The Addition of Automated Breast Ultrasound to Mammography in Breast Cancer Screening Decreases Stage at Diagnosis

2017 ◽  
Vol 24 (12) ◽  
pp. 1570-1574 ◽  
Author(s):  
Ian Grady ◽  
Nailya Chanisheva ◽  
Tony Vasquez
2016 ◽  
Vol 206 (6) ◽  
pp. 1341-1350 ◽  
Author(s):  
Maryellen L. Giger ◽  
Marc F. Inciardi ◽  
Alexandra Edwards ◽  
John Papaioannou ◽  
Karen Drukker ◽  
...  

2020 ◽  
Vol 53 (5) ◽  
pp. 293-300 ◽  
Author(s):  
Maria Julia Gregório Calas ◽  
Fernanda Philadelpho Arantes Pereira ◽  
Leticia Pereira Gonçalves ◽  
Flávia Paiva Proença Lobo Lopes

Abstract Objective: To evaluate the main technical limitations of automated breast ultrasound and to determine the proportion of examinations excluded. Materials and Methods: We evaluated 440 automated breast ultrasound examinations performed, over a 12-month period, by technicians using an established protocol. Results: In five cases (1.1%), the examination was deemed unacceptable for diagnostic purposes, those examinations therefore being excluded. Conclusion: Automated breast ultrasound is expected to overcome some of the major limitations of conventional ultrasound in breast cancer screening. In Brazil, this new method can be accepted for inclusion in routine clinical practice only after its advantages have been validated in the national context.


Author(s):  
Benedikt Schäfgen ◽  
Marija Juskic ◽  
Marcus Radicke ◽  
Madeleine Hertel ◽  
Richard Barr ◽  
...  

Abstract Objective The FUSION-X-US-II prototype was developed to combine 3D automated breast ultrasound (ABUS) and digital breast tomosynthesis in a single device. We evaluated the performance of ABUS and tomosynthesis in a single examination in a clinical setting. Methods In this prospective feasibility study, digital breast tomosynthesis and ABUS were performed using the FUSION-X-US-II prototype without any change of the breast position in patients referred for clarification of breast lesions with an indication for tomosynthesis. The tomosynthesis and ABUS images of the prototype were interpreted independently from the clinical standard by a breast diagnostics specialist. Any detected lesion was classified using BI-RADS® scores, and results of the standard clinical routine workup (gold standard) were compared to the result of the separate evaluation of the prototype images. Image quality was rated subjectively and coverage of the breast was measured. Results One hundred one patients received both ABUS and tomosynthesis using the prototype. The duration of the additional ABUS acquisition was 40 to 60 s. Breast coverage by ABUS was approximately 80.0%. ABUS image quality was rated as diagnostically useful in 86 of 101 cases (85.1%). Thirty-three of 34 malignant breast lesions (97.1%) were identified using the prototype. Conclusion The FUSION-X-US-II prototype allows a fast ABUS scan in combination with digital breast tomosynthesis in a single device integrated in the clinical workflow. Malignant breast lesions can be localized accurately with direct correlation of ABUS and tomosynthesis images. The FUSION system shows the potential to improve breast cancer screening in the future after further technical improvements. Key Points • The FUSION-X-US-II prototype allows the combination of automated breast ultrasound and digital breast tomosynthesis in a single device without decompression of the breast. • Image quality and coverage of ABUS are sufficient to accurately detect malignant breast lesions. • If tomosynthesis and ABUS should become part of breast cancer screening, the combination of both techniques in one device could offer practical and logistic advantages. To evaluate a potential benefit of a combination of ABUS and tomosynthesis in screening-like settings, further studies are needed.


2021 ◽  
Vol 31 (3) ◽  
pp. 251-257
Author(s):  
Pierre Céléstin Igiraneza ◽  
Lilian A. Omondi ◽  
Bellancille Nikuze ◽  
Marie Goretti Uwayezu ◽  
Margaret Fitch ◽  
...  

Introduction: Breast cancer in Rwanda is a major concern for women’s health, as most breast cancer diagnoses are made at an advanced stage. Yet, diagnosis can be done early with breast cancer screening practices. Aim: To assess factors influencing breast cancer screening practices among women of reproductive age in South Kayonza District of Rwanda. Methodology: A quantitative survey was conducted with 246 women between 16 and 49 years of age from four health centres in South Kayonza District. A structured, pretested, and self-administered questionnaire was used to assess the influence of knowledge, health facilities, and socioeconomic and cultural factors on breast screening practices among women in South Kayonza. Result: Among all respondents, 55.5% had moderate knowledge about breast cancer risk factors and 60.2% also had moderate knowledge on the influence of breast cancer screening. While 28% were knowledgeable about Breast Self-Examination (BSE), 16.4% were knowledgeable about Clinical Breast Examination (CBE) and breast ultrasound. Responses about the practice of breast screening in the last two years showed 72% of respondents had never practiced BSE and 81.3% had not used CBE or breast ultrasound scan. The main source of information about breast cancer screening was the radio, used by 30.4% of respondents. Significant relationships were found between age and marital status with breast cancer screening practices. Conclusion: This study revealed low levels of knowledge about breast cancer, breast cancer screening, and practice regarding breast cancer screening. There is a need to promote awareness of breast cancer and create a program, which can influence breast cancer screening knowledge and practice to ultimately improve health among women in south Kayonza.


2017 ◽  
Vol 63 (5) ◽  
pp. 466-474 ◽  
Author(s):  
René Aloisio da Costa Vieira ◽  
Alessandro Formenton ◽  
Silvia Regina Bertolini

Summary Objective: Identify factors related to the health system that lead to a late diagnosis of breast cancer in Brazil. Method: We performed a systematic review in the PubMed and LILACS databases using as keywords "Breast cancer," "system of health" and "Brazil or Brasil." We evaluated the content of the articles using the PRISMA methodology based on PICTOS. The final date was 12/16/2015. We were able to identify 94 publications in PubMed and 43 publications in LILACS. After assessing the title and summary, and excluding 21 repeated publications, we selected 51 publications for full evaluation. At this stage, we excluded 21 articles, with 30 publications remaining for study. Results: The population coverage is low, and there are problems related to the quality of mammography. Patients with lower income, nonwhite and less educated are more vulnerable. We observed punctual and initial experiences in breast cancer screening. Diagnosis and treatment flows must be improved. The inequality in mortality reflects the differences related to screening structure and treatment. Better results are observed in well-structured services. Conclusion: There are several barriers in the health system leading to advanced stage at diagnosis and limiting the survival outcomes. The establishment of a rapid and effective order for diagnosis and treatment, based on hierarchical flow, are important steps to be improved in the public health context.


2021 ◽  
Vol 6 (2) ◽  
pp. 35-42
Author(s):  
Sung Hun Kim

Automatic breast ultrasound (ABUS) has been developed to compensate for the shortcomings of hand-held ultrasound (HHUS) and is mainly used for breast cancer screening purposes in women with dense breasts. Since 2021, ABUS has been covered by the Korean National Health Insurance System. It is important to scan the entire breast on ABUS and to identify the poor-quality images requiring re-scanning. In addition, a general understanding of the unique ABUS display mode, distinguishing benign from malignant lesions, the diagnostic performance of breast cancer screening, and the application of computer-aided detection/diagnosis systems is necessary to use ABUS efficiently. This review explores the acquisition method, image quality, and image characteristics of ABUS to improve general understanding of this procedure and its advantages over HHUS, so that ABUS can be applied efficiently in clinical practice.


Sign in / Sign up

Export Citation Format

Share Document