Breast exam i neih chuan, mammogram emaw ultrasound emaw pawh nise, report i hmuh chuan, a chunga thumal leh number i hmuh hian i hlauthawng deuh mai thei a, i hriat duhna pawh a awm thei. A bik takin number engemaw zat nen ‘BI-RADS’ tih a inziak chuan, ‘Aw, hei hi eng nge ni?’ tiin i ngaihtuah mai thei. A nihna takah chuan thil pangngai a ni. Mahse, lungngai suh. Vawiin hian BI-RADS hi eng nge a nih, a awmzia tak tak, leh i hriselna a nghawng theih dan tur kan sawi dawn a ni.
BI-RADS hi eng nge ni mai?
A awlsam zawngin sawi ila, BI-RADS hi “Breast Imaging-Reporting and Data System” tih acronym a ni. Hei hi radiologist ten i hnute exam report sawifiahna atana an hman standard system a ni. Ngaihtuah teh, Sri Lanka khawi hmunah pawh awm la, khawvel hmun dangah pawh mi zawng zawng hian ṭawng inang an hmang vek a ni. He system hian i test tih te a hmang a, chu chu:
- Mammography hmanga enfiah a ni
- Hnute Ultrasound hmanga tih a ni
- MRI scan a ni
Test result report ang chi te chu.
He system hi hman a nih chhan lian tak pahnih a awm a.
1. Reporting-ah hian standard pakhat keng tel rawh: Sri Lanka ramah khawi hmunah pawh test tih ni se, report dan inang chiah a ni. Chutiang chuan doctor pakhat atanga doctor dang hnena i details thawn hunah buaina a awm lo vang. Mi zawng zawngin awlsam takin kan hrethiam thei.
2. Breast cancer hlauhawmna chiang taka hrilh: Hetiang method hian hnute cancer i vei theihna tur classification hriatthiam awlsam tak a pe a ni.
I report-ah hian BI-RADS number chu bold-a ziah a ni lo mai thei. Mahse, i doctor-in report kimchang a dawnah a tel ang. Chumi chungchang chu i doctor hnenah i zawt thei ang.
BI-RADS classification leh a awmzia
BI-RADS system hian 0 atanga 6 thlenga classification a nei a, heng number tin hian thawnthu hrang hrang a sawi a ni. A awmzia pakhat zel hi han thlir ila, chutiang dinhmunah chuan eng nge kan tih leh tur tih hi han thlir ila.
| BI-RADS number a ni | Awmzia | Eng nge tih leh tur |
|---|---|---|
| BI-RADS 0 a ni | Test a kim lo. Chumi awmzia chu thlalak dawnte a chiang lo emaw, thu belhchian dawl zawk a mamawh avangin thutlukna siam theih a ni lo tihna a ni. Hei hian thil dik lo a awm tihna a ni lo. | I mammogram report hlui nen khaikhin emaw, test dang (e.g., mammogram dang, ultrasound scan) neih a ngai mai thei. |
| BI-RADS 1. A chhuahna tur hmun | Harsatna a awm lo (Negative) . Hei hi result tha ber a ni. I hnuteah hian rinhlelh awm takin lumps emaw, inthlak danglamna emaw a awm lo tihna a ni. | I kum leh i risk a zirin a hun takah screening neih fo ang che. |
| BI-RADS 2. A chhuahna tur hmun | Benign Finding a ni Hei hian cancer a awm lo tihna a ni bawk. Mahse, cancer ni lo thil thenkhat (e.g. cysts, fibroadenomas) hmuh theih a awm. Hengte hi a pawi lo. | Hei pawh hi dinhmun pangngai a ni. A hun takah routine checkup neihpui rawh. |
| BI-RADS 3. A chhuahna tur hmun | Benign a ni mai thei Hemi a i hmuh hi 98% chu cancer a nih a rinawm loh. Mahse 100% a chiang lo a nih avangin risk tlem a awm. | Doctor chuan thla 6 vel hnuah hun rei lote chhunga enkawl zui a rawt fo thin a, thil a danglam em tih a enfiah thin. |
| BI-RADS 4. A chhuahna tur hmun | Ringhlel Hei hi mi tam tak ti hlauhawmtu number chu a ni. Mahse cancer i vei tihna erawh a ni lo. "Ringhlelhawm a ni a, chuvangin i chhui chiang lehzual ang" tihna mai a ni. | Doctor chuan biopsy , chu chu enfiahna atana tissue chi khat lak chhuah a rawt ber ang. |
| BI-RADS 5. A chhuahna tur hmun | Malignancy a awm tih a tilang nasa hle Hetianga a lan chhuah dan atanga thlir chuan cancer vei theihna a sang hle (95% aia tam). | Confirm tur chuan biopsy a ngai ngei ang. |
| BI-RADS 6. A chhuahna tur hmun | Biopsy-a hriat chhuah Malignancy Hei hi biopsy hmasa lama cancer a awm tih finfiah hnua enkawlna hmaa test (e.g., operation hma) neih laiin hmuh a ni. | Doctor-in enkawl dan tur ruahmanna a siam angin hna dang thawh belh a ni ang. |
BI-RADS system hian eng nge a thatna?
Hetiang method hi doctor leh damlo tan pawh a tangkai hle.
- Standardization: Colombo, Sri Lanka-a doctor pakhat leh Jaffna-a doctor pakhatin BI-RADS 4 an tih hian awmzia inang a ni. Hei hian i report hriatthiamna kawngah tihsual leh buaina awm thei chu nasa takin a ti tlem a ni.
- Risk Assessment: He classification hian cancer vei theihna tur risk rough idea a pe che a, hei hian i doctor chu eng chen nge test dang i tih thuai tur tih a rel thei a ni.
- Efficiency: Report tinte chipchiar taka sawifiah ngai lovin, hei hian radiologist-te chu category hrang hranga dahin hun a humhim a ni.
Hetiang hmanrua hi a chhiatna a awm lo em ni?
Thiltih dan dang ang bawkin he kawng hian tihkhawtlai tenau tlemte a nei a.
- Subjectivity: Mihring hian scan image chu a classified a. Chuvangin, a tlem berah chuan radiologist pakhatin a hmuh chu radiologist dang hmuh nen chuan a danglam deuh thei a ni.
- False Results: Although very rare , a chang chuan test hian cancer a awm loh laiin result rinhlelh awm (false positive) a report thei a, a nih loh leh test hian positive result (false negative) a report thei bawk. Hei hian a tul lo taka ngaihtuahna a siam thei a, diagnosis pawh a tikhawtlai thei bawk. Mahse, hei hi thil thleng tlem tak a ni tih hre reng ang che.
- Thu chiang tak awm lohna (Unspecific):BI-RADS number hian rinhlelh tur a awm leh awm loh a hriattir chauh a ni. Eng ang hmun nge rinhlelh awm tih leh a nihna tur thuk tak a pe lo. Chuvang chuan biopsy ang chi test a ngai a ni.
BI-RADS 4 hian cancer a kawk em?
Hei hi mi tam takin zawhna lian ber a ni. A chhanna chu, ni lo.
BI-RADS 4 hian cancer i nei tihna a ni lo . I scan result chu "rinhlelh awm" tihna a ni. Chumi awmzia chu cancer a ni thei a, a ni lo thei tihna a ni. Cancer vei theihna hi a hniam hle atanga a sang thlengin a awm thei. Chuvang chuan chiang taka hriat theih nan biopsy an ti thin.
BI-RADS 4 hian cancer i nei tihna a ni lo. A awmzia chu, ‘Hei hi kan zirchian belh a ngai a, chuvangin a dawt leh tur lamah i kal leh ang u’ tihna a ni.
Chuvangin i report-ah BI-RADS 4 a awm a nih chuan a tul lovah lungngai suh. I doctor chuan test dang neih belh turin a refer ang che tihna chauh a ni.
Take-Home Thuchah a ni
- BI-RADS hi khawvel pum huapa hriat hlawh standard a ni a, i hnute enfiahna report (mammogram, ultrasound) result classified nan hman thin a ni.
- He number hian i cancer risk chu eng nge ni tih leh eng step nge i tih leh tur tih a hrilh che a ni.
- BI-RADS 1 leh 2 hian harsatna awm lovin result tha tak a kawk a ni.
- BI-RADS 4 emaw 5 emaw ang score sang tak i hmu a nih pawhin cancer i vei tihna a ni hauh lo. A awmzia chu ‘rinhlelh awm a ni a, test belh a ngai’ tihna chauh a ni.
- I report-a BI-RADS number chungchanga zawhna i neih chuan hlauthawng suh la , i doctor nen sawiho rawh. I dinhmun atana a awmzia dik tak chu amah chauhvin a hrilhfiah thei ang.
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