The role of the Kaiser score system in uncertain malignant potential (B3) breast lesions: a pilot study
Year: 2025
Type: article
Study design: Observational Study
Abstract: PURPOSE: This study aims to evaluate the effectiveness of the Kaiser score (KS) system in assessing breast lesions with uncertain malignant potential (B3). METHODS: Breast magnetic resonance imaging (MRI) scans from a total of 76 patients with histologically proven B3 lesions were included in this study. The KS was recorded for each MRI scan. The patients were classified based on biopsy results, and upgraded lesions were identified. Statistical analysis was conducted to evaluate the association between high KS values and upgraded lesions. RESULTS: < 0.001). CONCLUSION: Breast radiology plays a crucial role in the diagnosis of B3 lesions. Our findings suggest that the KS system holds promise as a tool for predicting the upgrade potential of B3 lesions. CLINICAL SIGNIFICANCE: This study demonstrated that the KS system may assist in predicting the upgrade potential of B3 breast lesions. It also demonstrated that spiculation and margin descriptors within the KS system possess a high positive predictive value for upgrade prediction. Additionally, we believe that the KS system can help prevent unnecessary surgeries in patients with B3 lesions.
Language: English
Topic: MRI in cancer diagnosis
Subfield: Radiology, Nuclear Medicine and Imaging
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4408846355