. 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
