I hnute report-ah (BI-RADS) a inziak em? Chu chu eng nge a nih i hria em? A chipchiar zawngin sawi ila!

Ultrasound emaw, mammogram emaw, i hnute MRI emaw i tih tawh chuan report-ah hian BI-RADS tih hming pu thil i hmu tawh mai thei. A nih loh leh i doctor-in a hrilh che pawh a ni thei. Chuvangin, mi tam tak tan chuan hei hi thil hriat loh deuh a nih avangin an buai deuh a, "He BI-RADS hi eng nge ni?" Ngaihtuah buai suh, awlsam tak leh chiang takin sawi ila.

`BI-RADS` chu eng nge ni? Engvangin nge hman a nih?

A awlsam zawngin, `BI-RADS` hi English tawng "Breast Imaging-Reporting and Data System" tih tawifelna a ni. Sinhala tawng chuan "Breast Imaging Reporting and Data System" tih ang chi tihna a ni. Hei hi system pawimawh tak a ni. A chhan chu, Sri Lanka-ah chauh ni lovin khawvel hmun hrang hrangah radiologist (chu chu `(Ultrasound)`, `(Mammogram)` ang chi scan ti thin doctor-te leh an result thlirlet thin) te hian he system hi i hnute enfiahna report-ah information record nan an hmang thin.

Hmun khatah mammogram i tihsak a, hmun dangah mi dangin an tihsak tih han ngaihtuah teh. Chu result chungchang chu mi zawng zawngin a inang lo, tawng khata sawi lo se engtiang chiahin nge a buaithlak ang? Chu harsatna chinfelna atan he BI-RADS system hi hman a ni.

He system hi hman a nih chhan lian tak pahnih a awm a, chungte chu:

1. Reporting standardize: Radiologist-te’n hnute enfiahna atanga an thil hmuhchhuah report dan tur standard siam. Chu chuan khawvela khawi hmunah pawh awm se, mi zawng zawngin thu hriatte chu a inang tlangin an hrethiam thei dawn a ni. Hei hian inhriatthiam lohna nasa takin a tihziaawm ang.

2. Breast cancer hlauhawmna hriatthiam awlsam zawka siam: Nangmah leh nangmah enkawltu doctor dangte hriatthiam awlsam zawka hnute cancer vei theihna tur i present.

I electronic medical record (`(Electronic Medical Record)`)-ah `(BI-RADS)` chhinchhiahna hi direct-in i hmu lo thei. Mahse, i doctor record-ah chuan a awm ngei ang. I doctor hnenah i `(BI-RADS)` symbol chu eng nge a nih leh a awmzia i zawt thei ang. Hei hi i dikna a ni.

`BI-RADS` category te hi engte nge ni? I score-te hian eng nge a sawi?

BI-RADS category te hi zero (0) atanga paruk (6) thlenga number pek an ni tlangpui. Hei hi eng breast exam pawh nei ila (Mammogram, Ultrasound, MRI) hman thin system ang chiah kha a ni. Mahse, BI-RADS score i dawn dan azirin i follow-up care chu a danglam thei. Entirnan, Mammogram i neih a, BI-RADS score i hmuh chuan i doctor chuan Mammogram, Ultrasound, MRI, Biopsy (test atan tissue sample tlemte lakchhuah a ni) dang a rawt thei ang.

Heng category tinte hian eng nge an sawi mai mai i en ang u:

• `BI-RADS 0`: A kim lo
• Chumi awmzia chu test hi a dik thei lo va, thu belhchian dawl zawk hriat a ngai tihna a ni. Mammogram hmasa te khaikhin a ngai mai thei a, a nih loh leh mammogram view emaw ultrasound emaw chiang zawka tih tir i ni thei bawk. Hei hian thil dik lo a awm tihna a ni lo va, thu hriat tur a awm lo tihna mai a ni.

• `BI-RADS 1`: A tha lo hle
• Hei hi result tha ber a ni! Hei hian i hnuteah hian rinhlelh awm tak tak lumps emaw, danglamna emaw hmuh tur a awm lo tihna a ni. Engkim hi a pangngai vek. Hun ruatah hnute enfiah (`(Routine screening)`) neih fo a tha.

• `BI-RADS 2`: Hmuhchhuahna tha lo tak
• Hei pawh hi result tha tak a ni. Chumi awmzia chu hnute chhungah thil engemaw hmuh ni mah se (entir nan, tuiin a khat cyst, cancer ni lo lump fibroadenoma ang chi) chu cancer a ni lo va, benign a ni lo Chutiang thil awm mah se, ngaihtuahawm tur a awm lo. Chutiang a nih chuan a hun pangngaia hnute enfiah a tha bawk.

• `BI-RADS 3`: Benign a ni mai thei, Short-Interval Follow-Up rawtna siam a ni
• Hei hian a awmzia chu he thil hmuhchhuah hi 98% in cancer a nih a rinawm loh tihna a ni a, chu chu benign a ni mai thei tihna a ni . Mahse, 100% a chiang tur chuan thla 6 vel hnuah test dang (Mammogram emaw Ultrasound) neih leh a tha. Hei hi hun kal zelah thil hmuhchhuah chu a danglam emaw, a lian zawk em tih en nan a ni. A tam zawkah chuan heng thilte hi a awm reng emaw, a bo emaw a ni. Chuvangin lungngai suh.

• `BI-RADS 4`: Thil dik lo rinhlelh awm, Biopsy ngaihtuah tur a ni
• Hei hi mi tam tak rilru tibuaitu chhinchhiahna a ni. Hei hian test neih chhunga thil hmuhchhuah chu cancer vei theihna chance engemaw chen a nei tihna a ni a, chuvangin rinhlelh awm tak a ni . Mahse `BI-RADS 4` tih hian cancer a awm tihna erawh a ni lo. Cancer vei theihna hi 2% atanga 95% inkar a ni thei. Chuvangin, doctor chuan he thil hmuhchhuah hi eng nge a nih chiang taka hriat theih nan `(Biopsy)` tih a rawt mai thei a, chu chu tissue te tak te lak a, enfiah tihna a ni.
• `BI-RADS 4` category hi subgroup pathum (4A, 4B, 4C)-ah then belh a ni a, hei hian cancer vei theihna a hniam, a hniam leh a sang deuh tih a tilang a ni. Hemi chungchang hi i doctor chuan a hrilh belh ang che. A pawimawh ber chu `(Biopsy)` neih avanga nghawng a neih tur hlau lo, tih a, chiang taka hriat chhuah hi a ni.

• `BI-RADS 5`: Malignancy a awm tih a tilang hle a, Biopsy hi a tha hle
• Hei hian thil hmuh chhuah chu a kawk a ni.Cancer (`(Malignancy)`) vei theihna a sang hle (95% aia tam). Chuvangin, hei hi nemnghet turin `(Biopsy)` tih hi a tha tak zet a ni. Hetiang result kan dawn hi a pawi hle a, mahse dik taka hriatchhuah a, a rang thei ang bera enkawl tan a pawimawh.

• `BI-RADS 6`: Biopsy-a natna hrik hmuhchhuah tawh hriat chhuah
• He category hi hnute cancer i vei tih finfiah nan biopsy i neih tawh a , enkawl mek i nih thu test nan hman a ni Entirnan, he chhinchhiahna hi operation hmaa test-naah hman a ni a, cancer hi engzat nge a lian tih leh enkawl a nih chuan engtin nge a chhan ang tih hriat a ni.

BI-RADS system hi kum 1993 khan American College of Radiology (ACR) chuan mammography report standardise nan an hmang tan a ni. A hnuah MRI leh ultrasound atan an siam danglam leh a ni. Hei vang hian khawvel hmun hrang hranga radiologist te hian hnute exam chungchang an sawi hian terminology inang an hmang thin.

`BI-RADS` system hian eng nge a thatna?

Hetiang hmanrua hian thatna lian tak tak a nei a:

• Standardization: Kan sawi tawh ang khan radiologist te hian an thil hmuhchhuah chu a inang vek a, thumal inang hmangin an report vek a ni. Hetianga inmilna hian report quality a ti tha a, hriatthiam lohna a ti tlem bawk. Doctor pakhat atanga doctor dang pan pawhin report chu hriatthiam a awl hle.
• Risk assessment: `(BI-RADS)` method hian hnute cancer i vei theihna tur rough estimate a pe a. Hei hian test lo awm tur chu eng chen nge (`(Urgency)`) tih tur tih ruahmanna siam turin a pui che a ni.
• Efficiency: Hetianga test result category hrang hranga dah hian radiologist-te chuan an thil hmuhchhuah chu a vawi khatnaah kawng hrang hrangin an sawifiah ngai lo. Hei hian hun a tikhawtlai a, hnathawh a ti awlsam zawk bawk.

Ngaihtuah teh, i report-ah "BI-RADS 2" tih a nih chuan, nang leh i chhungkaw doctor , leh i oncologist ( a tul chuan ) te chuan a awmzia chu in hrethiam nghal vek a ni. Chu chu he thila awlsamna lian ber a ni.

`BI-RADS` system-ah hian harsatna a awm em?

Hei hi hmanraw hlu tak ni mahse, a tihkhawtlai leh that lohna engemaw zat a nei a:

• Subjectivity: Scan-a thil hmuh chhuah atanga category pakhat a ruat hunah radiologist-in mimal rorelna leh tawnhriat atan hmun engemaw zat a awm. Mi pahnihin scan khat an en chuan danglamna a tlem hle mai thei.
• Results dik lo: A tlem hle nachungin false positive a awm thei.- Chu chu cancer awm lo angin a lang thei - a nih loh leh false negative a nei thei - chu chu cancer awm mahse a miss thei tihna a ni. Chutiang a nih chuan a tul lova lungkhamna a thlen thei a, cancer hmuhchhuah a tikhawtlai thei bawk. Mahse, hengte hi a tlem hle tih hre reng ang che.
• Unspecific: Hetianga test result grouping dan hian rinhlelh awm tak hmuhchhuah chu sawifiah mah se, rinhlelh awm thil hmuhchhuah chungchangah hian thu belhchian dawl zawk (a lian leh te, a pianzia, a awmna hmun ang chi) chu ``(BI-RADS)`` label chauh hian a pe lo. Heng details te hi report-ah hian a hranin tarlan a ni.

`BI-RADS` hian cancer a awm leh awm loh dik takin a hre thei em? `BI-RADS 4` tih hian cancer a kawk em?

Hei hi mi tam tak tan pawh harsatna a ni. ``BI-RADS'' system hian cancer pakhat chu a classified lo (``Classification'') emaw, cancer stage (``Staging'') emaw a sawi lo. A danglamna awm chhun chu ``BI-RADS 6'' category a ni. A chhan chu cancer a awm leh awm loh chu ``Biopsy'' hmanga finfiah a ni tawh tihna a ni.

``BI-RADS'' category dang (a bik takin 3, 4, leh 5) te hian cancer vei theihna a tarlang chauh a ni . Entirnan, ``BI-RADS 3'' tih hian thil hmuhchhuah chu rinhlelh tur a ni lo va, thla 6-12 hnuah enfiah leh tur a ni tihna a ni.

Tunah chuan zawhna pawimawh ber chu: `BI-RADS 4` hian cancer a kawk em?

Ni lo `BI-RADS 4` tih hian cancer i vei tihna a ni lo. I test result-ah hian thil danglam emaw rinhlelh awm emaw a awm tihna a ni a, chuvangin eng nge a nih chiang taka hriat theih nan `(Biopsy)` tih a tha. Kan sawi tawh ang khan `BI-RADS 4` category-a hnute cancer vei theihna hi 2% atanga 95% thlengin a inang lo thei a ni. Chumi awmzia chu `(Biopsy)` tih a nih chuan mi tam zawkah cancer a ni lo tih finfiah a ni tihna a ni. Chuvangin `BI-RADS 4` i hmuh hian beidawng leh hlauthawng suh.

Test result pangngai lo i hmuh hian buai leh zawhna tam tak i neih hi thil pangngai a ni. A bik takin test report-a thil awmte hriatthiam a harsat lai hian. Chutah chuan ``(BI-RADS)`` system chu a rawn lut a, i hnute exam report-a thumal leh thumal lo langte chu standard a rawn keng tel a ni. Hei hian i test result chungchanga radiologist ngaihdan chu chiang takin a hre thei che a ni.

Hemi atanga kan zir tur pawimawh ber (Take-Home Message) .

Okay, chuvangin, kan sawi tawh atang chuan hengte hi i hriat reng tur pawimawh ber berte chu an ni:

• `(BI-RADS)` hi hnute enfiahna report (`(Mammogram)`, `(Ultrasound)`, `(MRI)`) result standardized taka tarlanna system a ni.
• Chu chuan cancer vei theihna chance chu a rough idea a pe ang che.
• `(BI-RADS)` hian 0 atanga 6 thleng score a nei a , score zawng zawng hian cancer a awm tihna a ni lo.
• `BI-RADS 1` leh `2` hi result tha tak a ni a, ngaihtuahawm tur a awm lo.
• `BI-RADS 0` tih hian thu belhchian dawl zawk a mamawh tihna a ni.
• ``BI-RADS 3`` tih hian a tha mai thei tihna a ni a, mahse rei vak lo hnuah i check leh a ngai a ni.
• `BI-RADS 4` emaw `5` emaw tih hian rinhlelh a ni tihna a ni a, chuvangin `(Biopsy)` tih tur a ni. `BI-RADS 4` tih hian cancer a ni tihna a ni hauh lo.
• `BI-RADS 6` hi cancer a vei tih hre tawh tan chuan chhinchhiahna hman a ni.

A pawimawh ber chu i doctor nen ``BI-RADS'' chhinchhiahna chungchang leh i dinhmun atana a awmzia te, eng hnute exam pawh nei ila, zalen taka inbiakna neih hi a ni. Zawhna emaw, ngaihtuahna emaw i neih apiang chu an chhang thei che a ni.

Test result i dawn apiangah lungkhamna leh hlauhna i neih hi thil pangngai a ni. Amaherawhchu, thu dik hriatna leh doctor thurawn zawm chuan i hriselna chungchangah thutlukna tha ber siam turin a pui ang che.

` Hnute cancer, BI-RADS, mammogram, ultrasound, MRI, hnute scan, cancer hlauhawmna