Comparison of retraction phenomenon and BI-RADS-US descriptors in differentiating benign and malignant breast masses using an automated breast volume scanner

Objective: To explore inter-observer agreement on the evaluation of automated breast volume scanner (ABVS) for breast masses. Methods: A total of 846 breast masses in 630 patients underwent ABVS examinations. The imaging data were independently interpreted by senior and junior radiologists regarding the mass size ([Formula: see text][Formula: see text]cm, [Formula: see text][Formula: see text]cm and total). We assessed inter-observer agreement of BI-RADS lexicons, unique descriptors of ABVS coronal planes. Using BI-RADS 3 or 4a as a cutoff value, the diagnostic performances for 331 masses with pathological results in 253 patients were assessed. Results: The overall agreements were substantial for BI-RADS lexicons ([Formula: see text]–0.779) and the characteristics on the coronal plane of ABVS ([Formula: see text]), except for associated features ([Formula: see text]). However, the overall agreement was moderate for orientation ([Formula: see text]) for the masses [Formula: see text][Formula: see text]cm. The agreements were substantial to be perfect for categories 2, 3, 4, 5 and overall ([Formula: see text]–0.918). However, the agreements were moderate to substantial for categories 4a ([Formula: see text]), 4b ([Formula: see text]), and 4c ([Formula: see text]), except for category 4b of the masses [Formula: see text][Formula: see text]cm ([Formula: see text]). Moreover, for radiologists 1 and 2, there were no significant differences in sensitivity, specificity, accuracy, positive and negative predictive values with BI-RADS 3 or 4a as a cutoff value ([Formula: see text] for all). Conclusion: ABVS is a reliable imaging modality for the assessment of breast masses with good inter-observer agreement.

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The value of automated breast volume scanner combined with virtual touch tissue quantification in the differential diagnosis of benign and malignant breast lesions

Medicine ◽

10.1097/md.0000000000025568 ◽

2021 ◽

Vol 100 (16) ◽

pp. e25568

Author(s):

Junli Wang ◽

Hongjie Fan ◽

Yuting Zhu ◽

Chunyun Shen ◽

Banghong Qiang

Keyword(s):

Differential Diagnosis ◽

Breast Lesions ◽

Breast Volume ◽

Virtual Touch Tissue Quantification ◽

Automated Breast Volume Scanner ◽

Malignant Breast ◽

Tissue Quantification

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Diagnostic performance of the automated breast volume scanner: a systematic review of inter-rater reliability/agreement and meta-analysis of diagnostic accuracy for differentiating benign and malignant breast lesions

European Radiology ◽

10.1007/s00330-015-3759-3 ◽

2015 ◽

Vol 25 (12) ◽

pp. 3638-3647 ◽

Cited By ~ 14

Author(s):

Zheying Meng ◽

Cui Chen ◽

Yitong Zhu ◽

Shuling Zhang ◽

Cong Wei ◽

...

Keyword(s):

Systematic Review ◽

Diagnostic Accuracy ◽

Diagnostic Performance ◽

Meta Analysis ◽

Breast Lesions ◽

Breast Volume ◽

Rater Reliability ◽

Automated Breast Volume Scanner ◽

Malignant Breast

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The Value of Ultrasonography Combined with Compression Technique in Differentiation between Benign and Malignant Breast Masses

Journal of the Korean Radiological Society ◽

10.3348/jkrs.2001.44.4.539 ◽

2001 ◽

Vol 44 (4) ◽

pp. 539

Author(s):

Seong Kuk Yoon ◽

Ki Nam Lee ◽

Won Jung Jung ◽

Kyung Jin Nam

Keyword(s):

Compression Technique ◽

Breast Masses ◽

Malignant Breast

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Comparison of handheld ultrasound and automated breast ultrasound in women recalled after mammography screening

Acta Radiologica ◽

10.1177/0284185116665421 ◽

2016 ◽

Vol 58 (5) ◽

pp. 515-520 ◽

Cited By ~ 7

Author(s):

Roxanna Hellgren ◽

Paul Dickman ◽

Karin Leifland ◽

Ariel Saracco ◽

Per Hall ◽

...

Keyword(s):

Breast Cancer ◽

Mammography Screening ◽

Breast Ultrasound ◽

Breast Volume ◽

Large Area ◽

Mammographic Finding ◽

Automated Breast Volume Scanner ◽

Handheld Ultrasound ◽

Study Population ◽

Automated Breast Ultrasound

Background Automated breast volume scanner (ABVS) is an ultrasound (US) device with a wide scanner that sweeps over a large area of the breast and the acquired transverse images are sent to a workstation for reconstruction and review. Whether ABVS is as reliable as handheld US is, however, still not established. Purpose To compare the sensitivity and specificity of ABVS to handheld breast US for detection of breast cancer, in the situation of recall after mammography screening. Material and Methods A total of 113 women, five with bilateral suspicious findings, undergoing handheld breast US due to a suspicious mammographic finding in screening, underwent additional ABVS. The methods were assessed for each breast and each detected lesion separately and classified into two categories: breasts with mammographic suspicion of malignancy and breasts with a negative mammogram. Results Twenty-six cancers were found in 25 women. In the category of breasts with a suspicious mammographic finding (n = 118), the sensitivity of both handheld US and ABVS was 88% (22/25). The specificity of handheld US was 93.5% (87/93) and ABVS was 89.2% (83/93). In the category of breasts with a negative mammography (n = 103), the sensitivity of handheld US and ABVS was 100% (1/1). The specificity of handheld US was 100% (102/102) and ABVS was 94.1% (96/102). Conclusion ABVS can potentially replace handheld US in the investigation of women recalled from mammography screening due to a suspicious finding. Due to the small size of our study population, further investigation with larger study populations is necessary before the implementation of such practice.

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Axial-Shear Strain Imaging for Differentiating Benign and Malignant Breast Masses

Ultrasound in Medicine & Biology ◽

10.1016/j.ultrasmedbio.2010.07.008 ◽

2010 ◽

Vol 36 (11) ◽

pp. 1813-1824 ◽

Cited By ~ 30

Author(s):

Haiyan Xu ◽

Min Rao ◽

Tomy Varghese ◽

Amy Sommer ◽

Sara Baker ◽

...

Keyword(s):

Shear Strain ◽

Strain Imaging ◽

Breast Masses ◽

Axial Shear ◽

Malignant Breast

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Qualitative Diagnosis of Solid Breast Mass by Blood Flow in Solid Breast Mass Based on Color Doppler Ultrasound

Journal of Medical Imaging and Health Informatics ◽

10.1166/jmihi.2021.3682 ◽

2021 ◽

Vol 11 (6) ◽

pp. 1608-1615

Author(s):

Ding Zuopeng ◽

Liu Weiyong ◽

Hu Chunmei ◽

Wang Tao ◽

Wang Mingming

Keyword(s):

Breast Cancer ◽

Blood Flow ◽

Differential Diagnosis ◽

Color Doppler ◽

Flow Characteristics ◽

Flow Distribution ◽

Color Doppler Ultrasound ◽

Blood Flow Distribution ◽

Breast Masses ◽

Malignant Breast

The incidence of breast cancer ranks first among female malignant tumor. With the increase of the sensitivity of color Doppler ultrasound blood flow, the blood flow distribution in and around the tumor can be clearly displayed, and the analysis of hemodynamic parameters is provided, which provides convenience for the study of tumor blood flow characteristics. Studies have shown that tumor cells can secrete a substance called angiogenesis factor, which makes the tumor site form a rich vascular network to promote tumor growth and metastasis. The tumor has many new blood vessels, abnormal structure, thin wall, lack of muscle layer, and is prone to form arteriovenous rash. These characteristics provide a pathological basis for color Doppler flow imaging (CDFI) for the diagnosis of breast cancer. This article discusses the role of two-dimensional sonographic features in the differential diagnosis of benign and malignant breast masses, CDFI was used to study the blood flow distribution and hemodynamic characteristics in benign and malignant breast masses; explore the value of blood flow characteristics and blood flow parameters in the differential diagnosis of breast masses. The experimental results show that the detection rate of blood flow signals and the classification of blood flow signals in the malignant group are higher than those in the benign group, mainly level II and III blood flow, and the irregular branched blood flow is more common, especially when the tumor appears penetrating blood flow supports the diagnosis of malignancy. PSV, RI and PI have a certain differential meaning in the diagnosis of benign and malignant breast masses. PSV, RI and PI of malignant masses are higher than benign masses. For tumors without obvious necrosis, the larger the tumor diameter, the richer the blood flow and the higher the blood flow grade is. The malignant tumors have more blood flow than the benign ones.

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