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The value of real-time ultrasound elastography in the differential diagnosis of small single solid breast neoplasms |
LIANG Xia, WU Ze-hui, YANG Tong-ming, TANG Shi-chu, WANG Zhi-yuan, QIN Ang |
Institute of Ultrasound and Endoscopy, Hunan Tumor Hospital, Changsha 410006, China |
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Abstract Objective: To assess the diagnostic value of ultrasonographic elastography for identifying suspected malignant breast neoplasms. Materials and Methods: Eighty-five patients with small single solid breast neoplasms first underwent two-dimensional, color Doppler and power Doppler ultrasound. Then elastography was performed, and used an improved 5-point system to diagnose malignant or benign lesions. The ultrasonographic results were compared with pathologic findings. Results: Taking the elasticity score 4~5 as malignant standard, the diagnostic sensitivity was 89.18%, specificity was 89.58%, accuracy was 89.41%. The combined diagnostic sensitivity of two-dimensional, color Doppler and power Doppler ultrasound was 48.65%, specificity was 79.16%, accuracy was 65.88%. Conclusion: Real-time ultrasound elastography is a promising imaging technique that can assist in the differential diagnosis of malignant small single solid breast neoplasm.
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Received: 08 September 2010
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