RADIOLOGICAL TESTS VERSUS PATHOLOGICAL DIAGNOSTICS: COMPLIMENTARY OR ANTAGONISTIC RELATIONSHIP- AN INSTITUTIONAL EXPERIENCE

Aims & Objective: To determine the yield, reliability and diagnostic accuracy of Breast Imaging Reporting and Data System in evaluation of breast lesions taking histopathology as gold standard.

Material and Methods: This cross-sectional, analytical study was conducted at Pathology dept. Of SMSMC Jaipur from June 2019 to June 2020. The data of the core needle biopsies of breast lesions received at the Pathology department which had been also categorized on mammogram, according to the Breast Imaging Reporting and Data System (BI-RADS), were selected for the study. All clinical parameters, the site of the biopsy, the radiological findings, the pathological diagnoses were studied. The concordance between the radiological and pathological results was studied . According to BI-RADS, categories II and III were classified as benign and BI-RADs IV and V as malignant. The breast core biopsies were classified as benign and malignant, according to the diagnosis.

Results: A total of 115 patients were included in the study. BI-RADS system for reporting whencompared with histopathology had sensitivity of 93.55%, specificity 68.18%, positive predictive value92.55%, negative predictive value 71.43% and diagnostic accuracy 88.70%.

Conclusion: The findings of this study report a high diagnostic accuracy of BI-RADS in the diagnosis ofbreast carcinoma.