Breast screening & Bi rads 2013

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    13-Apr-2017

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  • . SCREENING . BI-RADS 2013

    ...

  • . SCREENING 20% 20 % /

    ???

  • Mammography Guidelines , EUROMEDICA

  • 2010 ( ..) . (1/1681) (1000 ) .

    screening test 15.000 Ca U.K

    25mm 16mm 5mm 8 mm

    40-50

  • ??? ( 20%) ( 3%) ( 8% 20%)

    guidelines : USA 2 UK 3

  • screening test : test (. pap test ) (. ) score 3% ; , ; , 25% - 30% Ca , !!! ( 0,5 mSV ) ;;;;; !!!

    EURO Guidelines screening : 10

  • :1. 20% (. Claus) : ( ) 12 55 35 2. BRCA1 BRCA2 RAD51C 3. , (, (), ) BRCA1 BRCA2 RAD51C .4. 10 30 , .5. Li Fraumeni, Cowden, Bannayan-Riley-Ruvalcaba .

    30

    &

  • BI-RADS 0 / -----1 0%2 0%3 >0% 2%44a. (>2% 10%)4b. (>10% 50%)4c. (>50% 95%)5 95%6 ( ) -----

  • . . . .C . .D , .

  • BI-RADS 0

    (. u/s)/

    MRI

    - 0%

  • BI-RADS 1

    0%

  • BI-RADS 1

  • BI-RADS 2

    u/s : , , , ().

    MRI 0%

  • BI-RADS 2

  • BI-RADS 2

  • BI-RADS 3

    6 , 12 24 2% 6 follow upFOLLOW UP BI-RADS 2BI-RADS 4 5 /

  • BI-RADS 3

    , BIRADS 3 . ** ** ** ** .

  • BI-RADS 3

    & U/S : , , ( , )

    U/S : - .

    MRI

    BI-RADS 3 bi-rads 3 o. , .

  • BI-RADS 3 follow up 6, 12 24 BI-RADS 2( )

  • BI-RADS 3

  • BI-RADS 3

  • BI-RADS 3

  • BI-RADS 4

    & U/S 4a: >2% 10%4b: > 10% 50%4c: >50% 95%

  • BI-RADS 4

    :

    u/s . .

    :

    (bi-rads 4b)

    (bi-rads 4b)

    (bi-rads 4c)

    U/S : 4a: 1-2 , 4b: 2-3 . 4c: 3-4 .

    : , , , .: , : , ( ), ( ).

  • / BI-RADS 4b-4c-5

    BI-RADS 4b 15% 40% 4b , 4c , 25% 60% 4c 5 60% 95%4c 5 95%

  • / BI-RADS 4b-4c-54b4c4b4c4c4b

  • / BI-RADS 4b-4c-5

  • 4b 2.DCIS grade II1.DCIS grade III BLES

    BIRADS

  • 4c BLESDCIS grade -IIIBIRADS

  • BI-RADS 4a : :

  • BI-RADS 5

    : ,

    U/S : 5 2 : : , , , .: , : , ( ), ( ). :

    bi-rads 4c

    & U/S 95%

  • BI-RADS 5

  • BI-RADS 5

  • 4c 5BIRADS BLESDCIS grade III

  • BI-RADS 6

    ( )

    NAI

    OXI 4 5

    BI-RADS 5BI-RADS 6

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