Use of High-Frequency Transducers in Breast Sonography

Corvino, Antonio; Varelli, Carlo; Catalano, Fabio; Cocco, Giulio; Pizzi, Andrea Delli; Boccatonda, Andrea; Corvino, Fabio; Basile, Luigi; Catalano, Orlando

doi:10.3390/jpm12121960

Cited by 23 publications

(12 citation statements)

References 18 publications

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“…CEUS has been found comparable to CT and MRI in differentiating FSLs [44,45]. Current US contrast media are blood-pool and their behaviors directly reflect the lesion perfusion, compared with the spleen parenchyma perfusion.…”

Section: Risk Of Malignancy and Pattern Recognitionmentioning

confidence: 87%

Incidental Focal Spleen Lesions: Integrated Imaging and Pattern Recognition Approach to the Differential Diagnosis

Corvino,

Granata,

Tafuri

et al. 2023

Diagnostics

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Spleen lesions and pseudolesions, detected incidentally in imaging, are not uncommon and may require further work-up. The imaging appearance of focal splenic lesions (FSLs) may not be pathognomonic, because of considerably overlapping features. Consequently, all imaging techniques lack specificity to fully characterize FSLs. Clinical correlation is mandatory, so as, first of all, to categorize the patient as having or not having a history of solid or hematologic malignancy. Nowadays, many patients have old imaging studies available for comparison and, consequently, it is important to understand if the lesion was previously present or not, and if the size is the same or has changed. In the absence of comparison studies, and with a lack of imaging features of benignity, further investigation may be necessary, using PET, biopsy, or short-term follow-up. Some algorithms have been proposed to manage incidental FSLs; however, none of these strategies has been validated by prospective studies to date. In this review we illustrate the topic of incidental FSLs and we analyze a number of published algorithms.

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Section: Risk Of Malignancy and Pattern Recognitionmentioning

confidence: 87%

Incidental Focal Spleen Lesions: Integrated Imaging and Pattern Recognition Approach to the Differential Diagnosis

Corvino,

Granata,

Tafuri

et al. 2023

Diagnostics

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“…In very recent articles, there is a controversy concerning the added value of using a gel stand-off pad and high frequency probes (>15 MHz) to better document the vascularization of breast lesions ( 32 , 33 ). The use of a gel stand-off pad serves to augment the separation between the transducer and the intended object, thereby facilitating the alignment of the object within the optimal focal region.…”

Section: Discussionmentioning

confidence: 99%

“…Notably, the introduction of 20-MHz probes has contributed substantially in this development ( 32 ). Corvino et al ( 33 ) showed that the high-frequency probe can better visualize the vascularization, nipple-areolar complex abnormalities, and superficial breast parenchyma abnormalities of breast lesions. Thus, ideally, two multifrequency linear probes should be available to perform breast examinations, one with a frequency range from 7.5 to 14 MHz (as suggested by American College of Radiology) and another with an upper frequency of 15 to 24 MHz.…”

Section: Discussionmentioning

confidence: 99%

Multimodal ultrasound imaging for diagnostic differentiation of sclerosing adenosis from invasive ductal carcinoma

Li,

Zheng,

Liu

et al. 2024

Quant Imaging Med Surg

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Background Sclerosing adenosis (SA) is a common proliferative benign lesion without atypia in the breast that may mimic invasive ductal carcinoma (IDC) on medical imaging, leading to it often being misdiagnosed and mistreated. Consequently, the purpose of this study was to assess the diagnostic value of multimodal ultrasound imaging in distinguishing SA from IDC. Methods Multimodal ultrasound imaging, including automated breast volume scan (ABVS), elasticity imaging (EI), and color Doppler flow imaging (CDFI), were performed on 120 consecutive patients comprising 122 breast lesions (54 SA, 68 IDC). All lesions were pathologically confirmed. Multimodal ultrasound imaging features were compared between the two groups. Binary logistic regression analysis based on ABVS, EI, and CDFI was conducted to formulate a logistic regression equation for differentiating SA from IDC. The diagnostic performances of ABVS, EI, CDFI, and their combination were compared by the receiver operating characteristic (ROC) curve analysis. Results The sensitivity, specificity, and accuracy of ABVS, EI, CDFI, and their combination in differentiating SA from IDC were, respectively, 75.00%, 72.22%, and 73.77%; 86.76%, 72.22%, and 80.33%; 73.53%, 64.81%, and 69.67%; and 88.24%, 74.07%, and 81.97%. Combining multimodal ultrasound imaging yielded an area under the curve (AUC) of 0.895 (95% confidence interval: 0.827–0.943), which was higher than that of ABVS, EI, and CDFI, with AUC values of 0.736, 0.795, and 0.692, respectively, and the difference was statistically significant (ABVS vs. combined model, P<0.001; CDFI vs. combined model, P<0.001; EI vs. combined model, P<0.001). There was no significant difference in the diagnostic efficacy among the three imaging modalities (ABVS vs. EI, P=0.266; ABVS vs. CDFI, P=0.4671; EI vs. CDFI, P=0.051). Compared with those in IDC, the calcification (16.67% vs. 57.35%; P<0.001) and retraction phenomena in the coronal planes (18.52% vs. 57.35%; P<0.001) were less common in patients with SA, while circumscribed margin (38.89% vs. 5.88%; P<0.001), vascularity grade 0–I (64.81% vs. 26.47%; P<0.001), and elasticity scores 1–3 (72.22% vs. 13.24%; P<0.001) were more frequently found in patients with SA. Patients with SA were significantly younger than were patients with IDC (43±11 vs. 54±11 years; P<0.001), and the lesion size was smaller in patients with SA than in those with IDC (median size 1.0 cm; interquartile range (IQR), 0.9 cm vs. median size 1.3 cm; IQR, 1.3 cm; P<0.001). Conclusions The preliminary results suggested that multimodal ultrasound imaging can imp...

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“…This comprehensive approach improves the diagnostic accuracy while also allowing for more individualized therapy planning and patient care. It also emphasizes the necessity of exploiting technology breakthroughs in breast imaging to improve patient care and results in the field of breast cancer detection and treatment [ 76 ].…”

Section: Future Directionsmentioning

confidence: 99%

Evaluating the Role of Breast Ultrasound in Early Detection of Breast Cancer in Low- and Middle-Income Countries: A Comprehensive Narrative Review

Iacob,

Stoicescu

et al. 2024

Bioengineering

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Breast cancer, affecting both genders, but mostly females, exhibits shifting demographic patterns, with an increasing incidence in younger age groups. Early identification through mammography, clinical examinations, and breast self-exams enhances treatment efficacy, but challenges persist in low- and medium-income countries due to limited imaging resources. This review assesses the feasibility of employing breast ultrasound as the primary breast cancer screening method, particularly in resource-constrained regions. Following the PRISMA guidelines, this study examines 52 publications from the last five years. Breast ultrasound, distinct from mammography, offers advantages like radiation-free imaging, suitability for repeated screenings, and preference for younger populations. Real-time imaging and dense breast tissue evaluation enhance sensitivity, accessibility, and cost-effectiveness. However, limitations include reduced specificity, operator dependence, and challenges in detecting microcalcifications. Automatic breast ultrasound (ABUS) addresses some issues but faces constraints like potential inaccuracies and limited microcalcification detection. The analysis underscores the need for a comprehensive approach to breast cancer screening, emphasizing international collaboration and addressing limitations, especially in resource-constrained settings. Despite advancements, notably with ABUS, the primary goal is to contribute insights for optimizing breast cancer screening globally, improving outcomes, and mitigating the impact of this debilitating disease.

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Use of High-Frequency Transducers in Breast Sonography

Cited by 23 publications

References 18 publications

Incidental Focal Spleen Lesions: Integrated Imaging and Pattern Recognition Approach to the Differential Diagnosis

Incidental Focal Spleen Lesions: Integrated Imaging and Pattern Recognition Approach to the Differential Diagnosis

Multimodal ultrasound imaging for diagnostic differentiation of sclerosing adenosis from invasive ductal carcinoma

Evaluating the Role of Breast Ultrasound in Early Detection of Breast Cancer in Low- and Middle-Income Countries: A Comprehensive Narrative Review

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