Breast ultrasound nowadays: an individualized technique

Congress:

ECR 2019

Poster Number:

C-2856

Type:

Educational Exhibit

Keywords:

Education and training, Technical aspects, Ultrasound-Power Doppler, Ultrasound, Elastography, Breast

Authors:

C. Sobrido Sampedro¹, A. Elizalde², L. J. Pina Insausti³, V. M. Suárez Vega¹, A. alonso¹, F. M. Caballeros³, B. Alvarez de Sierra Garcia¹, G. Gallardo Madueño¹; ¹Madrid/ES, ²PAMPLONA, NA/ES, ³PAMPLONA/ES

DOI:

10.26044/ecr2019/C-2856

DOI-Link:

https://dx.doi.org/10.26044/ecr2019/C-2856

Fig. 2: In large breast, the 9Mhz frequency is used.

Fig. 3: In small breast, a higher frequency transducer is used (15 MHz).

Fig. 4: Pectoralis muscle is visualized along the posterior margin of the field of view.

Fig. 5: Images in 63-year-old-woman with left breast nodule. (A) Gray-scale US image...

Learning objectives

To acquire the knowledge to adjust technical parameters individualized in every patient, according to breast characteristics. To learn to set the technical parameters in every breast lesion and to use the resources needed for best diagnostic accuracy.

Background

The technical advances in the field have made breast sonography an essential component of the breast imaging evaluation. For a high quality diagnosis, a good ultrasound technique is required. It is extremely important consider that technology parameters in breast ultrasound changes according to patient, location, indication and type of lesion. We will show some tips using the last advances, to adapt the technology to the clinical peculiarities.

Findings and procedure details

Ultrasound (US) is operator dependent, breast ultrasound even more so. Careful attention to scanning technique as well as knowledge of different technical options available are imperative for an optimized and accurate breast US examination. US must be interactive, dynamic modality and individualized technique. Positioning. First of all, correct patient position is essential, with the patient´s arm relaxed and flexed behind the head. Supine position is selected to study medial or inferior lesions. To study superior lesions the patient is in supine or sitting and opposite...

Conclusion

It is extremely important to individualize and adjust the technical parameters in breast ultrasound in every patient and every lesion, to obtain higher accuracy diagnostic.

Personal information

Contact details: Carolina Sobrido MD, PhD Breast Cancer Unit. Department of Radiology, Clinica Universidad de Navarra, Marquesado de Santa Marta, 1, Madrid, Spain. Email: [email protected]

References

1. Gokalp G, Topal U, Kizilkaya E. Power Doppler sonography: Anything to add to BI-RADS US in solid breast masses? European Journal of Radiology , 2009; Volume 70 , Issue 1 , 77 – 85. 2. Hooley RJ, Scoutt LM, Philpotts LE. Breast ultrasonography: State of the Art. Radiology: Volume 268: Number 3. September 2013. 3. Kazimierz T. et al. Tissue Harmonic Imaging in breast ultrasound. J Ultrasound Med 2003, 22:479–487 4. Kremkau FW. Sonography principles and instruments.8th ed.St Louis, Mo: Elsevier-Saunders,2011. 5. Stavros AT....