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Whole Breast Ultrasound: Comparison of the Visibility of Suspicious Lesions with Automated Breast Volumetric Scanning Versus Hand-Held Breast Ultrasound.

Publication ,  Journal Article
Kuzmiak, CM; Ko, EY; Tuttle, LA; Steed, D; Zeng, D; Yoon, SC
Published in: Acad Radiol
July 2015

RATIONALE AND OBJECTIVES: To assess how well radiologists visualize relevant features of lesions seen with automated breast volumetric scanning (ABVS) in comparison to hand-held breast ultrasound in women going to breast biopsy. MATERIALS AND METHODS: Twenty-five subjects were recruited from women who were scheduled to undergo a breast biopsy for at least one Breast Imaging-Reporting and Data System four or five lesion identified in a diagnostic setting. In this institutional review board-approved study, the subjects underwent imaging of the breast(s) of concern using a dedicated system that allowed both hand-held breast ultrasound and ABVS. Five experienced breast radiologists reviewed the 30 lesions in 25 subjects in a reader study. Each reader was asked to specify the lesion type, size, imaging features, Breast Imaging-Reporting and Data System, and suspicion of malignancy and to compare the lesion characteristics of shape and margins between the two modalities. RESULTS: Seven (23.3%) masses were malignant and 23 (76.4%) were benign. Across all lesions regardless of size or final pathology, there was no significant difference in sensitivity or specificity (P > .15) between the two modalities. For malignant lesions, the reader visualization confidence scores between the two ultrasound modalities were not significantly different (P > .1). However, analysis for nonmalignant cases showed a statistically significant increase in reader visualization confidence in lesion shape and margins (P < .001). CONCLUSIONS: Radiologists showed increased confidence in visualization of benign masses and equal confidence in suspicious masses with ABVS imaging. This information could help decrease the need for additional hand-held imaging after automated whole breast ultrasound.

Duke Scholars

Published In

Acad Radiol

DOI

EISSN

1878-4046

Publication Date

July 2015

Volume

22

Issue

7

Start / End Page

870 / 879

Location

United States

Related Subject Headings

  • Ultrasonography, Mammary
  • Sensitivity and Specificity
  • Reproducibility of Results
  • Pattern Recognition, Automated
  • Observer Variation
  • Nuclear Medicine & Medical Imaging
  • Middle Aged
  • Imaging, Three-Dimensional
  • Image Interpretation, Computer-Assisted
  • Image Enhancement
 

Citation

APA
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ICMJE
MLA
NLM
Kuzmiak, C. M., Ko, E. Y., Tuttle, L. A., Steed, D., Zeng, D., & Yoon, S. C. (2015). Whole Breast Ultrasound: Comparison of the Visibility of Suspicious Lesions with Automated Breast Volumetric Scanning Versus Hand-Held Breast Ultrasound. Acad Radiol, 22(7), 870–879. https://doi.org/10.1016/j.acra.2015.03.006
Kuzmiak, Cherie M., Eun Y. Ko, Laura A. Tuttle, Doreen Steed, Donglin Zeng, and Sora C. Yoon. “Whole Breast Ultrasound: Comparison of the Visibility of Suspicious Lesions with Automated Breast Volumetric Scanning Versus Hand-Held Breast Ultrasound.Acad Radiol 22, no. 7 (July 2015): 870–79. https://doi.org/10.1016/j.acra.2015.03.006.
Kuzmiak, Cherie M., et al. “Whole Breast Ultrasound: Comparison of the Visibility of Suspicious Lesions with Automated Breast Volumetric Scanning Versus Hand-Held Breast Ultrasound.Acad Radiol, vol. 22, no. 7, July 2015, pp. 870–79. Pubmed, doi:10.1016/j.acra.2015.03.006.
Journal cover image

Published In

Acad Radiol

DOI

EISSN

1878-4046

Publication Date

July 2015

Volume

22

Issue

7

Start / End Page

870 / 879

Location

United States

Related Subject Headings

  • Ultrasonography, Mammary
  • Sensitivity and Specificity
  • Reproducibility of Results
  • Pattern Recognition, Automated
  • Observer Variation
  • Nuclear Medicine & Medical Imaging
  • Middle Aged
  • Imaging, Three-Dimensional
  • Image Interpretation, Computer-Assisted
  • Image Enhancement