Palpable breast lesions: utility of Doppler sonography for diagnosis of malignancy

Piñero, Antonio; Reus, Manuel; Illana, Julián; Durán, Isidro; Martínez‐Barba, Enrique; Canteras, Manuel; Parrilla, Pascual

doi:10.1016/s0960-9776(03)00103-6

Cited by 12 publications

(3 citation statements)

References 30 publications

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“…In this study, most of the malignant lesion were located in upper outer quadrant. This is similar to the study conducted by Pinero et al in which both benign and malignant lesions 13 were located in upper outer quadrant. In a study by Shahid et al, the sensi vity and specificity of ultrasound for the diagnosis of breast cancer were es mated at 95.24% and 14 68.75%, respec vely.…”

Section: Discussionsupporting

confidence: 91%

Diagnostic Accuracy of Ultrasound in Palpable Breast Lesions

Pathak¹,

Gautam²,

Bhandari³

2020

Birat J. Health Sci.

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Introduction: Breast carcinoma is the second leading cause of cancer related mortality in females around the world. Ultrasound plays a key role in differentiating cystic and solid lesions and is a convenient and non-invasive diagnostic tool to differentiate between benign and malignant lesions. Objectives: The aim of this study is to evaluate the diagnostic accuracy of ultrasound in palpable breast lesions. Methodology: A prospective cross-sectional study was carried out in patients with palpable breast lesions who presented in Department of radio diagnosis and imaging of Nobel Medical collegefor a period of one-year from February 2019- January 2020 using ultrasound. A total of 60 patientswereevaluated in the study. Sensitivity, specificity, positive predictive value, negative predictive value and accuracy were calculated. Results: Out of 60 patients evaluated, ultrasound showed 46 (76.7%) cases to be benign and 14 (23.3%) cases to be malignant. FNAC revealed benign disease in 47 (78.3%) patients and malignant disease in 13 (21.7%) patients. The most common benign lesion was fibroadenoma. We found nearly 91.7% of the malignant lesions had spiculated margins and microcalcification. The sensitivity of ultrasound was 95.74% and specificity 92.3% with diagnostic accuracy 95%. Conclusion: Ultrasound is a convenient and non-invasive diagnostic tool with good sensitivity, specificity, positive predictive value, negative predictive value and accuracy in palpable breast lesions.

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Section: Discussionsupporting

confidence: 91%

Diagnostic Accuracy of Ultrasound in Palpable Breast Lesions

Pathak¹,

Gautam²,

Bhandari³

2020

Birat J. Health Sci.

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“…Therefore, PDI possesses greater sensitivity to the flow signals in breast lesions compared to CDI (Candelaria et al 2013;Wright et al 1998). Moreover, the introduction of contrast agents may boost flow signal detection in breast lesions (Forsberg et al 2008;Piñero et al 2003;Stanzani et al 2014) but also cause a concomitant increase in artifacts. Nevertheless, the additional cost of these agents and possible side effects should be taken into consideration.…”

Section: Introductionmentioning

confidence: 99%

Application of a Novel Microvascular Imaging Technique in Breast Lesion Evaluation

Zhao

Zhou

Liu

et al. 2016

Ultrasound in Medicine & Biology

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“…(17) Since PDUS measures the amplitude of blood flow, it is angle-independent and avoids aliasing artefacts. (18,19) Although PDUS has shown great potential in predicting malignancy, (16,19,20) its use is limited by the lack of standard interpretation guidelines. Hence, we aimed to assess whether the vascular pattern of lesions can be used to predict malignancy and whether the vascular pattern of a lesion correlates with its BI-RADS category.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of solid breast lesions with power Doppler: value of penetrating vessels as a predictor of malignancy

Ibrahim¹,

Rahmat²,

Fadzli³

et al. 2016

smedj

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METHODSGreyscale ultrasonography (US) and PDUS were prospectively performed on 91 women in Malaysia with histopathologically proven breast lesions. The diagnostic accuracy of greyscale US, PDUS, and both greyscale US and PDUS was calculated and compared. RESULTSThe 91 women had 102 breast lesions (55 benign, 47 malignant). Of the 47 malignant lesions, 36 demonstrated intratumoural penetrating vessels. The sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV) of greyscale US findings in diagnosing malignancy were 100.0%, 71.4%, 74.1% and 100.0%, respectively. The presence of calcification in the breast lesion and the margin, shape and posterior acoustic features of the lesion were significant parameters in predicting malignancy (p < 0.01). The sensitivity, specificity, PPV and NPV of the presence of intratumoural penetrating vessels in predicting malignancy were 76.5%, 80.0%, 76.5% and 80.0%, respectively. When both greyscale US and PDUS were used, there was a significant correlation in predicting malignancy (p < 0.05). The specificity and PPV values of the combined greyscale US and PDUS method (89.0% and 85.7%, respectively) were higher than those of greyscale US or PDUS alone.CONCLUSION Flow patterns revealed by PDUS can be useful for differentiating benign and malignant breast lesions.The visualisation of penetrating vessels in solid breast lesions can be used to complement greyscale US findings in predicting malignancy.

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Palpable breast lesions: utility of Doppler sonography for diagnosis of malignancy

Cited by 12 publications

References 30 publications

Diagnostic Accuracy of Ultrasound in Palpable Breast Lesions

Diagnostic Accuracy of Ultrasound in Palpable Breast Lesions

Application of a Novel Microvascular Imaging Technique in Breast Lesion Evaluation

Evaluation of solid breast lesions with power Doppler: value of penetrating vessels as a predictor of malignancy

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