RSNA 2007 

Abstract Archives of the RSNA, 2007


LL-BR2108-B09

Assessment of Breast Tumor with US Elastography: A New Decision Index in Breast Cancer Screening

Scientific Posters

Presented on November 25, 2007
Presented as part of LL-BR-B: Breast Imaging

Participants

Youji Tsuchie, Presenter: Nothing to Disclose
Akihiko Wada MD, Abstract Co-Author: Nothing to Disclose
Ai Kobayashi, Abstract Co-Author: Nothing to Disclose
Takeshi Yoshizako MD, Abstract Co-Author: Nothing to Disclose
Kazuaki Yoshikawa, Abstract Co-Author: Nothing to Disclose
Kazushige Oda, Abstract Co-Author: Nothing to Disclose
Takashi Katsube, Abstract Co-Author: Nothing to Disclose
Nobue Uchida MD, Abstract Co-Author: Nothing to Disclose
Hajime Kitagaki, Abstract Co-Author: Nothing to Disclose
et al, Abstract Co-Author: Nothing to Disclose
et al, Abstract Co-Author: Nothing to Disclose

PURPOSE

We evaluate US elastography findings of benign and malignant breast tumors and exhibit the boon that introduction of US elastography provides for breast cancer screening.

METHOD AND MATERIALS

Subjects of this study were 2529 females who had breast cancer screening in our institution from October, 2005 to March, 2007. All subjects received both palpation and mammography, and ultrasonography was added to subjects having breast mass lesion. Conventional US and US elastography was performed with digital US scanner (EUB-8500; Hitachi Medical, Tokyo, Japan) and 7.5MHz liner electric probe (EUP-L54M; Hitachi Medical) with a stabilizer was adapted to obtain the adequate elasticity images.

RESULTS

B-mode US to 212 breast tumors revealed necessity of biopsy in 42 (19.8%) subjects and malignant lesion was confirmed pathologically in 13 (6%) subjects. In US elastography findings of 13 malignant tumors, the intratumoral elastic decay area occupied more than 50% of all tumors area in all cases. However, in 38% (11/29) of benign tumors, the intratumoral elastic decay area was less than 50% of all tumor area. When this US elastography criteria is introduced into our breast cancer screening, 38% of the subjects with benign breast tumor may be relieved from unnecessarily invasive biopsy.

CONCLUSION

US elastography becomes a new index of breast tumor diagnosis and provides a boon for the handling of the benign breast tumor patient in breast cancer screening.

CLINICAL RELEVANCE/APPLICATION

US elastography becomes a new index of breast tumor diagnosis and introduction of US elastography to breast cancer screening provides a boon for benign breast tumor patients.

Cite This Abstract

Tsuchie, Y, Wada, A, Kobayashi, A, Yoshizako, T, Yoshikawa, K, Oda, K, Katsube, T, Uchida, N, Kitagaki, H, et al, , et al, , Assessment of Breast Tumor with US Elastography: A New Decision Index in Breast Cancer Screening.  Radiological Society of North America 2007 Scientific Assembly and Annual Meeting, November 25 - November 30, 2007 ,Chicago IL. http://archive.rsna.org/2007/5003237.html