Using Real‐time Tissue Elastography for Breast Lesion Evaluation

  title={Using Real‐time Tissue Elastography for Breast Lesion Evaluation},
  author={Sughra Raza and Ayodule Odulate and Eugene M. W. Ong and Sona A Chikarmane and Chad W. Harston},
  journal={Journal of Ultrasound in Medicine},
Objective. The purpose of this study was to prospectively assess the performance of real‐time tissue elastography (RTE) in the evaluation of breast masses and correlate RTE and American College of Radiology Breast Imaging Reporting and Data System (BI‐RADS) assessments with pathologic findings. Methods. Informed consent was obtained from all patients for this Health Insurance Portability and Accountability Act–compliant, Institutional Review Board–approved study. Patients with sonographically… 

Breast mass evaluation: factors influencing the quality of US elastography.

Investigation of factors influencing the quality of ultrasonographic (US) elastography in the evaluation of suspicious breast masses found breast thickness at the location of target lesions was the most important factor influencing elasticity image quality.

Stiffness of the surrounding tissue of breast lesions evaluated by ultrasound elastography

The stiffness of the surrounding tissue of malignant breast lesions was higher than that of benign lesions and has potential for breast lesion diagnosis.

Real-Time Elastography for Differentiation of Breast Lesions

RTE can play an important role in the differentiation between malignant and benign breast masses, but it should be used in conjunction with ultrasonography.

Histopathology and elastography discordance in evaluation of breast lesions with acoustic radiation force impulse elastography

Elastography is useful and sensitive in the evaluation of breast lesions, but some benign lesions may mimic malignant lesions; thus, this information should not be underestimated in biopsy decision-making for elastography users.

s hear-Wave elastography of the Breast: Value of a Quality Measure and Comparison with Strain

Addition of QM can improve SW elastography sensitivity, with no significant change in specificity, in women scheduled for breast biopsy.

Elastographic Evaluation of Indeterminate Breast Masses on Ultrasound.

  • L. GrazianoA. Bitencourt E. F. Marques
  • Medicine
    Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia
  • 2017
Elastography can be a useful complementary method, increasing the specificity and diagnostic accuracy of conventional ultrasound for the diagnosis of breast cancer in patients with indeterminate breast lesions.

Morphological analysis of breast cystic lesions in shear wave elastography

Shear wave elastography predicts breast cysts with characteristic morphology, and further research to compare it with malignant lesions is needed.



Breast disease: clinical application of US elastography for diagnosis.

For assessing breast lesions, US elastography with the proposed imaging classification, which was simple compared with that of the Breast Imaging Recording and Data System classification, had almost the same diagnostic performance as conventional US.

Breast lesions: evaluation with US strain imaging--clinical experience of multiple observers.

Results suggest that US strain imaging has the potential to aid diagnosis of breast lesions, however, manually tracing lesion boundaries for size ratio differentiation in a busy clinical setting did not match the diagnostic performance levels previously reported.

Elastography of breast lesions: initial clinical results.

Elastography has the potential to be useful in the evaluation of areas of shadowing on the sonogram and also may be helpful in the distinction of benign from malignant masses.

Differentiating benign from malignant solid breast masses with US strain imaging.

US strain imaging can facilitate improved classification of benign and malignant breast masses, however, interobserver variability and image quality influence observer performance.

Tissue Doppler and strain imaging for evaluating tissue elasticity of breast lesions.

Evaluation of elasticity based on the quantification of strain factors improves characterization of focal breast lesions, especially the differentiation of BI-RADS 3 and 4 lesions.

Nonpalpable Breast Masses: Evaluation by US Elastography

Elastography was found to have a diagnostic performance comparable to that of conventional US for the differentiation of nonpalpable breast masses, and it is concluded that BI-RADS category 4a lesions with an elasticity score of 1 probably do not require biopsy.

[Elastography of the breast: a prospective study of 122 lesions].

Elastography is a simple and rapid complementary method that can improve the specificity and the PPV of morphological imaging studies of breast nodules with a low level of suspicion (BI-RADS categories 3 and 4a), which should decrease the rate of unnecessary benign biopsies.

Elastosonography in the diagnosis of the nodular breast lesions: preliminary report.

Overall sensitivity and specificity of elastography was higher than expected, but despite the small sample and the fact that it does not include the full range of cell types, tumour cell composition seemed to affect accuracy.