Aims and objectives
The aim of this study is to assess the ability of ABUS to detect mammographically occult breast lesions at dense breasts.
Assessing the diagnostic parameters of ABUS compared to digital mammography as well as HHUS in detection of breast lesions in dense breast.
The secondary outcome is to prove the effectiveness of using ABUS as a screening tool in dense breasts in BIRADS 0 mammographic results
Methods and materials
1-Methods and Materials
This prospective study was performed in the Female Imaging Unit of the National Cancer Institute (N.C.I),
Cairo University; all the included cases gave informed consent.
The study was conducted on 59 patients with 64 lesions presented to the NCI with either palpable breast mass or as a part of early screening starting from January 2017 till July 2018.
Their ages ranged from 24 to 81 years (mean age :41 ± 10 SD years).
Three cases were represented with bilateral lesions and two...
Thisprospectivestudyincludedatotalof59patientswith64lesionspresentedtotheNCIwithbreastmasses(detectedbyclinicalexaminationorbymammographicexamination.Theiragesrangedfrom24to81years(mean age:41 ± 10 SD years).
Out of 59 patients 64 masses were detected,
36 cases(56.2%) were diagnosed as benign while 28(43.8%) cases were diagnosed as malignant.
Pathological results was used as the gold standard of reference apart from 13 lesions which were proven by to be benign by follow up(BIRADS III to BIRADS II).
Each examination (digital mammography ,ABUS and HHUS) was evaluated regarding the following criteria according to 5th edition of BIRADS lexicon.
As regarding lesions detection 25 lesions...
ABUS can detect mammographically occult breast lesions ,accurately detects lesion location and size.
It has sensitivity higher than HHUS ,but less accuracy and specificity.
it is reproducible ,non operator dependent ,and less time consuming for radiologist.
DM should be used in combination with ABUS due to the high capability of DM to detect microcalcifications.
ABUS is a new promising tool that can be implemented in dense breast workup as a screening tool as well as diagnostic tool.
Noha Abdel Shafy El Said(Professor of diagnostic and interventional radiology,National Cancer Institute,Cairo unversity).
Dr Engy Adel Aly(Lecturer ofdiagnostic and interventional radiology,Faculty of Medicine Kasr Al Aini,Cairo unversity)
Alaa Mohammed Ahmed Elmosselhy(Msc,Faculty of medicine,
Cairo University,Radiology resident ,NCI,Cairo university)