Performed at one institution, Diagnostic or prognostic study, Prospective, Cancer, Screening, Diagnostic procedure, Ultrasound, Mammography, Breast
M. Ershtein; Moscow/RU
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 make up the majority (60% or more) and the risk of developing breast cancer is 4-6 times higher than the rest [1-5]. In 18-20% of women, tissue density does not change with the course of life (Figure 1) . Improving the efficiency of work allows to reduce the time of examination of one patient without losing the quality of the study. In some studies, there was no significant difference in efficacy between Automated breast ultrasound system (ABUS) and handheld ultrasound (HHUS) [7-9]. ABUS has several advantages, the main of which are: standardizing the examination protocol, reducing the doctor’s time spent on the study (the study performed by nurses, the doctor can directly evaluate the images and the possibility of reconstructing the image into 3 D (step-by-step assessment of coronary sections) [10-13]. Our solution was the replacement HHUS by ABUS for examination of whole volume of breast in patients with high dense breast tissue, followed by multiparameter HHUS of the identified pathological zones.
Therefore, the purpose of this study was to investigate the role of ABUS compared to HHUS in One Day Clinic in patients with high dense breast tissue.