BEYOND BI-RADS: Ultrasonography–Pathology Correlation of Breast Lesions in a Large Case Series

Bhawana Sonawane; Pooja Chavan; Ayushi Kapse; Rutuja Mahadikpatil

BEYOND BI-RADS: Ultrasonography–Pathology Correlation of Breast Lesions in a Large Case Series

Author(s)	Prof. Dr. Bhawana Sonawane, Dr. Pooja Chavan, Dr. Ayushi Kapse, Dr. Rutuja Mahadikpatil
Country	India
Abstract	INTRODUCTION: Anticipating whether a breast lesion is benign or malignant based solely on clinical examination remains challenging in routine practice. Breast ultrasonography is a widely used imaging modality for the evaluation of breast lesions, particularly in young women and patients with dense breast tissue. Correlation of ultrasonographic findings with pathological outcomes is essential for accurate diagnosis and appropriate management. The present study aimed to assess the effectiveness of breast ultrasonography in predicting pathological outcomes of breast lesions. MATERIALS AND METHODS: This was a hospital-based retrospective observational study conducted in IGGMC, Nagpur. Patients were selected based on predefined inclusion and exclusion criteria. All patients underwent breast ultrasonography using a high-frequency linear transducer, and lesions were categorized according to the BI-RADS ultrasound classification. Pathological confirmation was obtained through FNAC, core needle biopsy, or surgical excision. Ultrasonographic findings were correlated with pathological outcomes. Clinical management followed institutional protocols and was not influenced by study findings. RESULTS: A total of 101 female patients were included in the study. Benign breast lesions accounted for 74.3% of cases, while 25.7% were confirmed to be malignant on pathological evaluation. Lesions categorized as BI-RADS II and III constituted 71.2%, of which 92.4% were benign on pathology. BI-RADS IV and V lesions comprised 28.8% of cases, with 88.6% showing malignant pathology. Overall, breast ultrasonography demonstrated a high concordance with pathological diagnosis in most cases. CONCLUSIONS: Breast ultrasonography shows significant accuracy in differentiating benign and malignant breast lesions when standardized BI-RADS categorization is applied. The use of percentage-based risk stratification highlights the reliability of ultrasound in predicting pathological outcomes and guiding clinical decision-making.
Keywords	Breast ultrasonography, BI-RADS, imaging–pathology correlation, breast lesions, carcinoma breast
Field	Medical / Pharmacy
Published In	Volume 8, Issue 3, May-June 2026
Published On	2026-05-19

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BEYOND BI-RADS: Ultrasonography–Pathology Correlation of Breast Lesions in a Large Case Series

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