Effectiveness of Multimodality Imaging in Differential Diagnostics of Nonpalpable Breast Architectural Distortion
https://doi.org/10.24835/1607-0763-2017-3-133-142
Abstract
Objective: the aim of the study was to estimate the informative value of multimodality imaging in differential diagnostics of nonpalpable breast architectural distortion of different origin.
Matherials and methods. We analyzed the results of multimodality examination of 307 women with nonpalpable breast architectural distortion of different origin. They underwent mammography, handheld sonography (B-mode), compressive elastosonography, Doppler angiography, automated breast volume US-scanning, US-guided core needle biopsy (n = 115; 38%) and stereotactic core needle biopsy (n = 192; 62%), pathomorphologic analysis.
Results. Breast cancer were diagnosed in 221 (72%) women, benign lesions – in 86 (28%) women. Surgical treatment was performed In 254 (83%) cases and 31 (10%) breast lesions were removed with vacuum-assisted aspiration biopsy.
Conclusion. Multimodality imaging with the invasive procedures gave 92.5% sensitivity, 100% specificity, 100% showed positive prognosis, 72.5% negative prognosis, 93.1% accuracy index.
About the Authors
O. E. Jakobs
The National Center of Oncology of Reproductive Organs of “P.A. Herzen Moscow Oncology Research Institute” – Branch of the National Research Radiological Center
Russian Federation
Russian Federation
Olga E. Jakobs – cand. of med. sci., senior researcher in department of complex diagnostics and interventional radiology in mammology
Contact: 119121 Moscow, Pogodinskaya str., 6-1.
N. I. Rozhkova
The National Center of Oncology of Reproductive Organs of “P.A. Herzen Moscow Oncology Research Institute” – Branch of the National Research Radiological Center
Russian Federation
Nadezhda I. Rozhkova – doct. of med. sci., professor, the Head of The National Center of Oncology of Reproductive Organs
Russian Federation
Nadezhda I. Rozhkova – doct. of med. sci., professor, the Head of The National Center of Oncology of Reproductive Organs
A. D. Kaprin
The National Center of Oncology of Reproductive Organs of “P.A. Herzen Moscow Oncology Research Institute” – Branch of the National Research Radiological Center
Russian Federation
Andrey D. Kaprin – doct. of med. sci., professor, academician of the Academy of Science of Russian Federation, director
Russian Federation
Andrey D. Kaprin – doct. of med. sci., professor, academician of the Academy of Science of Russian Federation, director
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Review
For citations:
Jakobs O.E., Rozhkova N.I., Kaprin A.D. Effectiveness of Multimodality Imaging in Differential Diagnostics of Nonpalpable Breast Architectural Distortion. Medical Visualization. 2017;(3):133-142. (In Russ.) https://doi.org/10.24835/1607-0763-2017-3-133-142
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