Calcification morphology and follow up

Purpose	Detect morphology of calcifications on a mammogram and recommend follow-up by risk stratification
Tag(s)
Panel	Breast Imaging
Define-AI ID	19060011
Originator	Kavita Mukund Patel
Lead	Kavita Mukund Patel
Panel Reviewers	Breast Imaging
License	Creative Commons 4.0
Status	Public Comment
RadElement Set	RDES130

Clinical Implementation

Value Proposition

An algorithm that detects morphology of calcifications of the breast would likely improve the reporting turnaround time. Furthermore this system could learn from outcomes of patients with similar calcification patterns in a manner to recommend appropriate follow up at the point of care. This would likely decrease unnecessary biopsies and follow-up recommendations.

Narrative(s)

Patient over 70 years old presents with round, punctate grouped calcifications on a baseline mammogram. Algorithm detects regional calcifications in the breast and the radiologist determines these are benign calcifications with the aid of the algorithm.

Workflow Description

Digital data from standard mammographic and tomosynthesis breast exams are sent to a server, which can be accessed by the AI algorithm. The algorithm then analyzes the data and dynamically generates breast calcification information for the interpreting radiologist, as well as automatically populating appropriate information into the radiologist’s report.

Considerations for Dataset Development

Procedure: Screening mammography and screening tomosynthesis

Views: Magnification views in the CC and lateral projection

Age: Over 40 years

Breast Anatomy: No exclusion criteria

Biopsy-proven calcifications: benign, malignant

Technical Specifications

Inputs

DICOM Study

Procedure	Mammogram
Views	Bilateral CC and MLO mammography images
Data Type	DICOM
Modality	MAM
Body Region	Chest
Anatomic Focus	Breast

Primary Outputs

Breast calcification morphology

RadElement ID	RDE857
Definition	Morphology of breast calcification
Data Type	Categorical
Value Set	1a. Skin 1b. Vascular 1c. Coarse or “popcorn-like” 1d. Large rod-like 1e. Round 1f. Rim 1g. Dystrophic 1h. Milk of calcium 1i. Suture 2a. Amorphous 2b. Coarse heterogeneous 2c. Fine pleomorphic 2d. Fine linear or fine linear branching 3a.Diffuse 3b. Regional 3c. Grouped 3d. Linear 3e. Segmental
Units	N/A

Follow up recommendation

RadElement ID	RDE858
Definition	Follow up recommendations from Bi-RADS Fifth Edition
Data Type	Categorical
Value Set	Incomplete - need additional imaging Negative Benign Probably benign - initial short-interval follow-up suggested Suspicious abnormality - biopsy should be considered Highly suggestive of malignancy- appropriate action should be taken Known biopsy-proven malignancy- appropriate action should be taken
Units	N/A

Future Development Ideas

Segment any detected calcification

Related Datasets

No known related public datasets at this time, please alert us if you know of any.