Breast Radiology Reporting - 1st for comment ballot

This page is part of the Breast Radiology Report (v0.1.0: Comment Draft) based on FHIR R4. . For a full list of available versions, see the Directory of published versions

CalcificationTypeVS

CalcificationTypeVS ValueSet

Calcification Type

Defining URL:http://hl7.org/fhir/us/breast-radiology/ValueSet/breastrad-CalcificationTypeVS
Version:0.1.0
Name:CalcificationTypeVS
Definition:

Calcification Type

Publisher:Hl7 - Clinical Interoperability Council
Source Resource:XML / JSON / Turtle
Downloads: XML, JSON, Turtle

Expansion

This value set contains 22 concepts

Expansion based on http://hl7.org/fhir/us/breast-radiology/CodeSystem/breastrad-CalcificationTypeCS version 0.1.0

All codes from system http://hl7.org/fhir/us/breast-radiology/CodeSystem/breastrad-CalcificationTypeCS

CodeDisplayDefinition
AmorphousAmorphous or indistinct calcifications are defined as 'without a clearly defined shape or form'. These calcifications are usually so small or hazy in appearance, that a more specific morphologic classification cannot be determined.Amorphous or indistinct calcifications are defined as 'without a clearly defined shape or form'. These calcifications are usually so small or hazy in appearance, that a more specific morphologic classification cannot be determined.
SphericalNo definition found.No definition found.
SkinUsually lucent-centered and pathognomonic in appearance.Usually lucent-centered and pathognomonic in appearance.
RoundMay vary in size and, therefore, also in opacity (when < 0.5 mm, the term 'punctate' should be used).May vary in size and, therefore, also in opacity (when < 0.5 mm, the term 'punctate' should be used).
RimAppear as calcium deposited on the surface of a sphere (usually < 1 mm in thickness when viewed on edge).Appear as calcium deposited on the surface of a sphere (usually < 1 mm in thickness when viewed on edge).
PunctateBreast calcifications are small calcium deposits that develop in a woman's breast tissue. They are very common and are usually benign (noncancerous). ... Macrocalcifications are common -- they are found in approximately half of women over age 50, and one in 10 women under age 50 -- and are considered noncancerous.Breast calcifications are small calcium deposits that develop in a woman's breast tissue. They are very common and are usually benign (noncancerous). ... Macrocalcifications are common -- they are found in approximately half of women over age 50, and one in 10 women under age 50 -- and are considered noncancerous.
PleomorphicADDFineMicrocalcifications that vary in size and shape are of more concern — you may hear these referred to as 'pleomorphic calcifications' — and they may be clustered in a specific area of the breast. Although breast calcifications are usually noncancerous (benign), certain patterns of calcifications — such as tight clusters with irregular shapes and fine appearance — may indicate breast cancer or precancerous changes to breast tissue.Microcalcifications that vary in size and shape are of more concern — you may hear these referred to as 'pleomorphic calcifications' — and they may be clustered in a specific area of the breast. Although breast calcifications are usually noncancerous (benign), certain patterns of calcifications — such as tight clusters with irregular shapes and fine appearance — may indicate breast cancer or precancerous changes to breast tissue.
NoneNo calcifications present.No calcifications present.
MilkOfCalciumA manifestation of sedimented calcifications in macro- or microcysts, usually but not always grouped. Refer to lexicon classification form for complete description.A manifestation of sedimented calcifications in macro- or microcysts, usually but not always grouped. Refer to lexicon classification form for complete description.
LucentCenteredThey are different from malignant-type fine branching calcifications, because they are usually > 1 mm in diameter. They may have lucent centers if the calcium is in the wall of the duct. These calcifications follow a ductal distribution, radiating toward the nipple and are usually bilateral.They are different from malignant-type fine branching calcifications, because they are usually > 1 mm in diameter. They may have lucent centers if the calcium is in the wall of the duct. These calcifications follow a ductal distribution, radiating toward the nipple and are usually bilateral.
LinearADDFineThese are suspicious calcifications arranged in a line or showing a branching pattern, suggesting deposits in a duct. Although breast calcifications are usually noncancerous (benign), certain patterns of calcifications — such as tight clusters with irregular shapes and fine appearance — may indicate breast cancer or precancerous changes to breast tissue.These are suspicious calcifications arranged in a line or showing a branching pattern, suggesting deposits in a duct. Although breast calcifications are usually noncancerous (benign), certain patterns of calcifications — such as tight clusters with irregular shapes and fine appearance — may indicate breast cancer or precancerous changes to breast tissue.
LayeringBenign calcifications: These are described as layered, tea-cup shaped, or milk of calcium. These are from benign causes such as fibrocystic breast changes or ruptured breast cysts.Benign calcifications: These are described as layered, tea-cup shaped, or milk of calcium. These are from benign causes such as fibrocystic breast changes or ruptured breast cysts.
LargeRodLikeAssociated with ductal ectasia, may form solid or discontinuous, smooth linear rods, usually ≥ 0.5 mm in diameter.Associated with ductal ectasia, may form solid or discontinuous, smooth linear rods, usually ≥ 0.5 mm in diameter.
Indistinctnear and segmentally distributed calcifications are arranged in a line or branching pattern, indicating that the deposits are in a duct and these tend to be malignant, since most of the common malignancies are ductal.near and segmentally distributed calcifications are arranged in a line or branching pattern, indicating that the deposits are in a duct and these tend to be malignant, since most of the common malignancies are ductal.
HeterogeneousCoarse heterogeneous calcifications are irregular calcifications that are between 0.5 mm and 1 mm in size. They are usually in a group and are smaller in size than dystrophic calcifications. ... Coarse heterogeneous calcifications in a linear or segmental distribution are suspicious.Coarse heterogeneous calcifications are irregular calcifications that are between 0.5 mm and 1 mm in size. They are usually in a group and are smaller in size than dystrophic calcifications. ... Coarse heterogeneous calcifications in a linear or segmental distribution are suspicious.
GenericCalcificationBreast calcifications are small calcium deposits that develop in a woman's breast tissue. They are very common and are usually benign (noncancerous). In some instances, certain types of breast calcifications may suggest early breast cancer.Breast calcifications are small calcium deposits that develop in a woman's breast tissue. They are very common and are usually benign (noncancerous). In some instances, certain types of breast calcifications may suggest early breast cancer.
FineAlthough breast calcifications are usually noncancerous (benign), certain patterns of calcifications — such as tight clusters with irregular shapes and fine appearance — may indicate breast cancer or precancerous changes to breast tissue.Although breast calcifications are usually noncancerous (benign), certain patterns of calcifications — such as tight clusters with irregular shapes and fine appearance — may indicate breast cancer or precancerous changes to breast tissue.
EggshellThese are very thin benign calcifications that appear as calcium is deposited on the surface of a sphere.These are very thin benign calcifications that appear as calcium is deposited on the surface of a sphere.
DystrophicIrregular in shape and usually > 1 mm in size; often with lucent centersIrregular in shape and usually > 1 mm in size; often with lucent centers
CoarseThese calcifications are classic, large (> 2 to 3 mm in greatest diameter), and produced by an involuting fibroadenoma.These calcifications are classic, large (> 2 to 3 mm in greatest diameter), and produced by an involuting fibroadenoma.
SutureTypically linear or tubular in appearance; when present, knots are frequently visible.Typically linear or tubular in appearance; when present, knots are frequently visible.
VascularParallel tracks or linear, tubular calcifications that are clearly associated with blood vesselsParallel tracks or linear, tubular calcifications that are clearly associated with blood vessels

References

This value set is used by the following logical models, profiles and extensions: