Aims and objectives
AIMS OF THE STUDY:
To determine whether adding shear-wave (SW) sonoelastographic features could improve accuracy of mammographic assessment of breast masses.
OBJECTIVES OF THE STUDY:
1.To study the sensitivity and specificity of ultrasound elastography in characterization of mammographic positive focal breast lesions and final diagnosis with histopathology.
2.Correlating echogenicity,
breast lesion density and shear wave velocity in a lesion.
Methods and materials
Study area:
The study was conducted in the Department of Radio diagnosis,
Ruby Hall Clinic,
Pune.
Equipment used: GE Logic E9 with linear probe(9hz)
Source of Data: Hospital based study enrolled for study after obtaining an informed consent
a) Study design : Prospective study.
b) Sample size : 100
A total of 100 patients referred from various Departments,
particularly departments of General Surgery & Obstetrics-Gynecology with clinically and mammographic positive breast lump were included in the study.
Inclusion Criteria
(a) Breast lesions were palpable at...
Results
The study revealed out of 100 positive lesions,
there were 75 malignant and 25 benign lesions in correlation with histopathology.
The commonest lesions occurring in our setup were intraductal carcinoma,
DCIS,
granulomatous mastitis,
intraductal papilloma,
phyloids and atypical fibroadenoma.
This prospective study assessed the accuracy of ultrasound SW elastography in differentiating benign from malignant solid breast masses.
It was conducted in Ruby Hall Clinic and achieved 98% response rate underscoring the validity of our findings.
We validated that based on mammographic BI-RADS feature analysis and...
Conclusion
We found that ultrasound shearwave elastography can differentiate between benign and malignant lesions based on their firmness.
We found statistically significant difference between B-mode and elasticity imaging with respect to sensitivity,
specificity,
positive and negative predictive values,
or the area under the receiver operating characteristic curve .
We found that adding consideration of mass softness,
as determined by using SW elastographic qualitative or quantitative features (ie,
oval shape,
E max < 80 kPa visual color of blue when the scale is set to a maximum...
Personal information
Nivedita Shrinivas Radder,
MBBS
Radiology Resident
Department of Radiology,
Grant Medical Foundation-Ruby Hall Clinic,
40-sassoon road,
Pune,
Maharashtra,
India
Email:
[email protected]
References
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Breast lesions: quantitative elastography with supersonic shear imaging--preliminary results.
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Shear-wave elastography improves the specificity of breast US: the BE1 multinational study of 939 masses.
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