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THE DIAGNOSTIC EFFICACY OF THE KAISER SCORE FOR CHARACTERIZING BREAST LESIONS CLASSIFIED AS BI-RADS IV -V ON DYNAMIC ENHANCED BREAST MRI | ||
| Iraqi Postgraduate Medical Journal | ||
| Article 10, Volume 24, Issue 3, July 2025, Pages 384-391 PDF (1.72 M) | ||
| Document Type: Research Paper | ||
| DOI: 10.52573/ipmj.2025.147606 | ||
| Authors | ||
| Howidah Jabbar Hussein* 1; Raad Hefdhi Abdtwefq2 | ||
| 1Diagnostic Radiology | ||
| 2The Iraqi Board for Medical Specializations, Baghdad, iraq | ||
| Abstract | ||
| Background: Baltzer et al introduced The Kaiser score to aid the interpretation of enhancing breast MRI lesions, the score ranges from 1 to 11, reflecting an increased probabilities of malignancy. Aim of the study: To investigate whether the application of the Kaiser score, can improve the diagnostic performance in contrast enhancing lesions classified as BI-RADS4-5 on breast MRI. Patients and method: Prospectively Data collected at oncology teaching hospital in medical city teaching complex in Baghdad, the study included 60 female patients with breast lesions classified as BI-RADS4-5 on DCE-MRI. The diagnostic efficacy of Kaiser score was evaluated according to the pathological results... . . Results: The study included 60 females with 69 suspicious breast lesions categorized as BI-RADS 4-5 lesions on DCE-MRI, 45 lesions were malignant, 24 were benign, the results regarding the diagnostic performance of the Kaiser score, showed that it has high accuracy with AUC= 94.1%, high sensitivity of 92.3%, high specificity of 86.7%, and it was 88.4% accurate in diagnosis of breast malignancy... Conclusion: This study provides evidence that the Kaiser score can be used in improving the diagnostic performance of dynamic enhanced breast MRI in BI-RADS 4-5 lesions. Breast cancer, Magnetic resonance imaging, Kaiser score. ... | ||
| Keywords | ||
| Breast cancer; Magnetic resonance imaging; Kaiser score | ||
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