Role of Real Time Elastography Combined with Ultrasound for the Characterisation of Breast Masses
Introduction: Real time elastography is a relatively new imaging technique which acts as a complimentary tool in improving the diagnostic ability of ultrasound for evaluating patients with breast masses. They provide information on tissue stiffness, thereby differentiating benign from malignant...
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| Format: | Article |
| Language: | English |
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JCDR Research and Publications Pvt. Ltd.
2017-04-01
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| Series: | International Journal of Anatomy Radiology and Surgery |
| Subjects: | |
| Online Access: | http://www.ijars.net/articles/PDF/2275/26373_CE[VSU]_F(GH)_PF1(VsuGH)_PFA(GH)_PF2(VsuGH).pdf |
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| author | Divya Moorthy Senthil Kumar Aiyappan Bulabai Karpagam Vinayagam Shanmugam |
| author_facet | Divya Moorthy Senthil Kumar Aiyappan Bulabai Karpagam Vinayagam Shanmugam |
| author_sort | Divya Moorthy |
| collection | DOAJ |
| description | Introduction: Real time elastography is a relatively new
imaging technique which acts as a complimentary tool in
improving the diagnostic ability of ultrasound for evaluating
patients with breast masses. They provide information
on tissue stiffness, thereby differentiating benign from
malignant lesions and hence avoiding unwanted biopsies
on benign lesions.
Aim: To evaluate the role of real time elastography combined
with ultrasound for the differentiation of breast masses
using histological analysis as a reference standard.
Materials and Methods: The study was done in 116
patients presented to the Department of Radiology with
palpable breast masses using GE Health care LOGIQ F8
ultrasound machine. All patients with focal breast mass,
who gave consent to all the imaging modalities were
included. Ultrasound followed by real time elastography
was done and the lesions were given BIRADS score and
elastography score. These patients were then subjected
to breast biopsy and the results of biopsy were correlated
with ultrasound and elastography.
Results: Fibroadenoma was the commonest benign lesion
and ductal carcinoma was the commonest malignant
lesion in our study. The sensitivity, specificity of real
time elastography was 89.03%, 90.7% and sensitivity,
specificity of ultrasound combined with elastography was
98.63%, 90.70% in this study.
Conclusion: Ultrasound combined with real time
elastography has higher sensitivity and can avoid
unnecessary breast biopsies in BIRADS III/IV lesions.
Elastography can guide the exact site for biopsies and
improve the number of positive breast biopsies. |
| first_indexed | 2024-12-20T04:01:18Z |
| format | Article |
| id | doaj.art-a5e9ae2e38e54496b9905070742f1029 |
| institution | Directory Open Access Journal |
| issn | 2277-8543 2455-6874 |
| language | English |
| last_indexed | 2024-12-20T04:01:18Z |
| publishDate | 2017-04-01 |
| publisher | JCDR Research and Publications Pvt. Ltd. |
| record_format | Article |
| series | International Journal of Anatomy Radiology and Surgery |
| spelling | doaj.art-a5e9ae2e38e54496b9905070742f10292022-12-21T19:54:10ZengJCDR Research and Publications Pvt. Ltd.International Journal of Anatomy Radiology and Surgery2277-85432455-68742017-04-0162RO87RO9210.7860/IJARS/2017/26373:2275Role of Real Time Elastography Combined with Ultrasound for the Characterisation of Breast MassesDivya Moorthy0Senthil Kumar Aiyappan1Bulabai Karpagam2Vinayagam Shanmugam3Junior Resident, Department of Radiology, SRM Medical College Hospital and Research Centre, Kattangulathur, Kancheepuram, Tamil Nadu, India.Associate Professor, Department of Radiology, SRM Medical College Hospital and Research Centre, Kattangulathur, Kancheepuram, Tamil Nadu, India.Professor, Department of Radiology, SRM Medical College Hospital and Research Centre, Kattangulathur, Kancheepuram, Tamil Nadu, India.Professor, Department of Radiology, SRM Medical College Hospital and Research Centre, Kattangulathur, Kancheepuram, Tamil Nadu, IndiaIntroduction: Real time elastography is a relatively new imaging technique which acts as a complimentary tool in improving the diagnostic ability of ultrasound for evaluating patients with breast masses. They provide information on tissue stiffness, thereby differentiating benign from malignant lesions and hence avoiding unwanted biopsies on benign lesions. Aim: To evaluate the role of real time elastography combined with ultrasound for the differentiation of breast masses using histological analysis as a reference standard. Materials and Methods: The study was done in 116 patients presented to the Department of Radiology with palpable breast masses using GE Health care LOGIQ F8 ultrasound machine. All patients with focal breast mass, who gave consent to all the imaging modalities were included. Ultrasound followed by real time elastography was done and the lesions were given BIRADS score and elastography score. These patients were then subjected to breast biopsy and the results of biopsy were correlated with ultrasound and elastography. Results: Fibroadenoma was the commonest benign lesion and ductal carcinoma was the commonest malignant lesion in our study. The sensitivity, specificity of real time elastography was 89.03%, 90.7% and sensitivity, specificity of ultrasound combined with elastography was 98.63%, 90.70% in this study. Conclusion: Ultrasound combined with real time elastography has higher sensitivity and can avoid unnecessary breast biopsies in BIRADS III/IV lesions. Elastography can guide the exact site for biopsies and improve the number of positive breast biopsies.http://www.ijars.net/articles/PDF/2275/26373_CE[VSU]_F(GH)_PF1(VsuGH)_PFA(GH)_PF2(VsuGH).pdfbiopsyductal carcinomafibroadenomahistologyimaging |
| spellingShingle | Divya Moorthy Senthil Kumar Aiyappan Bulabai Karpagam Vinayagam Shanmugam Role of Real Time Elastography Combined with Ultrasound for the Characterisation of Breast Masses International Journal of Anatomy Radiology and Surgery biopsy ductal carcinoma fibroadenoma histology imaging |
| title | Role of Real Time Elastography Combined with Ultrasound for the Characterisation of Breast Masses |
| title_full | Role of Real Time Elastography Combined with Ultrasound for the Characterisation of Breast Masses |
| title_fullStr | Role of Real Time Elastography Combined with Ultrasound for the Characterisation of Breast Masses |
| title_full_unstemmed | Role of Real Time Elastography Combined with Ultrasound for the Characterisation of Breast Masses |
| title_short | Role of Real Time Elastography Combined with Ultrasound for the Characterisation of Breast Masses |
| title_sort | role of real time elastography combined with ultrasound for the characterisation of breast masses |
| topic | biopsy ductal carcinoma fibroadenoma histology imaging |
| url | http://www.ijars.net/articles/PDF/2275/26373_CE[VSU]_F(GH)_PF1(VsuGH)_PFA(GH)_PF2(VsuGH).pdf |
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