Keywords:
Breast, Oncology, Ultrasound, Diagnostic procedure, Sampling, Cancer, Calcifications / Calculi
Authors:
D. Suleimenova, R. Rakhimzhanova; Astana/KZ
DOI:
10.1594/ecr2018/C-2138
Aims and objectives
As is known,
microcalcification is one of the most pathognomonic symptoms of breast cancer in situ [1].
The "gold standard" for the identification of breast microcalcifications is digital mammography[2].
It allows detection of microcalcifications,
assessment of its distribution,
extent,
shape,
location and size[3].
Additionally,
biopsies in case of microcalcifications are performed under the X-ray control.
However,
the search for a safer and more convenient way of visualizing microcalcifications continues,
and ultrasound,
according to some authors,
has the greatest potential in diagnosing of such lesions[4].
Some authors indicate that ultrasound has a 95% sensitivity in detection of microcalcifications.
Some authors note that mammography fail to visualize calcifications of small size in dense breast,
and ultrasound can increase the sensitivity in such cases[5].
The development of ultrasound devices for the purposeful detection of microcalcifications initially led to the development of the "EMD" (easy microcalcification detection) technology,
which later developed into the "MicroPure" technology.
In a few studies conducted,
it is noted that the "MicroPure" regimen increases the ability of ultrasound to detect microcalcifications.
M.
Grygoryev et al.
examined more than 100 patients with breast mass using mammography and ultrasound in the "MicroPure" mode.
The latter more than 1.5 times increased the number of detected microcalcifications in comparison with the B-mode,
while the mammography still showed a greater number of calcifications [6].
Similar results were obtained by P.Machado et al: Despite the advantage of mammography in the detection of microcalcifications,
the "MicroPure" mode revealed more microcalcifications compared to the B-mode [7] .
Therefore,
the purpose of this study was to assess the diagnostic charastreictics of MicroPureTM technique in identifying breast microcalcifications.