Clinical Study

Microradiography of Microcalcifications in Breast Specimen: A New Histological Correlation Procedure and the Effect of Improved Resolution on Diagnostic Validity

Table 1

BIRADS classification in conventional radiography and microradiography. Changes by microradiography were only rated if diagnosis changed from the benign group (BIRADS 2 and 3) in to the malignant group (BIRADS 4 and 5) and backwards, respectively. No change correct is “No (c)” and no change false is “No (f)”.
(a) Results for examiner 1

Examiner 1
Conventional specimen radiographyMicroradiography
BIRADS Correct/falseBIRADSCorrect/false  Histology Change by microradiography 
2345 2345Benign/malignant

Case  1×False×CorrectBenignCorrect
Case  2×False×FalseBenignNo (f)
Case  3×Correct×CorrectBenignNo (f)
Case  4×Correct×FalseBenignFalse
Case  5×Correct×CorrectBenignNo (c)
Case  6×False×FalseBenignNo (f)
Case  7×Correct×FalseBenignFalse
Case  8×Correct×CorrectBenignNo (c)
Case  9×False×FalseBenignNo (f)
Case  10×Correct×FalseBenignFalse
Case  11×Correct×FalseBenignFalse
Case  12×False×FalseBenignNo (f)
Case  13×False×FalseMalignantNo (f)
Case  14×Correct×CorrectMalignantNo (c)
Case  15×False×FalseMalignantNo (f)
Case  16×False×FalseBenignNo (f)
Case  17×Correct×CorrectBenignNo (c)
Case  18×False×FalseBenignNo (f)
Case  19×Correct×CorrectBenignNo (c)
Case  20×Correct×CorrectBenignNo (c)
Case  21×False×FalseMalignantNo (f)
Case  22×Correct×FalseMalignantFalse
Case  23×Correct×CorrectMalignantNo (c)
Case  24×False×FalseBenignNo (f)
Case  25×Correct×FalseMalignantFalse
Case  26×Correct×CorrectBenignNo (c)
Case  27×False×CorrectBenignCorrect
Case  28×False×FalseBenignNo (f)
Case  29×Correct×FalseBenignFalse
Case  30×False×FalseMalignantNo (f)
Case  31×Correct×CorrectMalignantNo (c)
Case  32×Correct×CorrectMalignantNo (c)

Total2141331814213161131922102 10 (c)/13 (f) 7

(b) Results for examiner 2

Examiner 2
Conventional specimen radiographyMicroradiography
BIRADSCorrect/falseBIRADSCorrect/false  HistologyChange by microradiography
23452345Benign/malignant

Case  1×Correct×CorrectBenignNo (c)
Case  2×Correct×CorrectBenignNo (c)
Case  3×Correct×CorrectBenignNo (c)
Case  4×Correct×FalseBenignFalse
Case  5×Correct×FalseBenignFalse
Case  6×False×FalseBenignNo (f)
Case  7×Correct×CorrectBenignNo (c)
Case  8×Correct×FalseBenignFalse
Case  9×False×FalseBenignNo (f)
Case  10×Correct×CorrectBenignNo (c)
Case  11×Correct×CorrectBenignNo (c)
Case  12×False×FalseBenignNo (f)
Case  13×False×FalseMalignantNo (f)
Case  14×Correct×FalseMalignantFalse
Case  15×False×FalseMalignantNo (f)
Case  16×Correct×FalseBenignFalse
Case  17×Correct×CorrectBenignNo (c)
Case  18×False×FalseBenignNo (f)
Case  19×Correct×CorrectBenignNo (c)
Case  20×Correct×CorrectBenignNo (c)
Case  21×False×FalseMalignantNo (f)
Case  22×Correct×CorrectMalignantNo (c)
Case  23×Correct×FalseMalignantFalse
Case  24×Correct×FalseBenignFalse
Case  25×False×FalseMalignantNo (f)
Case  26×False×CorrectBenignCorrect
Case  27×False×CorrectBenignCorrect
Case  28×False×FalseBenignNo (f)
Case  29×False×FalseBenignNo (f)
Case  30×False×FalseMalignantNo (f)
Case  31×False×CorrectMalignantCorrect
Case  32×Correct×CorrectMalignantNo (c)

Total61475181499104141822103 11 (c)/11 (f) 7

(c) Results for examiner 3

Examiner 3
Conventional specimen radiographyMicroradiography
BIRADSCorrect/falseBIRADSCorrect/false  HistologyChange by microradiography
23452345Benign/malignant

Case  1×False×FalseBenignNo (f)
Case  2×False×FalseBenignNo (f)
Case  3×Correct×CorrectBenignNo (c)
Case  4×Correct×FalseBenignFalse
Case  5×Correct×CorrectBenignNo (c)
Case  6×Correct×FalseBenignFalse
Case  7×Correct×FalseBenignFalse
Case  8×False×FalseBenignNo (f)
Case  9×False×CorrectBenignCorrect
Case  10×Correct×FalseBenignFalse
Case  11×Correct×FalseBenignFalse
Case  12×False×FalseBenignNo (f)
Case  13×False×FalseMalignantNo (f)
Case  14×Correct×CorrectMalignantNo (c)
Case  15×False×FalseMalignantNo (f)
Case  16×Correct×FalseBenignFalse
Case  17×Correct×CorrectBenignNo (c)
Case  18×False×FalseBenignNo (f)
Case  19×Correct×CorrectBenignNo (c)
Case  20×False×CorrectBenignCorrect
Case  21×False×FalseMalignantNo (f)
Case  22×Correct×CorrectMalignantNo (c)
Case  23×Correct×CorrectMalignantNo (c)
Case  24×Correct×CorrectBenignNo (c)
Case  25×False×CorrectMalignantCorrect
Case  26×Correct×CorrectBenignNo (c)
Case  27×False×CorrectBenignCorrect
Case  28×False×FalseBenignNo (f)
Case  29×Correct×FalseBenignFalse
Case  30×False×FalseMalignantNo (f)
Case  31×Correct×CorrectMalignantNo (c)
Case  32×False×CorrectMalignantCorrect

Total1279417157611815172210510 (c)/10 (f)7

(d) Results for examiner 4

Examiner 4
Conventional specimen radiographyMicroradiography
BIRADSCorrect/falseBIRADSCorrect/false  HistologyChange by microradiography
23452345Benign/malignant

Case  1×False×FalseBenignNo (f)
Case  2×False×FalseBenignNo (f)
Case  3×Correct×CorrectBenignNo (c)
Case  4×Correct×FalseBenignFalse
Case  5×Correct×CorrectBenignNo (c)
Case  6×Correct×FalseBenignFalse
Case  7×Correct×FalseBenignFalse
Case  8×False×FalseBenignNo (f)
Case  9×False×CorrectBenignCorrect
Case  10×Correct×FalseBenignFalse
Case  11×Correct×FalseBenignFalse
Case  12×Correct×FalseBenignFalse
Case  13×False×FalseMalignantNo (f)
Case  14×Correct×CorrectMalignantNo (c)
Case  15×False×FalseMalignantNo (f)
Case  16×Correct×FalseBenignFalse
Case  17×Correct×CorrectBenignNo (c)
Case  18×Correct×FalseBenignFalse
Case  19×Correct×CorrectBenignNo (c)
Case  20×False×CorrectBenignCorrect
Case  21×False×FalseMalignantNo (f)
Case  22×Correct×CorrectMalignantNo (c)
Case  23×Correct×CorrectMalignantNo (c)
Case  24×Correct×FalseBenignFalse
Case  25×Correct×FalseMalignantFalse
Case  26×Correct×CorrectBenignNo (c)
Case  27×False×CorrectBenignCorrect
Case  28×False×FalseBenignNo (f)
Case  29×Correct×FalseBenignFalse
Case  30×Correct×FalseMalignantFalse
Case  31×Correct×CorrectMalignantNo(c)
Case  32×False×CorrectMalignantCorrect

Total13685211185118131922104 9 (c)/7 (f) 12

(e) Results for examiner 5

Examiner 5
Conventional specimen radiographyMicroradiography
BIRADSCorrect/falseBIRADSCorrect/falseHistology  Change by microradiography
23452345Benign/malignant

Case  1×False×CorrectBenignCorrect
Case  2×False×FalseBenignNo (f)
Case  3×False×CorrectBenignCorrect
Case  4×Correct×CorrectBenignNo (c)
Case  5×Correct×FalseBenignFalse
Case  6×False×CorrectBenignCorrect
Case  7×False×CorrectBenignCorrect
Case  8×False×CorrectBenignCorrect
Case  9×False×FalseBenignNo (f)
Case  10×Correct×FalseBenignFalse
Case  11×False×FalseBenignNo (f)
Case  12×False×CorrectBenignCorrect
Case  13×Correct×FalseMalignantFalse
Case  14×Correct×CorrectMalignantNo (c)
Case  15×False×FalseMalignantNo (f)
Case  16×False×FalseBenignNo (f)
Case  17×Correct×CorrectBenignNo (c)
Case  18×False×FalseBenignNo (f)
Case  19×Correct×CorrectBenignNo (c)
Case  20×False×CorrectBenignCorrect
Case  21×False×FalseMalignantNo (f)
Case  22×Correct×FalseMalignantFalse
Case  23×Correct×FalseMalignantFalse
Case  24×False×CorrectBenignCorrect
Case  25×False×FalseMalignantNo (f)
Case  26×Correct×CorrectBenignNo (c)
Case  27×False×CorrectBenignCorrect
Case  28×False×FalseBenignNo (f)
Case  29×Correct×CorrectBenignNo (c)
Case  30×False×FalseMalignantNo (f)
Case  31×Correct×FalseMalignantFalse
Case  32×Correct×FalseMalignantFalse

Total3881313191211631517221096 (c)/10 (f)7