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Original Research
Online Published: 14 Oct 2015
 


BREAST DENSITY EVALUATION: A COMPARISON BETWEEN ASSESSMENT BY A RADIOLOGIST AND THE COMPUTER-ASSISTED THRESHOLD TECHNIQUE

George Baitchev, Ivan Ivanov, Ivan Inkov, Emilia Zlateva, Zdravko Kamenov, George Dimitrov.


Abstract
Traditionally, mammographic density (MD) of the breast has been assessed by a radiologist visually. This subjective evaluation requires significant experience to distinguish the relative proportions of the fibrous connective tissue and adipose tissue in the mammary gland correctly.
The aim of this study is to compare the capabilities of the different methods (visual and computer-assisted) for assessing mammographic density.
Our sample in this study consists of 66 patients with digital mammography. The mammographic density has been evaluated using the four-grade scale of the American College of Radiology (ACR); visually, visually using an analog scale and semi-automated using UTHSCSA Image Tool 3.0, Image J and Adobe Photoshop CS6 software.
The average mammographic density calculated using the different methods is as follows: 34.8% (from 10% to 70%); 32.1% (from 10% to 60%); 23% (from 0% to 70.9%); 22.7% (from 2.5% to 78.1%) and 22.5% (from 1.5% to 72.4%).
There is a strong correlation between the results obtained visually and those calculated using a computer-assisted measurement (p< 0.0001). A strong correlation was found also between the results acquired using the different semi-automated programs (p< 0.0001).
Precise measurement of mammographic density is of great importance for the mammographic screening and evaluation of breast cancer risk. The semi-automated methods, used for this purpose are objective, accessible and reproducible tools and have some advantages over the subjective visual assessment.

Key words: imagej breast density, early signs of breast cancer, breast density photoshop, breast density measurement, breast density classification


 
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How to Cite this Article
Pubmed Style

Baitchev G, Ivanov I, Inkov I, Zlateva E, Kamenov Z, Dimitrov G. BREAST DENSITY EVALUATION: A COMPARISON BETWEEN ASSESSMENT BY A RADIOLOGIST AND THE COMPUTER-ASSISTED THRESHOLD TECHNIQUE. Int J Surg Med. 2015; 1(2): 48-52. doi:10.5455/ijsm.20150903063859

Web Style

Baitchev G, Ivanov I, Inkov I, Zlateva E, Kamenov Z, Dimitrov G. BREAST DENSITY EVALUATION: A COMPARISON BETWEEN ASSESSMENT BY A RADIOLOGIST AND THE COMPUTER-ASSISTED THRESHOLD TECHNIQUE. https://www.ejos.org/?mno=198663 [Access: June 22, 2026]. doi:10.5455/ijsm.20150903063859

AMA (American Medical Association) Style

Baitchev G, Ivanov I, Inkov I, Zlateva E, Kamenov Z, Dimitrov G. BREAST DENSITY EVALUATION: A COMPARISON BETWEEN ASSESSMENT BY A RADIOLOGIST AND THE COMPUTER-ASSISTED THRESHOLD TECHNIQUE. Int J Surg Med. 2015; 1(2): 48-52. doi:10.5455/ijsm.20150903063859


Vancouver/ICMJE Style

Baitchev G, Ivanov I, Inkov I, Zlateva E, Kamenov Z, Dimitrov G. BREAST DENSITY EVALUATION: A COMPARISON BETWEEN ASSESSMENT BY A RADIOLOGIST AND THE COMPUTER-ASSISTED THRESHOLD TECHNIQUE. Int J Surg Med. (2015), [cited June 22, 2026]; 1(2): 48-52. doi:10.5455/ijsm.20150903063859


Harvard Style

Baitchev, G., Ivanov, . I., Inkov, . I., Zlateva, . E., Kamenov, . Z. & Dimitrov, . G. (2015) BREAST DENSITY EVALUATION: A COMPARISON BETWEEN ASSESSMENT BY A RADIOLOGIST AND THE COMPUTER-ASSISTED THRESHOLD TECHNIQUE. Int J Surg Med, 1 (2), 48-52. doi:10.5455/ijsm.20150903063859


Turabian Style

Baitchev, George, Ivan Ivanov, Ivan Inkov, Emilia Zlateva, Zdravko Kamenov, and George Dimitrov. 2015. BREAST DENSITY EVALUATION: A COMPARISON BETWEEN ASSESSMENT BY A RADIOLOGIST AND THE COMPUTER-ASSISTED THRESHOLD TECHNIQUE. International Journal of Surgery and Medicine, 1 (2), 48-52. doi:10.5455/ijsm.20150903063859


Chicago Style

Baitchev, George, Ivan Ivanov, Ivan Inkov, Emilia Zlateva, Zdravko Kamenov, and George Dimitrov. "BREAST DENSITY EVALUATION: A COMPARISON BETWEEN ASSESSMENT BY A RADIOLOGIST AND THE COMPUTER-ASSISTED THRESHOLD TECHNIQUE." International Journal of Surgery and Medicine 1 (2015), 48-52. doi:10.5455/ijsm.20150903063859


MLA (The Modern Language Association) Style

Baitchev, George, Ivan Ivanov, Ivan Inkov, Emilia Zlateva, Zdravko Kamenov, and George Dimitrov. "BREAST DENSITY EVALUATION: A COMPARISON BETWEEN ASSESSMENT BY A RADIOLOGIST AND THE COMPUTER-ASSISTED THRESHOLD TECHNIQUE." International Journal of Surgery and Medicine 1.2 (2015), 48-52. Print. doi:10.5455/ijsm.20150903063859


APA (American Psychological Association) Style

Baitchev, G., Ivanov, . I., Inkov, . I., Zlateva, . E., Kamenov, . Z. & Dimitrov, . G. (2015) BREAST DENSITY EVALUATION: A COMPARISON BETWEEN ASSESSMENT BY A RADIOLOGIST AND THE COMPUTER-ASSISTED THRESHOLD TECHNIQUE. International Journal of Surgery and Medicine, 1 (2), 48-52. doi:10.5455/ijsm.20150903063859


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