Has color Doppler a role in the evaluation of mammary lesions?

Busilacchi, P; Draghi, Ferdinando; Preda, Lorenzo; Ferranti, Claudio

doi:10.1016/j.jus.2012.02.007

Cited by 23 publications

(23 citation statements)

References 11 publications

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“…In solid masses, a pattern of increased vascularization and disordered, tortuous vessels inside has been associated with angiogenesis and malignancy, and a ring pattern of vessels around masses has been associated with benignity, although the sensitivity and specificity of this sign varies widely, probably due to technical differences.…”

Section: Discussionmentioning

confidence: 99%

“…Some findings, such as the presence of tortuous afferent vessels that penetrate the inside of the mass from the periphery and disordered vessels inside the mass, are associated with malignancy, whereas others, such as the presence of peripheral vessels in the periphery of the mass and adjacent tissue, are associated with benignity, suggesting that the presence of an artery and a vein coursing in parallel in the periphery and/or interior of a solid mass is a normal anatomic finding …”

Section: Introductionmentioning

confidence: 99%

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Parallel vessels as a predictor of benignity in solid breast masses

et al. 2019

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To evaluate the presence of a parallel artery and vein on color Doppler ultrasound as a predictor of benignity in solid breast masses. This prospective study included all patients with solid breast masses identified by ultrasound at our center from January 2012 through December 2015. All masses were studied with B mode and color Doppler ultrasound. We calculated the sensitivity, specificity, positive predictive value, and negative predictive value, and their respective 95% confidence intervals for the parallel vessel sign against the histologic findings or 2 years' follow‐up without changes. A total of 526 solid masses were included in the 3‐year period; the parallel vessel sign was observed in 377 (71.6%). We found 74.8% (95% CI: 70.9‐78.7) sensitivity, 65% (95% CI: 50.2‐79.7) specificity, 96.2% (95% CI: 94.3‐98.1) positive predictive value, and 17.5% (95% CI: 11.4‐23.6) negative predictive value. Of the 379 masses classified as breast imaging reporting and data system (BI‐RADS) 3, the parallel vessel sign was observed in 275 (72.5%); all of these were definitively benign. Of the 109 masses classified as BI‐RADS 4, the parallel vessel sign was observed in 89 (80.7%); 88 (98.8%) of these were definitively benign. Of the 38 masses classified as BI‐RADS 5, the parallel vessel sign was observed in 13 (34.2%); all of these were definitively malignant. The parallel artery and vein sign is a good predictor of benignity, although it must be analyzed together with other morphologic descriptors.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Parallel vessels as a predictor of benignity in solid breast masses

et al. 2019

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“…Namun, pemeriksaan ini tidak dapat menilai vaskularisasi lesi, yang dapat memberikan informasi mengenai tumor, seperti tipe maligna, agresivitas, respon terapi, prognosis, dan probabilitas untuk bermetastasis. 1,5,6 Karsinoma payudara memiliki manifestasi klinis dan morfologi yang bervariasi, yang memiliki respon terapi yang bervariasi pula. Target terapi berdasarkan sub tipe genetik, hormonal atau imunohistokimia sekarang telah dilakukan.…”

Section: Pendahuluanunclassified

“…(3) pasien yang menolak mengikuti penelitian; (4) keadaan umum pasien tidak memungkinkan untuk menjalani prosedur pemeriksaan USG dan tidak kooperatif; (5) pasien dengan infeksi pada payudara; (6) pasien dengan implan payudara dan hematoma.…”

Section: Pendahuluanunclassified

Karakteristik morfologi penderita karsinoma payudara dengan reseptor estrogen positif dan negatif berdasarkan duplex ultrasound

et al. 2019

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Tujuan: Penelitian ini bertujuan mengetahui karakteristik morfologi dan vaskularisasi karsinoma payudara dengan reseptor estrogen positif dan negatif berdasarkan ultrasonografi grayscale dan doppler. Metode: Penelitian ini dilakukan di Bagian Radiologi RS Wahidin Sudirohusodo dan RS Pendidikan Universitas Hasanuddin Makassar pada Oktober 2018 sampai dengan Februari 2019. Penelitian ini merupakan jenis penelitian deskriptif dengan metode kajian potong lintang. Analisis data menggunakan statistik melalui uji diagnostik chi-square dan Mann-Whitney. Sampel penelitian sebanyak 40 orang dengan karsinoma payudara. Hasil: Hasil penelitian menunjukkan terdapat perbedaan rata-rata yang signifikan (p<0,05) pada morfologi akustik posterior antara reseptor estrogen positif dan negatif karena akustik posterior shadowing dominan pada reseptor estrogen positif, sedangkan akustik posterior enhancement dominan pada reseptor estrogen negatif. Morfologi akustik posterior ini hanya dapat dinilai dengan menggunakan ultrasonografi grayscale. Simpulan: Terdapat perbedaan yang signifikan pada morfologi akustik posterior dimana akustik posterior shadowing dominan pada reseptor estrogen positif, dan akustik posterior enhancement dominan pada reseptor estrogen negatif.

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“…However the descrimination of lesion into benign and malignant based on the number of blood vessels was wide of the mark 4 , as seen by a p value of 0.23.…”

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confidence: 99%

Validation of Doppler Findings in Benign and Malignant Breast Lesion – A Tertiary Care Experience.

JosephV¹,

Varghese²,

Sajitha³

2017

IJAR

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Background:-Breast cancer is the most common malignancy in female ,world wide.There is a role for screening techniques in reducing the incidence and there by morbidity of the disease. The present study aims to find out the role of Doppler findings in differentiating benign and malignant breast lesion . Materials and methods:The study was done as diagnostic test evaluation in Department of Radiodiagnosis,who came for mammogram. Fifty patients with palpable breast lesion were included in the study. Those patients with palpable breast lesion were subjected to grey scale and colour Doppler sonography. Doppler patterns were classified into four different patterns. Results: The presence of blood flow shows high sensitivity and low specificity in differentiating benign and malignant breast lesion. The degree of vascularity is more in malignant lesion. It was shown that turbulent, high impedence flow, and venous flow were seen more in malignant lesion,when compared to benign . Conclusion: Doppler by iteslf cannot characterize the lesions into benign and malignant lesion . When used in conjunction with conventional examination it can provide a more accurate diagnosis.

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Has color Doppler a role in the evaluation of mammary lesions?

Cited by 23 publications

References 11 publications

Parallel vessels as a predictor of benignity in solid breast masses

Parallel vessels as a predictor of benignity in solid breast masses

Karakteristik morfologi penderita karsinoma payudara dengan reseptor estrogen positif dan negatif berdasarkan duplex ultrasound

Validation of Doppler Findings in Benign and Malignant Breast Lesion – A Tertiary Care Experience.

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