Background: More recent ultrasound technique like SWE have led to better degrees of breast mass characterization by estimating tissue stiffness
based on the acoustically generated shear wave propagation speed through the tissue. To nd out the sensitivity and Aims and Objectives:
specicity of shear wave elastography in characterizing palpable breast masses using histopathology as gold standard. Materials and methods:
This prospective, cross-sectional study was from may 2020 to June 2021. All patients underwent B-mode ultrasound, SWE and USG guided core
biopsy of breast mass, BI-RADS on USG with modications by SWE assigned, cut-off values for qualitative and quantitative variables of SWE for
differentiation between benign and malignant masses were estimated. SWE ndings were corelated with histopathology.
Results: On histopathology amongst 55 patients 27 (49%) were benign and 28 (51%) were malignant. On USG, 19 were BI-RADS3 and 36 were
BI-RADS 4 (4a, n = 18; 4b, n = 14; 4c, n = 4) leading to 78.57% sensitivity and 48.15% specicity. On modied BI-RADS' using E-color and Emean/E-max, specicity improved to 66.67% and 77.78% respectively. Addition of SWE to ul Conclusion: trasound improves characterization of
BI-RADS 3 and 4a masses. E-max, E-mean and E-color are the most useful SWE parameters to differentiate between malignant and benign breast
masses