Comparison of retraction phenomenon and BI-RADS-US descriptors in differentiating benign and malignant breast masses using an automated breast volume scanner

Zheng, Fei-Meng; Yan, Lixia; Huang, Beijian; Xia, Han-Sheng; Wang, Xi; Lü, Qing; Li, Cui-Xian; Wang, Wenping

doi:10.1016/j.ejrad.2015.07.028

Cited by 58 publications

(50 citation statements)

References 30 publications

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“…First, the number of samples in our research is smaller than in some large multicenter trials, which may have influenced the representativeness of the experimental results. Second, new techniques such as elastography, automated breast volume scanning and contrast-enhanced US could not be evaluated, although their contribution to the accuracy of the second BI-RADS US lexicon was preliminarily confirmed (Hao et al 2015;Youk et al 2013;Zhang et al 2014;Zheng et al 2015).…”

Section: Discussionmentioning

confidence: 98%

Assessment of Diagnostic Accuracy and Efficiency of Categories 4 and 5 of the Second Edition of the BI-RADS Ultrasound Lexicon in Diagnosing Breast Lesions

Wang

Lan

et al. 2016

Ultrasound in Medicine & Biology

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Section: Discussionmentioning

confidence: 98%

Assessment of Diagnostic Accuracy and Efficiency of Categories 4 and 5 of the Second Edition of the BI-RADS Ultrasound Lexicon in Diagnosing Breast Lesions

Wang

Lan

et al. 2016

Ultrasound in Medicine & Biology

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“…Our study revealed a significant difference between ABUS and HHUS in sensitivity (92.23% versus 81.55%; P = .007) but not in specificity (77.62% versus 80.04%), PPV (46.12% versus 45.90%), NPV (95.43% versus 97.96%), and accuracy (80.63% versus 80.13%; P > .05 for all). The sensitivity of ABUS was significantly higher than that of HHUS in our study ( P < .01), and the difference might be attributed to the coronal plane or “surgical view” of the ABUS, which can provide new diagnostic information (such as the retraction phenomenon; Figure ), as proven by many studies . Second, the coronal plane was better at showing the lesion margin with high resolution.…”

Section: Discussionmentioning

confidence: 50%

“…The sensitivity of ABUS was significantly higher than that of HHUS in our study (P < .01), and the difference might be attributed to the coronal plane or "surgical view" of the ABUS, which can provide new diagnostic information (such as the retraction phenomenon; Figure 4), as proven by many studies. 22 Second, the coronal plane was better at showing the lesion margin with high resolution. Ductal carcinoma in situ could be detected because of the dilated lactiferous ducts and intraluminal echoes in the coronal plane.…”

Section: Discussionmentioning

confidence: 99%

Diagnostic Performance of Automated Breast Ultrasound in Differentiating Benign and Malignant Breast Masses in Asymptomatic Women: A Comparison Study With Handheld Ultrasound

Niu

Bao

Zhu

et al. 2019

J of Ultrasound Medicine

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Objectives Our aim was to investigate the diagnostic potential of an automated breast ultrasound (ABUS) system in differentiating benign and malignant breast masses compared with handheld ultrasound (HHUS). Methods Women were randomly and proportionally selected from outpatients and underwent both HHUS and ABUS examinations. Masses with final American College of Radiology Breast Imaging Reporting and Data System categories 2 and 3 were considered benign. Masses with final Breast Imaging Reporting and Data System categories 4 and 5 were considered malignant. The diagnosis was confirmed by pathologic results or at least a 1‐year follow‐up. Automated breast US and HHUS were compared on the basis of their sensitivity, specificity, positive predictive value, negative predictive value, and accuracy. Diagnostic consistency and areas under the receiver operating characteristic curves were analyzed. The maximum diameters of masses were compared among HHUS, ABUS, and pathologic results. Results A total of 599 masses in 398 women were confirmed by pathologic results or at least a 1‐year follow‐up; 103 of 599 masses were malignant, and 496 were benign. There were no significant differences between ABUS and HHUS in terms of diagnostic accuracy (80.1% versus 80.6%), specificity (77.62% versus 80.24%), positive predictive value (46.12% versus 46.46%), and negative predictive value (97.96% versus 95.67%). There were significant differences in sensitivity (92.23% versus 82.52%; P < .01) and areas under the curve (0.85 versus 0.81; P < .05) between ABUS and HHUS. The correlation of the maximum diameter was slightly higher between ABUS and pathologic results (r = 0.885) than between HHUS and pathologic results (r = 0.855), but the difference was not significant (P > .05). Conclusions Automated breast US is better than HHUS in differentiating benign and malignant breast masses, especially with respect to specificity.

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“…The value of coronal image features has been reported by several groups (5)(6)(7)(8)(9)(10)(11)(12). Most studies focused on the retraction phenomenon, which had high specificity for breast malignancies (5)(6)(7)(8)(9)(10)(11)(12). A hyperechoic rim was often Korean kjronline.org with negative ABUS image findings were excluded.…”

Section: Introductionmentioning

confidence: 99%

Automated Breast Ultrasound: Interobserver Agreement, Diagnostic Value, and Associated Clinical Factors of Coronal-Plane Image Features

Tang

Xiang

et al. 2020

Korean J Radiol

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Objective: To evaluate the interobserver agreement, diagnostic value, and associated clinical factors of automated breast ultrasound (ABUS) coronal features in differentiating breast lesions. Materials and Methods: This study enrolled 457 pathologically confirmed lesions in 387 female (age, 46.4 ± 10.3 years), including 377 masses and 80 non-mass lesions (NMLs). The unique coronal features, including retraction phenomenon, hyper-or hypoechoic rim (continuous or discontinuous), skipping sign, and white wall sign, were defined and recorded. The interobserver agreement on image type and coronal features was evaluated. Furthermore, clinical factors, including the lesion size, distance to the nipple or skin, palpability, and the histological grade were analyzed. Results: Among the 457 lesions, 296 were malignant and 161 were benign. The overall interobserver agreement for image type and all coronal features was moderate to good. For masses, the retraction phenomenon was significantly associated with malignancies (p < 0.001) and more frequently presented in small and superficial invasive carcinomas with a low histological grade (p = 0.027, 0.002, and < 0.001, respectively). Furthermore, continuous hyper-or hypoechoic rims were predictive of benign masses (p < 0.001), whereas discontinuous rims were predictive of malignancies (p < 0.001). A hyperechoic rim was more commonly detected in masses more distant from the nipple (p = 0.027), and a hypoechoic rim was more frequently found in large superficial masses (p < 0.001 for both). For NMLs, the skipping sign was a predictor of malignancies (p = 0.040). Conclusion: The coronal plane of ABUS may provide useful diagnostic value for breast lesions.

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Comparison of retraction phenomenon and BI-RADS-US descriptors in differentiating benign and malignant breast masses using an automated breast volume scanner

Cited by 58 publications

References 30 publications

Assessment of Diagnostic Accuracy and Efficiency of Categories 4 and 5 of the Second Edition of the BI-RADS Ultrasound Lexicon in Diagnosing Breast Lesions

Assessment of Diagnostic Accuracy and Efficiency of Categories 4 and 5 of the Second Edition of the BI-RADS Ultrasound Lexicon in Diagnosing Breast Lesions

Diagnostic Performance of Automated Breast Ultrasound in Differentiating Benign and Malignant Breast Masses in Asymptomatic Women: A Comparison Study With Handheld Ultrasound

Automated Breast Ultrasound: Interobserver Agreement, Diagnostic Value, and Associated Clinical Factors of Coronal-Plane Image Features

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