Automatic breast ultrasound: state of the art and future perspectives

Nicosia, Luca; Ferrari, Federica; Bozzini, Anna Carla; Latronico, Antuono; Trentin, Chiara; Meneghetti, Lorenza; Pesapane, Filippo; Pizzamiglio, Maria; Balesetreri, Nicola; Cassano, Enrico

doi:10.3332/ecancer.2020.1062

Cited by 13 publications

(10 citation statements)

References 52 publications

(81 reference statements)

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“…In recent years, the role of automated breast ultrasound (ABUS) has become increasingly promising. This new technology mitigates some of the main shortcomings of conventional manual ultrasound, although its use has yet to be fully established in clinical practice [96].…”

Section: Breast Ultrasoundmentioning

confidence: 99%

History of Mammography: Analysis of Breast Imaging Diagnostic Achievements over the Last Century

et al. 2023

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Breast cancer is the most common forms of cancer and a leading cause of mortality in women. Early and correct diagnosis is, therefore, essential to save lives. The development of diagnostic imaging applied to the breast has been impressive in recent years and the most used diagnostic test in the world is mammography, a low-dose X-ray technique used for imaging the breast. In the first half of the 20th century, the diagnosis was in practice only clinical, with consequent diagnostic delay and an unfavorable prognosis in the short term. The rise of organized mammography screening has led to a remarkable reduction in mortality through the early detection of breast malignancies. This historical review aims to offer a complete panorama of the development of mammography and breast imaging during the last century. Through this study, we want to understand the foundations of the pillar of radiology applied to the breast through to the most modern applications such as contrast-enhanced mammography (CEM), artificial intelligence, and radiomics. Understanding the history of the development of diagnostic imaging applied to the breast can help us understand how to better direct our efforts toward an increasingly personalized and effective diagnostic approach. The ultimate goal of imaging applied to the detection of breast malignancies should be to reduce mortality from this type of disease as much as possible. With this paper, we want to provide detailed documentation of the main steps in the evolution of breast imaging for the diagnosis of breast neoplasms; we also want to open up new scenarios where the possible current and future applications of imaging are aimed at being more precise and personalized.

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Section: Breast Ultrasoundmentioning

confidence: 99%

History of Mammography: Analysis of Breast Imaging Diagnostic Achievements over the Last Century

et al. 2023

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“…The ABUS increases reproducibility, decreases operator dependency, and shortens the physician′s time due to its reliable imaging method and valuable diagnostic information with multiplanar reconstructions. There are, however, certain limitations, such as the exclusion of the axillary regions from the field of view and the absence of tools to assess vascularity and tissue elasticity [11].…”

Section: The Automated Breast Ultrasoundmentioning

confidence: 99%

Automated Breast Ultrasound

Žaja

Matijaš

2022

Radiol. vjesn. (Online)

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Due to the growing number of breast cancer patients, an early diagnosis is important in order to reduce the mortality rate of those affected. Methods such as mammography, DBT, MRI, HHUS or ABUS are used in the detection of breast cancer. The aim of this article is to review the literature showing the basic principle of ABUS and to point out its advantages and disadvantages in relation to conventional methods of breast imaging. ABUS is a relatively new ultrasound method that performs well on patients with dense breast tissue. It reduces operator dependence and provides valuable diagnostic information with multiplanar reconstructions. Using evidence from reliable researches, studies have demonstrated that ABUS has a higher diagnostic accuracy compared to mammography, which remains the primary modality for early diagnosis of breast cancer. Applying ABUS as an adjunct to mammography during the screening test has proven effective and further confirmed the importance of their application in clinical practice. The disadvantage of the combination of ABUS and mammography was that in a large number of studies the specificity was lower compared to mammography itself. Compared to DBT, ABUS has demonstrated to have a higher diagnostic performance, with the exception that it lacks the ability to effectively detect calcifications. Although MRI seem to outperform ABUS, ABUS devices offer a cost-effective and easy to use imaging system, making it the best alternative. The HHUS technique, on the other hand, was perceived by many studies as less painful, with a shorter operative time compared to ABUS. However, the sensitivity and specificity of this screening method continues to remain inferior to ABUS. The use of artificial intelligence is becoming widely used today. As a result, the CAD software has been developed to be applied in conjunction with ABUS in order to improve the detection rate of breast cancer as well as its accuracy. The use of CAD significantly reduced image reading time and improved the overall diagnostic accuracy of ABUS. According to all the presented data, the use of ABUS medical devices in clinical practice continues to grow in importance and with the further development of technology and medicine, its full integration into healthcare systems around the world is expected.

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“…This automated technology not only speeds up the imaging process but also enhances the consistency and unbiased evaluation, enabling better identification of anomalies and potentially decreasing the inherent subjectivity in traditional handheld ultrasound tests [ 22 , 23 ]. The introduction of ABUS marks the beginning of a hopeful period in breast health diagnostics, providing a dependable and effective option that complements and improves the capabilities of handheld ultrasound in the pursuit of early breast cancer diagnosis [ 24 ].…”

Section: Introductionmentioning

confidence: 99%

Evaluating the Role of Breast Ultrasound in Early Detection of Breast Cancer in Low- and Middle-Income Countries: A Comprehensive Narrative Review

Iacob,

Stoicescu

et al. 2024

Bioengineering

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Breast cancer, affecting both genders, but mostly females, exhibits shifting demographic patterns, with an increasing incidence in younger age groups. Early identification through mammography, clinical examinations, and breast self-exams enhances treatment efficacy, but challenges persist in low- and medium-income countries due to limited imaging resources. This review assesses the feasibility of employing breast ultrasound as the primary breast cancer screening method, particularly in resource-constrained regions. Following the PRISMA guidelines, this study examines 52 publications from the last five years. Breast ultrasound, distinct from mammography, offers advantages like radiation-free imaging, suitability for repeated screenings, and preference for younger populations. Real-time imaging and dense breast tissue evaluation enhance sensitivity, accessibility, and cost-effectiveness. However, limitations include reduced specificity, operator dependence, and challenges in detecting microcalcifications. Automatic breast ultrasound (ABUS) addresses some issues but faces constraints like potential inaccuracies and limited microcalcification detection. The analysis underscores the need for a comprehensive approach to breast cancer screening, emphasizing international collaboration and addressing limitations, especially in resource-constrained settings. Despite advancements, notably with ABUS, the primary goal is to contribute insights for optimizing breast cancer screening globally, improving outcomes, and mitigating the impact of this debilitating disease.

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Automatic breast ultrasound: state of the art and future perspectives

Cited by 13 publications

References 52 publications

History of Mammography: Analysis of Breast Imaging Diagnostic Achievements over the Last Century

History of Mammography: Analysis of Breast Imaging Diagnostic Achievements over the Last Century

Automated Breast Ultrasound

Evaluating the Role of Breast Ultrasound in Early Detection of Breast Cancer in Low- and Middle-Income Countries: A Comprehensive Narrative Review

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