Breast Radiology Reporting - 1st STU ballot
0.2.0 - STU 1 Ballot 2020May
Breast Radiology Reporting - 1st STU ballot
0.2.0 - STU 1 Ballot 2020May
Breast Radiology Reporting - 1st STU ballot - Local Development build (v0.2.0). See the Directory of published versions
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{
"resourceType" : "ValueSet",
"id" : "MammoCalcificationTypeVS",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>Mammography Calcification Type ValueSet</h2><div><p>Mammography calcification types value set.</p>\n</div><ul><li>Include these codes as defined in <a href=\"CodeSystem-MammoCalcificationTypeCS.html\"><code>http://hl7.org/fhir/us/breast-radiology/CodeSystem/MammoCalcificationTypeCS</code></a><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td></tr><tr><td><a href=\"CodeSystem-MammoCalcificationTypeCS.html#MammoCalcificationTypeCS-Amorphous\">Amorphous</a></td><td>Amorphous</td><td>(historically, "indistinct") <br/>These are sufficiently small and/or hazy in appearance <br/>that a more specific particle shape <br/>cannot be determined. <br/>Amorphous calcifications in a grouped, linear, or <br/>segmental distribution <br/>are suspicious and generally warrant biopsy. <br/>Bilateral, diffuse amorphous calcifications <br/>usually may be dismissed as benign, although baseline <br/>magnification views may be helpful. <br/>The positive predictive value (PPV) of amorphous <br/>calcifications is reported to be <br/>approximately 20%. <br/>Therefore, calcifications of this morphology appropriately <br/>should be placed into BI-RADS assessment category <br/>4B (PPV range > 10% to ? 50%). <br/>[Breast Imaging Reporting and Data System—Ultrasound, Second Edition] <br/><br/>Valid for the following modalities: MG.</td></tr><tr><td><a href=\"CodeSystem-MammoCalcificationTypeCS.html#MammoCalcificationTypeCS-Coarse\">Coarse</a></td><td>Coarse</td><td>The classic large 'popcorn-like' calcifications are <br/>produced by involuting fibroadenomas. <br/>These calcifications usually do not cause a diagnostic <br/>problem. <br/>When the calcifications in an fibroadenoma are small <br/>and numerous, they may resemble malignant-type calcifications <br/>and need a biopsy. <br/>These are the classic large (> 2 to 3 mm in greatest <br/>diameter) calcifications produced by an involuting <br/>fibroadenoma. <br/>[Breast Imaging Reporting and Data System—Ultrasound, Second Edition] <br/><br/>Valid for the following modalities: MG.</td></tr><tr><td><a href=\"CodeSystem-MammoCalcificationTypeCS.html#MammoCalcificationTypeCS-Dystrophic\">Dystrophic</a></td><td>Dystrophic</td><td>Dystrophic soft tissue calcification is a broad term <br/>that encompasses a wide range of pathologies that <br/>cause soft-tissue calcification and is caused by <br/>calcification of damaged tissues. <br/>The amorphous calcification that results may be <br/>small or large. <br/>In some cases, ossification may occur - this is <br/>characterized by cortical formation and a central <br/>medullary cavity. <br/>[https://radiopaedia.org/articles/dystrophic-soft-tissue-calcification-1?lang=us] <br/><br/>Valid for the following modalities: MG.</td></tr><tr><td><a href=\"CodeSystem-MammoCalcificationTypeCS.html#MammoCalcificationTypeCS-Eggshell\">Eggshell</a></td><td>Eggshell</td><td>Eggshell calcifications in the breast are benign <br/>peripheral rim like calcifications <br/>They are typically secondary to fat necrosis or calcification <br/>of oil cysts. <br/>thin rim-like calcification (<1 mm in thickness) <br/>lucent centers <br/>small to several centimeters in diameter (oil cyst) <br/>may disappear (fat necrosis) <br/><br/> <br/>[https://radiopaedia.org/articles/eggshell-calcification-breast-1?lang=us] <br/><br/>Valid for the following modalities: MG.</td></tr><tr><td><a href=\"CodeSystem-MammoCalcificationTypeCS.html#MammoCalcificationTypeCS-Fine\">Fine</a></td><td>Fine</td><td>These are thin, linear or curvilinear irregular calcifications <br/>and may be discontinuous. <br/><br/><br/>Valid for the following modalities: MG.</td></tr><tr><td><a href=\"CodeSystem-MammoCalcificationTypeCS.html#MammoCalcificationTypeCS-Generic\">Generic</a></td><td>Generic</td><td>Calcification happens when calcium builds up in body <br/>tissue, blood vessels, or organs. <br/>This buildup can harden and disrupt the body's normal <br/>processes. <br/>Calcium is transported through the bloodstream and <br/>is also found in every cell. <br/>As a result, calcification can occur in almost any <br/>part of the body. <br/><br/><br/>Valid for the following modalities: MG.</td></tr><tr><td><a href=\"CodeSystem-MammoCalcificationTypeCS.html#MammoCalcificationTypeCS-CoarseHeterogeneous\">CoarseHeterogeneous</a></td><td>Coarse Heterogeneous</td><td>These are irregular, conspicuous calcifications that <br/>are generally between 0.5 mm and 1 mm <br/>and tend to coalesce, but are smaller than dystrophic <br/>calcifications. <br/>They may be associated <br/>with malignancy but more frequently are present in <br/>a fibroadenoma or in areas of fibrosis or <br/>trauma representing evolving dystrophic calcifications. <br/>Numerous bilateral groups of coarse <br/>heterogeneous calcifications usually may be dismissed <br/>as benign, although baseline magnification <br/>views may be helpful. <br/>However, a single group of coarse heterogeneous calcifications <br/>has a positive <br/>predictive value of slightly less than 15%, and therefore <br/>this finding should be <br/>placed in BI-RADS assessment category 4B (PPV range <br/><br/>> 10% to ? 50%). <br/>[Breast Imaging Reporting and Data System—Ultrasound, Second Edition] <br/><br/>Valid for the following modalities: MG.</td></tr><tr><td><a href=\"CodeSystem-MammoCalcificationTypeCS.html#MammoCalcificationTypeCS-Indistinct\">Indistinct</a></td><td>Indistinct</td><td>Amorphous calcifications, previously known as indistinct <br/>calcifications, are a morphological <br/>descriptor for breast calcifications that are small <br/>and/or hazy such that no clearly <br/>defined shape/form can be ascribed. <br/>[https://radiopaedia.org > articles > amorphous-calcifications-breast] <br/><br/>Valid for the following modalities: MG.</td></tr><tr><td><a href=\"CodeSystem-MammoCalcificationTypeCS.html#MammoCalcificationTypeCS-LargeRodlike\">LargeRodlike</a></td><td>Large rodlike</td><td>These benign calcifications associated with ductal <br/>ectasia may form solid or discontinuous <br/>smooth linear rods, most of which are 0.5 mm or larger <br/>in diameter. <br/>A small percentage of <br/>these calcifications may have lucent centers if the <br/>calcium is in the wall of the duct (periductal), <br/>but most are intraductal, when calcification forms <br/>within the lumen of the duct. <br/>All large <br/>rod-like calcifications follow a ductal distribution, <br/>radiating toward the nipple, occasionally <br/>branching. <br/>The calcifications usually are bilateral, although <br/>they may be seen in only one <br/>breast, especially when few calcific particles are <br/>visible. <br/>These calcifications usually are seen <br/><br/>in women older than 60 years. <br/>[Breast Imaging Reporting and Data System—Ultrasound, Second Edition] <br/><br/>Valid for the following modalities: MG.</td></tr><tr><td><a href=\"CodeSystem-MammoCalcificationTypeCS.html#MammoCalcificationTypeCS-Layering\">Layering</a></td><td>Layering</td><td>Layering of calcium within the calcification. <br/>[https://radiologyassistant.nl/breast/breast-calcifications-differential-diagnosis] <br/><br/>Valid for the following modalities: MG.</td></tr><tr><td><a href=\"CodeSystem-MammoCalcificationTypeCS.html#MammoCalcificationTypeCS-FineLinear\">FineLinear</a></td><td>Fine Linear</td><td>Also called fine linear branching. <br/>These are thin, linear, irregular calcifications, <br/>which may be discontinuous and <br/>which are <br/>smaller than 0.5 mm in caliber. <br/>Occasionally, branching forms may be seen. <br/>Their appearance <br/>suggests filling of the lumen of a duct or ducts <br/>involved irregularly by breast cancer. <br/>[Breast Imaging Reporting and Data System—Ultrasound, Second Edition page 66] <br/><br/>Valid for the following modalities: MG.</td></tr><tr><td><a href=\"CodeSystem-MammoCalcificationTypeCS.html#MammoCalcificationTypeCS-Lucent-centered\">Lucent-centered</a></td><td>Lucent-centered</td><td>These are round or oval calcifications that range <br/>from under 1 mm to over a centimeter. <br/>They are the result of fat necrosis, calcified debris <br/>in ducts, and occasional fibroadenomas. <br/>[https://radiologyassistant.nl/breast/breast-calcifications-differential-diagnosis] <br/><br/>Valid for the following modalities: MG.</td></tr><tr><td><a href=\"CodeSystem-MammoCalcificationTypeCS.html#MammoCalcificationTypeCS-MilkOfCalcium\">MilkOfCalcium</a></td><td>Milk of calcium</td><td>This is a manifestation of sedimented calcifications <br/>in macro- or microcysts, usually but not <br/>always grouped. <br/>On the craniocaudal image they are often less evident <br/>and appear as round, <br/>smudgy deposits, while occasionally on MLO and especially <br/>on 90 lateral (LM/ML) views, <br/>they are more clearly defined and often semilunar, <br/>crescent shaped, curvilinear (concave up), <br/>or linear, defining the dependent portion of cysts. <br/>The most important feature of these calcifications <br/>is the apparent change in shape of the calcific particles <br/>on different mammographic <br/>projections (craniocaudal versus occasionally the <br/>MLO view and especially LM/ML views). <br/>At <br/>times milk of calcium calcifications are seen adjacent <br/>to other types of calcifications that may <br/>be associated with malignancy, so it is important <br/>to search for more suspicious forms, especially <br/>those that do not change shape from the 90 lateral <br/><br/>projection to the CC projection. <br/>[Breast Imaging Reporting and Data System—Ultrasound, Second Edition] <br/><br/>Valid for the following modalities: MG.</td></tr><tr><td><a href=\"CodeSystem-MammoCalcificationTypeCS.html#MammoCalcificationTypeCS-FinePleomorphic\">FinePleomorphic</a></td><td>Fine Pleomorphic</td><td>These calcifications are usually more conspicuous <br/>than amorphous forms and are seen <br/>to have <br/>discrete shapes. <br/>These irregular calcifications are distinguished <br/>from fine linear and fine-linear <br/>branching forms by the absence of fine-linear particles. <br/>Fine pleomorphic calcifications vary in <br/>size and shape and are usually smaller than 0.5 mm <br/>in diameter. <br/>[Breast Imaging Reporting and Data System—Ultrasound, Second Edition page 64] <br/><br/>Valid for the following modalities: MG.</td></tr><tr><td><a href=\"CodeSystem-MammoCalcificationTypeCS.html#MammoCalcificationTypeCS-Punctate\">Punctate</a></td><td>Punctate</td><td>Calcification is punctate/round. <br/>It's different than a "round" calcification though <br/>as it also means the calcifications are less than <br/>.5 mm in size. <br/>May warrant a probably benign (non-cancer) assessment <br/>unless there is also a linear pattern or in a segmental <br/>distibution. <br/>This may require and imaging guided biopy or mammographic <br/>surveillance. <br/><br/> <br/>[Breast Imaging Reporting and Data System—Ultrasound, Second Edition] <br/><br/>Valid for the following modalities: MG.</td></tr><tr><td><a href=\"CodeSystem-MammoCalcificationTypeCS.html#MammoCalcificationTypeCS-Rim\">Rim</a></td><td>Rim</td><td>Eggshell or Rim Calcifications <br/>These are very thin benign calcifications that appear <br/>as calcium is deposited on <br/>the surface of a sphere. <br/>Fat necrosis and calcifications in the walls of cysts <br/>are the most common "rim" <br/>calcifications, although more extensive (and occasionally <br/>thicker-rimmed) calcification <br/>in the <br/>walls of oil cysts or simple cysts may be seen. <br/>[Breast Imaging Reporting and Data System—Ultrasound, Second Edition page 49] <br/><br/>Valid for the following modalities: MG.</td></tr><tr><td><a href=\"CodeSystem-MammoCalcificationTypeCS.html#MammoCalcificationTypeCS-Round\">Round</a></td><td>Round</td><td>When multiple, they may vary in size and therefore <br/>also in opacity. <br/>They may be considered <br/>benign when diffuse and small (< 1 mm), and are frequently <br/>formed in the acini of lobules. <br/>When <br/>smaller than 0.5 mm, the term "punctate" should be <br/>used. <br/>An isolated group of punctate calcifications may <br/>warrant probably benign assessment and <br/>mammographic surveillance if no prior examinations <br/>are available for comparison, or <br/>image-guided biopsy if the group is new, increasing, <br/>linear or segmental in distribution, or if <br/><br/>adjacent to a known cancer. <br/>[Breast Imaging Reporting and Data System—Ultrasound, Second Edition] <br/><br/>Valid for the following modalities: MG.</td></tr><tr><td><a href=\"CodeSystem-MammoCalcificationTypeCS.html#MammoCalcificationTypeCS-Skin\">Skin</a></td><td>Skin</td><td>These are usually lucent-centered and pathognomonic <br/>in their appearance. <br/>Skin calcifications are most commonly seen along <br/>the inframammary fold, parasternally, overlying the <br/>axilla and around the areola. <br/>The individual calcific particles usually are tightly <br/>grouped, with individual <br/>groups smaller than 5 mm in greatest dimension. <br/>Skin calcifications may develop from a degenerative <br/>metaplastic process. <br/>[Breast Imaging Reporting and Data System—Ultrasound, Second Edition page 36] <br/><br/>Valid for the following modalities: MG.</td></tr><tr><td><a href=\"CodeSystem-MammoCalcificationTypeCS.html#MammoCalcificationTypeCS-Spherical\">Spherical</a></td><td>Spherical</td><td>Calcifications that have formed a spherical shape <br/>are usually associated with benign <br/>lesions. <br/>[Breast Imaging Reporting and Data System—Ultrasound, Second Edition] <br/><br/>Valid for the following modalities: MG.</td></tr><tr><td><a href=\"CodeSystem-MammoCalcificationTypeCS.html#MammoCalcificationTypeCS-Suture\">Suture</a></td><td>Suture</td><td>Calcified suture materials are typically linear or <br/>tubular in appearance, and when present in Mammogram, <br/>may show up in a knot pattern. <br/><br/><br/>Valid for the following modalities: MG.</td></tr><tr><td><a href=\"CodeSystem-MammoCalcificationTypeCS.html#MammoCalcificationTypeCS-Vascular\">Vascular</a></td><td>Vascular</td><td>These are linear or form parallel tracks, that are <br/>usually clearly associated with blood vessels. <br/>Vascular calcifications noted in women <br/>On the left typical vascular calcifications. <br/>If only one side of a vessel is calcified, the calcification <br/>may simulate intraductal (across a group of milk <br/><br/>ducts) calcification. <br/>[https://radiologyassistant.nl/breast/breast-calcifications-differential-diagnosis] <br/><br/>Valid for the following modalities: MG.</td></tr></table></li></ul></div>"
},
"url" : "http://hl7.org/fhir/us/breast-radiology/ValueSet/MammoCalcificationTypeVS",
"version" : "0.2.0",
"name" : "MammoCalcificationTypeVS",
"title" : "Mammography Calcification Type ValueSet",
"status" : "draft",
"date" : "2019-11-01T00:00:00+00:00",
"publisher" : "Hl7 - Clinical Interoperability Council",
"contact" : [
{
"telecom" : [
{
"system" : "url",
"value" : "http://hl7.org/Special/committees/cic"
}
]
}
],
"description" : "Mammography calcification types value set.",
"jurisdiction" : [
{
"coding" : [
{
"system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
"code" : "001"
}
]
}
],
"compose" : {
"include" : [
{
"system" : "http://hl7.org/fhir/us/breast-radiology/CodeSystem/MammoCalcificationTypeCS",
"concept" : [
{
"code" : "Amorphous",
"display" : "Amorphous"
},
{
"code" : "Coarse",
"display" : "Coarse"
},
{
"code" : "Dystrophic",
"display" : "Dystrophic"
},
{
"code" : "Eggshell",
"display" : "Eggshell"
},
{
"code" : "Fine",
"display" : "Fine"
},
{
"code" : "Generic",
"display" : "Generic"
},
{
"code" : "CoarseHeterogeneous",
"display" : "Coarse Heterogeneous"
},
{
"code" : "Indistinct",
"display" : "Indistinct"
},
{
"code" : "LargeRodlike",
"display" : "Large rodlike"
},
{
"code" : "Layering",
"display" : "Layering"
},
{
"code" : "FineLinear",
"display" : "Fine Linear"
},
{
"code" : "Lucent-centered",
"display" : "Lucent-centered"
},
{
"code" : "MilkOfCalcium",
"display" : "Milk of calcium"
},
{
"code" : "FinePleomorphic",
"display" : "Fine Pleomorphic"
},
{
"code" : "Punctate",
"display" : "Punctate"
},
{
"code" : "Rim",
"display" : "Rim"
},
{
"code" : "Round",
"display" : "Round"
},
{
"code" : "Skin",
"display" : "Skin"
},
{
"code" : "Spherical",
"display" : "Spherical"
},
{
"code" : "Suture",
"display" : "Suture"
},
{
"code" : "Vascular",
"display" : "Vascular"
}
]
}
]
}
}
IG © 2019+ Hl7 - Clinical Interoperability Council. Package hl7.fhir.us.breast-radiology#0.2.0 based on FHIR 4.0.1. Generated 2020-04-07
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