Purpose
One Day Clinic allows to detect breast cancer quickly and effectively. A feature of the work in One Day Clinic is the principle “one patient - one doctor”. The doctor performs all diagnostic procedures, including contrast studies and biopsy on the day of treatment. On average, examination of one patient takes up to 1 hour. High dense breast makes it difficult to detect lesions, requires the use of additional diagnostic methods and increases the examination time. It is known that women with dense breast tissue...
Methods and materials
The study was conducted between January and June 2018 on the basis of the Federal Breast CareCenter of The Russian Scientific Center of Roentgenoradiology Russian Ministries of Healthcare and involved 242 women with high dense breast tissue (С, D BI-RADS 2013) aged 27 to 83 years (mean age 47.0).
Standard digital mammography (MG) was performed at Amulet (Fujifilm, Japan) in two standard projections: medio-lateral and cranio-caudal, in 7.5% of cases an additional lateral projection either. Evaluation of mammograms was carried out at the workstation by...
Results
Results were categorized by BI-RADS and nosology. Diagram 1 (Figure 2) shows that the majority of patients were classified as healthy - 26% and with benign non-mass changes – 41% (cysts, etc.). Benign mass lesions (fibroadenomas, etc.) were detected in 21% of cases. Malignant lesions were detected in 12%, including one DCIS and two IDC up to 0.5 cm.
Compliance of the results of HHUS and ABUS was 95.45% (p
Conclusion
Diagnostic value of ABUS as an additional to mammography method is comparable to the HHUS in patients with high dense breasts. Reduction of time spent by the doctor on interpretation and description, standardization of the study protocol and further follow up allows to use ABUS as an additional method after mammography in One Day Clinic.
Personal information and conflict of interest
M. Ershtein; Moscow/RU - nothing to disclose
References
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4.Ursin G., Ma H., Wu A.H., et al. Mammographic density and breast cancer in...