Imaging feature
|
Reader 1
|
p-value
|
Reader 2
|
p-value
|
---|
Overall
|
No-upgrade
|
Upgrade
|
Overall
|
No-upgrade
|
Upgrade
|
---|
BPE
| | | |
0.11
| | | |
0.9
|
Minimal
|
33 (24)
|
27 (24)
|
6 (21)
| |
24 (17)
|
20 (18)
|
4 (14)
| |
Mild
|
46 (33)
|
39 (35)
|
7 (25)
| |
41 (29)
|
34 (31)
|
7 (25)
| |
Moderate
|
50 (36)
|
35 (32)
|
15 (54)
| |
55 (40)
|
42 (38)
|
13 (46)
| |
Marked
|
10 (7.2)
|
10 (9)
|
0 (0)
| |
19 (14)
|
15 (14)
|
4 (14)
| |
FGT
| | | |
0.6
| | | |
0.8
|
Almost entirely fat
|
2 (1.4)
|
1 (0.9)
|
1 (3.6)
| |
1
|
1 (0.9)
|
0 (0)
| |
Scattered FGT
|
35 (25)
|
28 (25)
|
7 (25)
| |
37 (27)
|
29 (26)
|
8 (29)
| |
Heterogeneous FGT
|
91 (65)
|
72 (65)
|
19 (68)
| |
73 (53)
|
57 (51)
|
16 (57)
| |
Extreme FGT
|
11 (7.9)
|
10 (9)
|
1 (3.6)
| |
28 (20)
|
24 (22)
|
4 (14)
| |
Depth
| | | |
> 0.9
| | | |
0.9
|
Anterior
|
35 (25)
|
28 (25)
|
7 (25)
| |
36 (26)
|
28 (25)
|
8 (29)
| |
Middle
|
74 (53)
|
59 (53)
|
15 (54)
| |
70 (50)
|
57 (51)
|
13 (46)
| |
Posterior
|
30 (22)
|
24 (22)
|
6 (21)
| |
33 (24)
|
26 (23)
|
7 (25)
| |
T2 signal intensity
| | | |
0.9
| | | |
0.8
|
Hypointense
|
2 (1.4)
|
2 (1.8)
|
0 (0)
| |
17 (12)
|
13 (12)
|
4 (14)
| |
Isointense
|
99 (71)
|
78 (70)
|
21 (75)
| |
85 (61)
|
67 (60)
|
18 (64)
| |
Hyperintense
|
38 (27)
|
31 (28)
|
7 (25)
| |
37 (27)
|
31 (28)
|
6 (21)
| |
DWI signal (75 lesions)
| | | |
0.7
| | | |
0.5
|
Homogeneous
|
29 (39)
|
24 (41)
|
5 (29)
| |
28 (37)
|
24 (41)
|
4 (24)
| |
Heterogeneous
|
6 (8)
|
4 (6.9)
|
2 (12)
| |
16 (21)
|
12 (21)
|
4 (24)
| |
Rim
|
1 (1.3)
|
1 (1.7)
|
0 (0)
| |
1 (1.3)
|
1 (1.7)
|
0 (0)
| |
No correlate
|
39 (52)
|
29 (50)
|
10 (59)
| |
30 (40)
|
21 (36)
|
9 (53)
| |
ADC signal (61 lesions)
| | | |
0.4
| | | |
> 0.9
|
Hyperintense
|
4 (6.6)
|
3 (6.4)
|
1 (7.1)
| |
4 (6.6)
|
3 (6.4)
|
1 (7.1)
| |
Hypointense
|
7 (11)
|
4 (8.5)
|
3 (21)
| |
10 (16)
|
8 (17)
|
2 (14)
| |
No correlate
|
50 (82)
|
40 (85)
|
10 (71)
| |
47 (77)
|
36 (77)
|
11 (79)
| |
BI-RADS
| | | |
0.7
| | | |
> 0.9
|
3
|
13 (9.4)
|
10 (9)
|
3 (11)
| |
2 (1.4)
|
2 (1.8)
|
0 (0)
| |
4
|
126 (91)
|
101 (91)
|
25 (89)
| |
137 (99)
|
109 (98)
|
28 (100)
| |
Enhancement type
| | | |
0.6
| | | |
0.6
|
Mass like
|
70 (50)
|
58 (52)
|
12 (43)
| |
66 (47)
|
55 (50)
|
11 (39)
| |
Non-mass like
|
67 (48)
|
51 (46)
|
16 (57)
| |
71 (51)
|
54 (49)
|
17 (61)
| |
Mixed
|
2 (1.4)
|
2 (1.8)
|
0 (0)
| |
2 (1.4)
|
2 (1.8)
|
0 (0)
| |
Shape (mass)
| | | |
0.3
| | | |
0.2
|
Oval
|
19 (26)
|
18 (30)
|
1 (8.3)
| |
13 (18)
|
13 (21)
|
0 (0)
| |
Round
|
16 (22)
|
12 (20)
|
4 (33)
| |
19 (26)
|
15 (24)
|
4 (33)
| |
Irregular
|
38 (52)
|
31 (51)
|
7 (58)
| |
42 (57)
|
34 (55)
|
8 (67)
| |
Margins (mass)
| | | |
0.8
| | | |
0.5
|
Circumscribed
|
30 (41)
|
25 (41)
|
5 (42)
| |
36 (49)
|
32 (52)
|
4 (3)
| |
Irregular
|
34 (47)
|
29 (48)
|
5 (42)
| |
32 (43)
|
25 (40)
|
7 (58)
| |
Spiculated
|
9 (12)
|
7 (11)
|
2 (17)
| |
6 (8.1)
|
5 (8.1)
|
1 (8.3)
| |
Enhancement (mass)
| | | |
0.3
| | | |
0.4
|
Homogeneous
|
28 (38)
|
25 (40)
|
3 (25)
| |
37 (49)
|
33 (52)
|
4 (33)
| |
Heterogeneous
|
35 (47)
|
29 (47)
|
6 (50)
| |
38 (51)
|
30 (48)
|
8 (67)
| |
Rim enhancement
|
8 (11)
|
5 (8.1)
|
3 (35)
| |
0 (0)
|
0 (0)
|
0 (0)
| |
Dark internal septations
|
3 (4.1)
|
3 (4.8)
|
0 (0)
| |
0 (0)
|
0 (0)
|
0 (0)
| |
Distribution (non-mass)
| | | |
0.2
| | | |
0.3
|
Focal
|
23 (33)
|
20 (37)
|
3 (19)
| |
26 (35)
|
22 (39)
|
4 (24)
| |
Linear
|
27 (39)
|
22 (41)
|
5 (31)
| |
26 (35)
|
21 (37)
|
5 (29)
| |
Segmental
|
18 (26)
|
11 (20)
|
7 (44)
| |
19 (26)
|
12 (21)
|
7 (41)
| |
Regional
|
4 (2.9)
|
1 (1.9)
|
1 (6.2)
| |
3 (4.1)
|
2 (3.5)
|
1 (5.9)
| |
Multiple regions
|
0 (0)
|
0 (0)
|
0 (0)
| |
0 (0)
|
0 (0)
|
0 (0)
| |
Diffuse
|
0 (0)
|
0 (0)
|
0 (0)
| |
0 (0)
|
0 (0)
|
0 (0)
| |
Enhancement (non-mass)
| | | |
0.2
| | | |
0.5
|
Homogeneous
|
15 (21)
|
9 (17)
|
6 (38)
| |
16 (22)
|
12 (21)
|
4 (24)
| |
Heterogeneous
|
35 (50)
|
29 (54)
|
6 (38)
| |
41 (55)
|
30 (53)
|
11 (65)
| |
Clumped
|
20 (29)
|
16 (30)
|
4 (25)
| |
17 (23)
|
15 (26)
|
2 (12)
| |
Clustered rings
|
0 (0)
|
0 (0)
|
0 (0)
| |
0 (0)
|
0 (0)
|
0 (0)
| |
- ADC apparent diffusion coefficient, BI-RADS breast imaging-reporting & data system, BPE background parenchymal enhancement, DWI diffusion-weighted imaging, FGT fibroglandular tissue