Abstract
Using data from the Vermont Breast Cancer Surveillance System (VBCSS), we studied the reproducibility of Breast Imaging Reporting and Data System (BI-RADS) breast density among community radiologists interpreting mammograms in a cohort of 11,755 postmenopausal women. Radiologists interpreting two or more film-screen screening or bilateral diagnostic mammograms for the same woman within a 3- to 24-month period during 1996-2006 were eligible. We observed moderate-to-substantial overall intra-rater agreement for use of BI-RADS breast density in clinical practice, with an overall intra-radiologist percent agreement of 77.2% (95% confidence interval (CI), 74.5-79.5%), an overall simple kappa of 0.58 (95% CI, 0.55-0.61), and an overall weighted kappa of 0.70 (95% CI, 0.68-0.73). Agreement exhibited by individual radiologists varied widely, with intra-radiologist percent agreement ranging from 62.1% to 87.4% and simple kappa ranging from 0.19 to 0.69 across individual radiologists. Our findings underscore the need for additional evaluation of the BI-RADS breast density categorization system in clinical practice.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 326-333 |
| Number of pages | 8 |
| Journal | Breast Journal |
| Volume | 18 |
| Issue number | 4 |
| DOIs | |
| State | Published - Jul 2012 |
| Externally published | Yes |
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Keywords
- BI-RADS breast density
- clinical practice
- intra-radiologist agreement
- mammography
ASJC Scopus subject areas
- Internal Medicine
- Oncology
- Surgery
Cite this
Reproducibility of BI-RADS breast density measures among community radiologists : A prospective cohort study. / Spayne, Mary C.; Gard, Charlotte C.; Skelly, Joan; Miglioretti, Diana L; Vacek, Pamela M.; Geller, Berta M.
In: Breast Journal, Vol. 18, No. 4, 07.2012, p. 326-333.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Reproducibility of BI-RADS breast density measures among community radiologists
T2 - A prospective cohort study
AU - Spayne, Mary C.
AU - Gard, Charlotte C.
AU - Skelly, Joan
AU - Miglioretti, Diana L
AU - Vacek, Pamela M.
AU - Geller, Berta M.
PY - 2012/7
Y1 - 2012/7
N2 - Using data from the Vermont Breast Cancer Surveillance System (VBCSS), we studied the reproducibility of Breast Imaging Reporting and Data System (BI-RADS) breast density among community radiologists interpreting mammograms in a cohort of 11,755 postmenopausal women. Radiologists interpreting two or more film-screen screening or bilateral diagnostic mammograms for the same woman within a 3- to 24-month period during 1996-2006 were eligible. We observed moderate-to-substantial overall intra-rater agreement for use of BI-RADS breast density in clinical practice, with an overall intra-radiologist percent agreement of 77.2% (95% confidence interval (CI), 74.5-79.5%), an overall simple kappa of 0.58 (95% CI, 0.55-0.61), and an overall weighted kappa of 0.70 (95% CI, 0.68-0.73). Agreement exhibited by individual radiologists varied widely, with intra-radiologist percent agreement ranging from 62.1% to 87.4% and simple kappa ranging from 0.19 to 0.69 across individual radiologists. Our findings underscore the need for additional evaluation of the BI-RADS breast density categorization system in clinical practice.
AB - Using data from the Vermont Breast Cancer Surveillance System (VBCSS), we studied the reproducibility of Breast Imaging Reporting and Data System (BI-RADS) breast density among community radiologists interpreting mammograms in a cohort of 11,755 postmenopausal women. Radiologists interpreting two or more film-screen screening or bilateral diagnostic mammograms for the same woman within a 3- to 24-month period during 1996-2006 were eligible. We observed moderate-to-substantial overall intra-rater agreement for use of BI-RADS breast density in clinical practice, with an overall intra-radiologist percent agreement of 77.2% (95% confidence interval (CI), 74.5-79.5%), an overall simple kappa of 0.58 (95% CI, 0.55-0.61), and an overall weighted kappa of 0.70 (95% CI, 0.68-0.73). Agreement exhibited by individual radiologists varied widely, with intra-radiologist percent agreement ranging from 62.1% to 87.4% and simple kappa ranging from 0.19 to 0.69 across individual radiologists. Our findings underscore the need for additional evaluation of the BI-RADS breast density categorization system in clinical practice.
KW - BI-RADS breast density
KW - clinical practice
KW - intra-radiologist agreement
KW - mammography
UR - http://www.scopus.com/inward/record.url?scp=84863717496&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84863717496&partnerID=8YFLogxK
U2 - 10.1111/j.1524-4741.2012.01250.x
DO - 10.1111/j.1524-4741.2012.01250.x
M3 - Article
C2 - 22607064
AN - SCOPUS:84863717496
VL - 18
SP - 326
EP - 333
JO - Breast Journal
JF - Breast Journal
SN - 1075-122X
IS - 4
ER -