Yu brɔst ripɔt se (BI-RADS)? Yu no wetin na dat? Lɛ wi tɔk bɔt di ditil dɛn!

We yu dɔn du ɔltra saund, mammogram, ɔ MRI na yu bɔdi, yu go dɔn si sɔntin we dɛn kɔl BI-RADS na di ripɔt. Ɔ yu dɔktɔ go dɔn tɛl yu bɔt am. So, fɔ bɔku pipul dɛn, dis na tin we dɛn nɔ no smɔl, so dɛn kin kɔnfyus smɔl ɛn aks se, "Wetin na dis BI-RADS?" Nɔ wɔri, lɛ wi tɔk bɔt am simpul wan ɛn klia wan.

Wetin na `BI-RADS`? Wetin mek dɛn de yuz am?

Fɔ tɔk am simpul wan, `BI-RADS` na abbrevieshɔn fɔ di Inglish wɔd dɛn "Breast Imaging-Reporting and Data System" . Insay Sinhala, i min sɔntin lɛk "Breast Imaging Reporting and Data System". Dis na wan sistɛm we rili impɔtant. Bikɔs, nɔto jɔs na Sri Lanka, bɔt ɔlsay na di wɔl, raydiɔlɔjis dɛm (dat na, dɔktɔ dɛm we de du skan lɛk `(Ultrasound)`, `(Mammogram)` ɛn analayz dɛn rizɔlt) de yuz dis sistɛm fɔ rikodɔ infɔmeshɔn na yu brɔst ɛgzamin ripɔt.

Imajin, yu bin mek dɛn du mamogram na wan ples, ɛn ɔda pɔsin du am na ɔda ples. Aw i go kɔnfyus if ɔlman nɔ tɔk bɔt dɛn rizɔlt dɛn de di sem we, insay di sem langwej? Dis BI-RADS sistem dɔn introdyus as sɔlv fɔ da prɔblɛm de.

Tu men rizin dɛn bin de we mek dɛn bigin fɔ yuz dis sistɛm:

1. Standardize ripɔt: Establish wan standad we fɔ raydiɔlɔjis fɔ ripɔt wetin dɛn fɛn frɔm brɛst ɛgzam. Dis go mek shɔ se ɔlman, ilɛk usay dɛn de na di wɔl, ɔndastand di infɔmeshɔn di sem we. Dis go rili ridyus di risk fɔ mek pipul dɛn nɔ ɔndastand dɛnsɛf.

2. Mek di risk fɔ gɛt brɔst kansa izi fɔ ɔndastand: Prɛzɛnt yu risk fɔ gɛt bɔdi kansa di we we izi fɔ yu ɛn di ɔda dɔktɔ dɛn we de trit yu fɔ ɔndastand.

Yu nɔ go si di `(BI-RADS)` simbul dairekt na yu ilɛktronik mɛdikal rɛkɔd (`(Ilektronik Mɛdikal Rɛkɔd)`). Bɔt, i rili de na yu dɔktɔ in rɛkɔd. Yu kin aks yu dɔktɔ wetin na yu `(BI-RADS)` simbul ɛn wetin i min. Dis na yu rayt.

Wetin na di `BI-RADS` kategori dɛm? Wetin yu skɔ dɛn se?

BI-RADS kategori dεm kin כlwayz nכmba frכm ziro (0) to siks (6). dis na di sem sistεm we dεn de yuz i nכ mata us brεst εgzam yu gεt (Mammogram, Ultrasound, MRI). Bɔt, dipen pan di BI-RADS skɔ we yu gɛt, di kia we yu de fala kin difrɛn. Fɔ ɛgzampul, if yu gɛt Mammogram ɛn yu gɛt BI-RADS skɔ, yu dɔktɔ kin tɛl yu fɔ du ɔda Mammogram, Ultrasound, MRI, ɔ Biopsy (dɛn kin pul smɔl sampul pan di tisu fɔ tɛst).

Lɛ wi si wetin ɛni wan pan dɛn kategori ya jɔs se:

• `BI-RADS 0`: I nɔ kɔmplit
• Dis min se di tɛst nɔ go ebul fɔ rich wan kɔmplit kɔnklushɔn ɛn dɛn nid fɔ no mɔ. I kin nid fɔ kɔmpia di `(Mammogram)` ripɔt dɛn we bin dɔn de bifo, ɔ dɛn kin aks yu fɔ du mɔ spɛshal `(Mammogram)` we fɔ si ɔ `(Ultrasound)` tɛst. Dis nɔ min se sɔntin de we nɔ rayt, i jɔs min se nɔto inof infɔmeshɔn de.

• `BI-RADS 1`: Na negatif
• Dis na di bɛst rizɔlt! Dis min se dɛn nɔ bin fɛn ɛni lump ɔ chenj we yu tink se na yu bɔdi. Ɔltin na nɔmal tin. i rεkomεnd fכ du rεgulεr brεst εgzam (`(Routine screening)`) di tεm we dεn sεdi.

• `BI-RADS 2`: Bɛnign Fayndin
• Dis na gud rizulyt bak. dis min se ivin if dεn fכnshכn sכmtin na di brεst (fכ egzampl, wan sist we fulכp wit wata, wan sכmtin we nכ de fכ kansa lεk fibroadenoma), i nכto kεnsar εn i nכ de bεn . Natin nɔ de fɔ wɔri bɔt ilɛksɛf dɛn kayn tin ya de. If na so i bi, i fayn bak fɔ chɛk di bɔdi di tɛm we yu kin chɛk.

• `BI-RADS 3`: Prɔbably Benign, Shɔt-Intaval Fɔl-Ɔp Sajeshɔn
• Dis min se di tin we dɛn fɛn na 98% nɔ go bi kansa, we min se i go mɔs bi se i nɔ fayn . Bɔt fɔ mek yu shɔ 100%, i fayn fɔ mek yu du ɔda tɛst (Mammogram ɔ Ultrasound) insay lɛk 6 mɔnt. Dis na fɔ si if di tin we dɛn fɛn de chenj ɔ i de big as tɛm de go. Bɔrku tɛm, dɛn tin ya kin de di sem ɔr kin go. So nɔ wɔri.

• `BI-RADS 4`: Sɔspɛkt Abnɔmaliti, Bayopsi fɔ Kɔnsidɛr
• Dis na di sayn we de mek bɔku pipul dɛn fred. Dis min se chans de fɔ mek wetin dɛn fɛn we dɛn de du di tɛst na kansa, so i kin mek pɔsin sɔprayz . Bɔt `BI-RADS 4` nɔ min se kansa de. Di risk fɔ gɛt kansa kin kɔmɔt frɔm 2% to 95%. So, di dכkta kin rεkomεnd fכ du `(Biopsy)`, we min fכ tek wan sכm sכm tisu εn egzamin am, fכ no εksεkshכn wetin na dis fכnd.
• di `BI-RADS 4` kategori dεn sheb am mכr insay tri sכbgrup dεm (4A, 4B, 4C), we sho se di risk fכ kεnsar lכw, mכdarεt, εn sכmtεm inkrεs. Yu dɔktɔ go tɛl yu mɔ bɔt dis. Di tin we impɔtant pas ɔl na fɔ nɔ fred di bad tin dɛn we kin apin we pɔsin gɛt `(Biopsy)`, bɔt fɔ du am ɛn fɛn ɔut fɔ shɔ.

• `BI-RADS 5`: I rili sכgεst fכ malign, dεn rεkכmand fכ bayopsi strכng wan
• Dis min wetin dɛn bin fɛn.Di chans fɔ gɛt kansa (`(Malignancy)`) rili ay (mɔ pas 95%). So, i rili fayn fɔ du `(Biopsy)` fɔ kɔnfɔm dis. I sɔri fɔ gɛt dis rizɔlt, bɔt i impɔtant fɔ mek yu no di sik kɔrɛkt wan ɛn bigin fɔ trit yu kwik kwik wan.

• `BI-RADS 6`: Dɛn no bayɔpsi-pruv malignansi
• Dɛn kin yuz dis kategori fɔ tɛst dɛn we yu dɔn ɔlrɛdi gɛt bayɔpsi fɔ kɔnfirm se yu gɛt bɔdi kansa ɛn yu de du tritmɛnt fɔ am . Fɔ ɛgzampul, dɛn kin yuz dis sayn fɔ tɛst dɛn bifo dɛn du di ɔpreshɔn fɔ si aw di kansa big ɛn aw i go biev we dɛn gɛt tritmɛnt.

di BI-RADS sistεm bin fכs introdyus insay 1993 bay di American College of Radiology (ACR) fכ standad mammography ripot dεm. Leta dɛn bin adap am fɔ MRI ɛn ɔltra saund. Dis na di rizin we mek di raydiɔlɔjis dɛn ɔlsay na di wɔl de yuz di sem wɔd dɛn we dɛn de tɔk bɔt ɛgzam fɔ di bɔdi.

Wetin na di bɛnifit dɛn we di `BI-RADS` sistɛm gɛt?

Bɔku men bɛnifit dɛn de fɔ dis we:

• Standardization: As wi bin dɔn tɔk, di wan dɛn we de stɔdi bɔt raydio ɔl kin ripɔt wetin dɛn dɔn fɛn di sem we, dɛn kin yuz di sem wɔd dɛn. Dis kɔnsistɛns de mek di kwaliti fɔ ripɔt dɛn bɛtɛ ɛn i de mek pipul dɛn nɔ ɔndastand dɛnsɛf. Ivin if yu go frɔm wan dɔktɔ to ɔda wan, i izi fɔ ɔndastand di ripɔt.
• Risk asesmεnt: di `(BI-RADS)` mεtכd de gi wan rכf εstimat fכ yu risk fכ gεt brεst kεnsar. Dis kin ɛp yu fɔ plan aw kwik (`(Urgency)`) di nɛks tɛst dɛn nid fɔ du.
• Efyushɔn: We dɛn kategoriz di tɛst rizɔlt dis we, di raydiɔlɔjis dɛn nɔ nid fɔ ɛksplen wetin dɛn fɛn difrɛn we dɛn ɛvri tɛm. Dis kin mek yu nɔ spɛn bɔku tɛm ɛn i kin mek yu wok fayn.

Imajin, if yu ripɔt se "BI-RADS 2", yu, yu famili dɔktɔ , ɛn yu ɔnkɔlɔjis ( if nid de ) ɔl ɔndastand wantɛm wantɛm wetin i min. Dat na di big tin we izi fɔ dis.

Eni drawbacks de fo di `BI-RADS` sistem?

Pan ɔl we dis na fayn we fɔ du am, i gɛt sɔm tin dɛn we i nɔ ebul fɔ du ɛn sɔm tin dɛn we i nɔ ebul fɔ du:

• Sɔbjɛktiviti: Sɔm rum de fɔ di raydiɔlɔjis in yon jɔjmɛnt ɛn ɛkspiriɛns we i de disayd wan kategori bay wetin dɛn fɛn pan skan. If tu pipul dɛn luk di sem skan, sɔntɛm na smɔl difrɛns de.
• Falz rizulyt: Pan ɔl we i nɔ kin apin so ɔltɛm, lay lay pɔsitiv kin apin.- Dat min se, i kin tan lɛk se kansa nɔ de - ɔ i kin gɛt lay lay nɛgitiv - dat na, i kin mis kansa pan ɔl we i de. If dis apin, i kin mek pɔsin wɔri we nɔ nid fɔ wɔri ɔ i kin mek dɛn nɔ no se i gɛt kansa. Bɔt, mɛmba se dɛn tin ya nɔ kin apin so ɔltɛm.
• Nɔ spɛsifi k: Pan ɔl we dis we fɔ grup di tɛst rizɔlt de diskrayb di saspek we dɛn fɛn, ɔda ditil bɔt di saspek we dɛn fɛn (lɛk in saiz, shep, usay i de) nɔto di ``(BI-RADS)`` lɛbl nɔmɔ de gi. Dɛn rayt dɛn ditil dɛn ya wan bay wan na di ripɔt.

`BI-RADS` kin no kɔrɛkt wan if kansa de? `BI-RADS 4` min kansa?

Dis na prɔblɛm bak fɔ bɔku pipul dɛn. di ``BI-RADS'' sistεm nכ de klas kεnsar (``Klasifikεshכn'') כ tεl di stej fכ di kεnsar (``Staging''). Di onli eksepshɔn na di ``BI-RADS 6'' kategori. Bikɔs i min se di prɛzɛns fɔ kansa dɔn ɔlrɛdi kɔnfyus bay wan ``Biopsy''.

di כda ``BI-RADS'' kεtכgrεf dεm (especially 3, 4, εn 5) de כnli sho di chans fכ kεnsar . Fɔ ɛgzampul, ``BI-RADS 3'' min se di tin we dɛn fɛn nɔ de sɔprayz, bɔt dɛn fɔ ɛgzamin yu bak insay 6-12 mɔnt.

Naw di kwɛstyɔn we impɔtant pas ɔl: `BI-RADS 4` min kansa?

Nɔ, `BI-RADS 4` nɔ min se yu gɛt kansa. I min se sɔntin de we nɔ kɔmɔn ɔ we yu de sɔprayz pan yu tɛst rizɔlt, so dɛn kin se yu fɔ du `(Biopsy)` fɔ no ustɛm i bi. As wi bin dɔn tɔk bifo tɛm, di risk fɔ gɛt bɔdi kansa na di `BI-RADS 4` kategori kin difrɛn frɔm 2% to 95%. Dis min se we dɛn du `(Biopsy)`, dɛn kin kɔnfyus se nɔto kansa na bɔku pipul dɛn. So, nɔ pwɛl ɔ panik we yu si `BI-RADS 4`.

Na nɔmal tin fɔ fil kɔnfyus ɛn gɛt bɔku kwɛstyɔn we yu si abnɔmal tɛst rizɔlt. Ɛspɛshali we i at fɔ ɔndastand wetin de na di tɛst ripɔt. na de di ``(BI-RADS)`` sistεm de kam in. I dכn bכn wan standad to di wכd dεm εn frεz dεm we de apia na yu bכdi εgzam ripot. Dis kin mek yu ɔndastand klia wan wetin di raydiɔlɔjis tink bɔt yu tɛst rizɔlt.

Di impɔtant tin we wi nid fɔ lan frɔm dis (Take-Home Message) .

Okay, so, frɔm wetin wi dɔn tɔk bɔt, dɛn tin ya na di impɔtant tin dɛn we yu nid fɔ mɛmba:

• `(BI-RADS)` na wan we fכ prεzεnt di risכlt fכ di brεst egzamεn ripot (`(Mammogram)`, `(Ultrasound)`, `(MRI)`) insay wan standad we.
• Dat go gi yu wan rough aidia bɔt yu risk fɔ gɛt kansa.
• `(BI-RADS)` gɛt mak frɔm 0 to 6. Nɔto ɔl skɔ min se kansa de.
• `BI-RADS 1` ɛn `2` na gud rizɔlt, natin nɔ de fɔ wɔri bɔt.
• `BI-RADS 0` min se dɛn nid mɔ infɔmeshɔn.
• ``BI-RADS 3`` min se i go bi se i gud, bɔt yu nid fɔ chɛk bak insay sɔm tɛm.
• `BI-RADS 4` ɔ `5` min se i de sɔprayz, so dɛn fɔ du `(Biopsy)`. `BI-RADS 4` nɔ min se na kansa.
• `BI-RADS 6` na sayn we dɛn kin yuz fɔ pɔsin we dɔn ɔlrɛdi no se dɛn gɛt kansa.

di tin we impɔtant pas ɔl na fɔ tɔk opin wan wit yu dɔktɔ bɔt di ``BI-RADS'' sayn ɛn wetin i min fɔ yu kɔndishɔn, ilɛk us brɔst ɛgzam yu gɛt. Dɛn kin ansa ɛni kwɛstyɔn ɔ tin we de mɔna yu.

Na nɔmal tin fɔ fil wɔri ɛn fred bɔt ɛni tɛst rizɔlt we yu gɛt. Bɔt if yu no di rayt tin ɛn fala yu dɔktɔ in advays, dat go ɛp yu fɔ disayd fɔ du di bɛst tin bɔt yu wɛlbɔdi biznɛs.

` Brest kansa, BI-RADS, mammogram, ultrasound, MRI, brɛst skan, kansa risk