Supine versus Prone 3D Abus Accuracy in Breast Tumor Size Evaluation

Breast-conserving surgery (BCS) with negative resection margins decreases the locoregional recurrence rate. Breast cancer size is one of the main determinants of Tumor-Node-Metastasis (TNM) staging. Our study aimed to investigate the accuracy of supine 3D automated breast ultrasound (3D ABUS) compar...

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Main Authors: Anna D’Angelo, Gianluca Gatta, Graziella Di Grezia, Sara Mercogliano, Francesca Ferrara, Charlotte Marguerite Lucille Trombadori, Antonio Franco, Alessandro Cina, Paolo Belli, Riccardo Manfredi
Format: Article
Language:English
Published: MDPI AG 2022-08-01
Series:Tomography
Subjects:
Online Access:https://www.mdpi.com/2379-139X/8/4/167
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author Anna D’Angelo
Gianluca Gatta
Graziella Di Grezia
Sara Mercogliano
Francesca Ferrara
Charlotte Marguerite Lucille Trombadori
Antonio Franco
Alessandro Cina
Paolo Belli
Riccardo Manfredi
author_facet Anna D’Angelo
Gianluca Gatta
Graziella Di Grezia
Sara Mercogliano
Francesca Ferrara
Charlotte Marguerite Lucille Trombadori
Antonio Franco
Alessandro Cina
Paolo Belli
Riccardo Manfredi
author_sort Anna D’Angelo
collection DOAJ
description Breast-conserving surgery (BCS) with negative resection margins decreases the locoregional recurrence rate. Breast cancer size is one of the main determinants of Tumor-Node-Metastasis (TNM) staging. Our study aimed to investigate the accuracy of supine 3D automated breast ultrasound (3D ABUS) compared to prone 3D ABUS in the evaluation of tumor size in breast cancer patient candidates for BCS. In this prospective two-center study (Groups 1 and 2), we enrolled patients with percutaneous biopsy-proven early-stage breast cancer, in the period between June 2019 and May 2020. Patients underwent hand-held ultrasound (HHUS), contrast-enhanced magnetic resonance imaging (CE-MRI) and 3D ABUS—supine 3D ABUS in Group 1 and prone 3D ABUS in Group 2. Histopathological examination (HE) was considered the reference standard. Bland–Altman analysis and plots were used. Eighty-eight patients were enrolled. Compared to prone, supine 3D ABUS showed better agreement with HE, with a slight tendency toward underestimation (mean difference of −2 mm). Supine 3D ABUS appears to be a useful tool and more accurate than HHUS in the staging of breast cancer.
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spelling doaj.art-d4b90f8cb3514c95a6abebdb2fc715f12023-11-23T12:59:09ZengMDPI AGTomography2379-13812379-139X2022-08-01841997200910.3390/tomography8040167Supine versus Prone 3D Abus Accuracy in Breast Tumor Size EvaluationAnna D’Angelo0Gianluca Gatta1Graziella Di Grezia2Sara Mercogliano3Francesca Ferrara4Charlotte Marguerite Lucille Trombadori5Antonio Franco6Alessandro Cina7Paolo Belli8Riccardo Manfredi9Dipartimento di Diagnostica per Immagini, Radioterapia Oncologica ed Ematologia, Fondazione Policlinico Universitario “A. Gemelli”, IRCCS, 00168 Rome, ItalyDipartimento di Medicina di Precisione, Università degli Studi della Campania “L. Vanvitelli”, 80138 Naples, ItalyDipartimento di Radiologia, Ospedale “G. Criscuoli”, 83054 San’Angelo dei Lombardi, ItalyCasa di Cura Villa dei Fiori, 80011 Acerra, ItalyDipartimento di Diagnostica per Immagini, Radioterapia Oncologica ed Ematologia, Fondazione Policlinico Universitario “A. Gemelli”, IRCCS, 00168 Rome, ItalyDipartimento di Diagnostica per Immagini, Radioterapia Oncologica ed Ematologia, Fondazione Policlinico Universitario “A. Gemelli”, IRCCS, 00168 Rome, ItalyUnità di Senologia, Dipartimento della Donna, del Bambino e di Salute Pubblica, Fondazione Policlinico Universitario “A. Gemelli”, IRCCS, 00168 Rome, ItalyDipartimento di Diagnostica per Immagini, Radioterapia Oncologica ed Ematologia, Fondazione Policlinico Universitario “A. Gemelli”, IRCCS, 00168 Rome, ItalyDipartimento di Diagnostica per Immagini, Radioterapia Oncologica ed Ematologia, Fondazione Policlinico Universitario “A. Gemelli”, IRCCS, 00168 Rome, ItalyDipartimento di Diagnostica per Immagini, Radioterapia Oncologica ed Ematologia, Fondazione Policlinico Universitario “A. Gemelli”, IRCCS, 00168 Rome, ItalyBreast-conserving surgery (BCS) with negative resection margins decreases the locoregional recurrence rate. Breast cancer size is one of the main determinants of Tumor-Node-Metastasis (TNM) staging. Our study aimed to investigate the accuracy of supine 3D automated breast ultrasound (3D ABUS) compared to prone 3D ABUS in the evaluation of tumor size in breast cancer patient candidates for BCS. In this prospective two-center study (Groups 1 and 2), we enrolled patients with percutaneous biopsy-proven early-stage breast cancer, in the period between June 2019 and May 2020. Patients underwent hand-held ultrasound (HHUS), contrast-enhanced magnetic resonance imaging (CE-MRI) and 3D ABUS—supine 3D ABUS in Group 1 and prone 3D ABUS in Group 2. Histopathological examination (HE) was considered the reference standard. Bland–Altman analysis and plots were used. Eighty-eight patients were enrolled. Compared to prone, supine 3D ABUS showed better agreement with HE, with a slight tendency toward underestimation (mean difference of −2 mm). Supine 3D ABUS appears to be a useful tool and more accurate than HHUS in the staging of breast cancer.https://www.mdpi.com/2379-139X/8/4/1673D automated breast ultrasound (ABUS)breast cancerhand-held ultrasound (HHUS)magnetic resonance imaging (MRI)breast imaging
spellingShingle Anna D’Angelo
Gianluca Gatta
Graziella Di Grezia
Sara Mercogliano
Francesca Ferrara
Charlotte Marguerite Lucille Trombadori
Antonio Franco
Alessandro Cina
Paolo Belli
Riccardo Manfredi
Supine versus Prone 3D Abus Accuracy in Breast Tumor Size Evaluation
Tomography
3D automated breast ultrasound (ABUS)
breast cancer
hand-held ultrasound (HHUS)
magnetic resonance imaging (MRI)
breast imaging
title Supine versus Prone 3D Abus Accuracy in Breast Tumor Size Evaluation
title_full Supine versus Prone 3D Abus Accuracy in Breast Tumor Size Evaluation
title_fullStr Supine versus Prone 3D Abus Accuracy in Breast Tumor Size Evaluation
title_full_unstemmed Supine versus Prone 3D Abus Accuracy in Breast Tumor Size Evaluation
title_short Supine versus Prone 3D Abus Accuracy in Breast Tumor Size Evaluation
title_sort supine versus prone 3d abus accuracy in breast tumor size evaluation
topic 3D automated breast ultrasound (ABUS)
breast cancer
hand-held ultrasound (HHUS)
magnetic resonance imaging (MRI)
breast imaging
url https://www.mdpi.com/2379-139X/8/4/167
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