, Pandeya N, et al. Predictive factors of age at menopause in a large Australian twin study. Hum Biol. 1998 Dec;70(6):1073-91.