Analysis of normal breast tissue and of solid breast masses using three‐dimensional ultrasound mammography

Rotten, D.; Levaillant, Jean‐Marc; Zerat, Laurent

doi:10.1046/j.1469-0705.1999.14020114.x

Cited by 75 publications

(52 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The detection rate of the "hyperechoic rim sign" differs according to the tumor pathological type and was detected by the ABVS in 72.7% (32/ 44) of the benign lesions in the current study that is inconsistent with Rotten's study where the detection rate was 100% [8]. The cause may be that the tumors in the Rotten's study were all fibroadenomas, in contrast to the multiple types of tumors included in our study, and notably all four fibroadenomas (100%) were "hyperechoic rim sign" positive, a result that was consistent to Rotten's findings.…”

Section: Discussioncontrasting

confidence: 99%

“…The "hyperechoic rim sign" was first reported and described in 1999 by Rotten et al [8], who observed a complete hyperechoic rim peripherally between the mass and surrounding tissues on ultrasound coronal imaging. It was considered that the "hyperechoic rim sign" has been found in most fast-growing benign tumors, and is usually absent in the image of malignant tumors that invade into or become adhesive to the surrounding tissues [9].…”

Section: Discussionmentioning

confidence: 97%

“…Combined with the transverse and longitudinal images, the lesion and its relationship to surrounding normal tissues were vividly and clearly presented by the ABVS. Notably, in the coronal images, some of the lesions demonstrated a hypoechoic signal with a hyperechoic rim, the "hyperechoic rim sign" [8], commonly found in benign solid tumors.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

A novel application of the Automated Breast Volume Scanner (ABVS) in the diagnosis of soft tissue tumors

et al. 2015

View full text Add to dashboard Cite

Section: Discussioncontrasting

confidence: 99%

Section: Discussionmentioning

confidence: 97%

See 1 more Smart Citation

A novel application of the Automated Breast Volume Scanner (ABVS) in the diagnosis of soft tissue tumors

et al. 2015

View full text Add to dashboard Cite

“…The detection of spiculated margins has the highest value in differentiating the breast masses. The ability of three-dimensional US of rapidly imaging the breast structures in the coronal plane has been proven to increase US specificity [5]. This is particularly true for masses located in mostly fatty breasts or adjacent to the Cooper's ligaments or the superficial fascia.…”

Section: Relevance Of Technological Innovationsmentioning

confidence: 99%

Towards a more sophisticated use of breast ultrasound

Rizzatto

2001

Eur Radiol

View full text Add to dashboard Cite

The diagnostic role of breast ultrasound has been expanded along with the improvement of high-frequency transducers and digital technology. Vascular assessment has progressed enough to depict normal vascular anatomy of the breast and the lymph nodes. Pathologic vessels are seen in almost all the tumors, thus improving US sensitivity for nonpalpable carcinomas. New contrast agents will recirculate enough to search for vascular foci during a thorough investigation of both breasts and nodal stations. The US role in screening might be now revised. Many factors are now in favor of targeted US screening in dense and complex breasts and in high-risk patients. Screening sensitivity is significantly increased. Most of these US-detected tumors are small enough to be curable. Mammography and sonography together are a unique problem-solving and cost-effective tool. They can easily guide fine aspirations or larger biopsies reducing the cost of unnecessary surgical procedures. Accurate US investigations facilitate the surgical approach to a very conservative and cosmetic operation. High-resolution sonography can demonstrate the intraductal spread of tumors and their multiple foci more easily than mammography, but US diagnosis is less sensitive than magnetic resonance mammography in the evaluation of the real tumoral extent. Ductal branching has a complex pattern; therefore, intraductal spread and multifocal nodes are better demonstrated by multiplanar analysis of 3D ultrasound data volumes. Sonography can easily explore the different nodal chains. Metastatic disease is indicated by an enlarged and round shape and the absence of the echogenic hilum. Irregularities in the cortex are a very useful sign in metastatic nodes without total replacement of lymphoid tissue by neoplastic cells. These signs are very specific. A time-consuming, radiation-emitting and costly sentinel biopsy may be avoided in one of every five clinically node-negative patients. But preoperative US assessment is also important as sonography is very sensitive in patients with extensive nodal involvement that might result negative at the sentinel node procedure. New technologies and contrast agents allow perfusional studies that enhance the contrast resolution and will increase the sensitivity of US for small nodal metastases.

show abstract

“…In the coronal plane, using the retraction/star pattern sign as an indicator for malignancy and the compression pattern sign for benignancy, a sensitivity of 91% is reported by Rotten et al [40,41], a specificity of 94%, a ppv of 87%, and an npv of 96%. In daily routine diagnostic work, 4D grey-scale US did not prove to enhance true-positive results or to reduce falsepositive results.…”

Section: Discussionmentioning

confidence: 99%

Breast Sonography – 2D, 3D, 4D Ultrasound or Elastography?

et al. 2011

View full text Add to dashboard Cite

The aim of this publication is to give an answer to the question whether 2D, 3D and 4D sonography of the breast can be replaced by elastography or whether elastography is an adjunct tool to B-mode imaging. The Breast Imaging and Reporting Data System (BI-RADS) ultrasound (US) descriptors of a lesion besides vascularity are based on B-mode imaging. US elastography displays the mechanical tissue properties. This information can be obtained by freehand compression and decompression. Acoustic radiation force impulse imaging (ARFI) produces stress with lowfrequency push pulses. Manual compression by the transducer is not necessary. Shear wave elastography (SWE) is the combination of ARFI and the measurement of the consecutive shear wave propagations in the tissue. A quantification of the elasticity in kilopascal (kPa) is offered. Discussing B-mode imaging and elastography combined with the literature, elastography is seen as an addition to B-mode imaging with the potential to increase the specificity of the B-mode imaging-based BI-RADS assessment. In spite of additional elasticity information, the sensitivity remains high. A time-saving diagnostic algorithm for 2D, 3D US and elastography is described. In conclusion, it must be said that elasticity is not a stand-alone US modality able to replace 2D and 3D sonography.

show abstract

Analysis of normal breast tissue and of solid breast masses using three‐dimensional ultrasound mammography

Cited by 75 publications

References 14 publications

A novel application of the Automated Breast Volume Scanner (ABVS) in the diagnosis of soft tissue tumors

A novel application of the Automated Breast Volume Scanner (ABVS) in the diagnosis of soft tissue tumors

Towards a more sophisticated use of breast ultrasound

Breast Sonography – 2D, 3D, 4D Ultrasound or Elastography?

Contact Info

Product

Resources

About