Breast ultrasound: automated or hand-held? Exploring patients’ experience and preference

Mussetto, Ilaria; Gristina, Licia; Schiaffino, Simone; Tosto, Simona; Raviola, Edoardo; Calabrese, Massimo

doi:10.1186/s41747-019-0136-z

Cited by 14 publications

(10 citation statements)

References 19 publications

(26 reference statements)

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“…Compared with handheld ultrasound, ABUS can overcome the dependence on operators and improve the repeatability of inspection. In addition, it can show the structural distortion in coronal plane 7 . Shear wave elastography (SWE) is a new imaging technology based on ultrasonic imaging that can provide the tissue stiffness information 8 .…”

Section: Introductionmentioning

confidence: 99%

Automated breast volume scanning combined with shear wave elastography for diagnosis of triple-negative breast cancer and human epidermal growth factor receptor 2-positive breast cancer

Chen

RongRong

Wang

et al. 2021

Rev. Assoc. Med. Bras.

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OBJECTIVE:To explore the values of automated breast volume scanning (ABVS) combined with shear wave elastography (SWE) in the differential diagnosis of triple-negative breast cancer (TNBC) and human epidermal growth factor receptor 2-positive breast cancers (HER2+BC).METHODS: In this study, 28 patients with TNBC and 32 patients with HER2+BC were enrolled. The characteristics of ABVS and virtual touch quantification (VTQ) in SWE of all patients were reviewed. The multivariate logistic regression analysis was carried out and the receiver operating characteristic curves of ABVS and ABVS+VTQ were drawn. RESULTS:In ABVS imaging, the microcalcification, posterior echo, internal echo, shape, and edge had significant difference between TNBC and HER2+BC groups (p<0.05). The regular shape was the independent factor for TNBC (p=0.04, odds ratio [OR]=4.479), and the microcalcification in mass was the independent factor for HER2+BC (p=0.01, OR=2.997). In VTQ imaging, the shear wave velocity (SWV) max , SWV min , and SWV mean in TNBC group were significantly lower than those in HER2+BC group (p<0.001). The sensitivity, specificity, and accuracy of ABVS+VTQ in diagnosing TNBC were higher than those of ABVS alone.CONCLUSIONS: ABVS combined with SWE has certain advantages in differentiating TNBC from HER2+BC, which is helpful for the treatment planning and prognosis judgment.

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Section: Introductionmentioning

confidence: 99%

Automated breast volume scanning combined with shear wave elastography for diagnosis of triple-negative breast cancer and human epidermal growth factor receptor 2-positive breast cancer

Chen

RongRong

Wang

et al. 2021

Rev. Assoc. Med. Bras.

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“…Mussetto et al conducted their research on 79 patients who underwent a breast screening procedure with the HHUS and then with the ABUS on the same day [38]. The experience of the patients was assessed by the TMI (Testing morbidities index) questionnaire, and nine factors taken into consideration for assessing the effectiveness of both techniques.…”

Section: Comparison Of Hhus and Abusmentioning

confidence: 99%

“…Regarding the question relating to ′pain or discomfort during the test′, it was significantly higher for the ABUS (Table 4). When patients were asked which was their preferred method of screening, 32 out of 79 (40.5%) patients stated that they preferred the HHUS, whereas the ABUS was favored among 24 out of the 79 (30.4%) patients and the rest remain unbiased [38]. The ABUS screening method was less favorable given the pain and discomfort that patients had to endure during their examination, which is expected since additional pressure on the breast is necessary to obtain a high-quality image.…”

Section: Comparison Of Hhus and Abusmentioning

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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“…However, operator training for proper image acquisition, including correct patient positioning, transducer placement, coupling to the breast and compression, is required to obtain high‐quality ABUS images 27,31–34 . Additionally, ABUS has been reported as uncomfortable and painful by some women during the imaging preparation and acquisition protocol, as extreme and anisotropic (increased) breast compression is required in denser areas of the breast to obtain reliable high‐quality images 35 . Furthermore, unlike hybrid‐type systems, its current implementation in the clinic is relatively expensive, requiring a complete ABUS (ABVS)‐dedicated system and commercial workstation to be purchased and installed for its use.…”

Section: Introductionmentioning

confidence: 99%

Spatially tracked whole‐breast three‐dimensional ultrasound system toward point‐of‐care breast cancer screening in high‐risk women with dense breasts

et al. 2022

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Background Mammographic screening has reduced mortality in women through the early detection of breast cancer. However, the sensitivity for breast cancer detection is significantly reduced in women with dense breasts, in addition to being an independent risk factor. Ultrasound (US) has been proven effective in detecting small, early‐stage, and invasive cancers in women with dense breasts. Purpose To develop an alternative, versatile, and cost‐effective spatially tracked three‐dimensional (3D) US system for whole‐breast imaging. This paper describes the design, development, and validation of the spatially tracked 3DUS system, including its components for spatial tracking, multi‐image registration and fusion, feasibility for whole‐breast 3DUS imaging and multi‐planar visualization in tissue‐mimicking phantoms, and a proof‐of‐concept healthy volunteer study. Methods The spatially tracked 3DUS system contains (a) a six‐axis manipulator and counterbalanced stabilizer, (b) an in‐house quick‐release 3DUS scanner, adaptable to any commercially available US system, and removable, allowing for handheld 3DUS acquisition and two‐dimensional US imaging, and (c) custom software for 3D tracking, 3DUS reconstruction, visualization, and spatial‐based multi‐image registration and fusion of 3DUS images for whole‐breast imaging. Spatial tracking of the 3D position and orientation of the system and its joints (J1–6) were evaluated in a clinically accessible workspace for bedside point‐of‐care (POC) imaging. Multi‐image registration and fusion of acquired 3DUS images were assessed with a quadrants‐based protocol in tissue‐mimicking phantoms and the target registration error (TRE) was quantified. Whole‐breast 3DUS imaging and multi‐planar visualization were evaluated with a tissue‐mimicking breast phantom. Feasibility for spatially tracked whole‐breast 3DUS imaging was assessed in a proof‐of‐concept healthy male and female volunteer study. Results Mean tracking errors were 0.87 ± 0.52, 0.70 ± 0.46, 0.53 ± 0.48, 0.34 ± 0.32, 0.43 ± 0.28, and 0.78 ± 0.54 mm for joints J1–6, respectively. Lookup table (LUT) corrections minimized the error in joints J1, J2, and J5. Compound motions exercising all joints simultaneously resulted in a mean tracking error of 1.08 ± 0.88 mm (N = 20) within the overall workspace for bedside 3DUS imaging. Multi‐image registration and fusion of two acquired 3DUS images resulted in a mean TRE of 1.28 ± 0.10 mm. Whole‐breast 3DUS imaging and multi‐planar visualization in axial, sagittal, and coronal views were demonstrated with the tissue‐mimicking breast phantom. The feasibility of the whole‐breast 3DUS approach was demonstrated in healthy male and female volunteers. In the male volunteer, the high‐resolution whole‐breast 3DUS acquisition protocol was optimized without the added complexities of curvature and tissue deformations. With small post‐acquisition corrections for motion, whole‐breast 3DUS imaging was performed on the healthy female volunteer showing relevant anatomical structures and details. Conc...

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Breast ultrasound: automated or hand-held? Exploring patients’ experience and preference

Cited by 14 publications

References 19 publications

Automated breast volume scanning combined with shear wave elastography for diagnosis of triple-negative breast cancer and human epidermal growth factor receptor 2-positive breast cancer

Automated breast volume scanning combined with shear wave elastography for diagnosis of triple-negative breast cancer and human epidermal growth factor receptor 2-positive breast cancer

Automated Breast Ultrasound

Spatially tracked whole‐breast three‐dimensional ultrasound system toward point‐of‐care breast cancer screening in high‐risk women with dense breasts

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