Qualitative analysis of contrast-enhanced ultrasound in differential diagnosis of breast lesions
https://doi.org/10.24835/1607-0763-2019-1-87-96
Abstract
The objective. Revelation of informative markers of qualitative analysis CEUS in the differential diagnosis of breast lesions, determination of effectiveness CEUS in the breast cancer examination.
Materials and methods. The work is based on the results of a retrospective comparison ultrasound data with the histological results conducted in 145 women with breast lesions at the age of 17-71 years (average age was 45.5 years) from December 2017 until November 2018 year.
Results. Statistical analysis of markers of qualitative assessment CEUS showed that more important markers in the differential diagnosis were - indicators of definition of the boundaries of lesion during CEUS (Se 79,27 Sp 63,41); the velocity of accumulation of contrast agent (Se 78,05 Sp 80,95); wash-out velocity from lesion (Se 68,29 Sp 95,24).
Conclusion. Qualitative data analysis of CEUS provides to detail of breast lesions and surround tissues vascular architecture, improves differential diagnosis of breast tumors, which allows to reduce the number of additional methods of examination and biopsies, predict the volume of surgical and complex treatment.
About the Authors
Yu. V. Bikeev
National Research Center for Obstetrics, Gynecology and Perinatology
Russian Federation
Competing Interests: No conflict of interest
Russian Federation
Yuri V. Bikeev - doctor of ultrasound diagnostics department.
Academica Oparina str., 4, Moscow, Russia, 117997, Phone: +7-903-713-03-03
Competing Interests: No conflict of interest
A. N. Sencha
National Research Center for Obstetrics, Gynecology and Perinatology
Russian Federation
Competing Interests: No conflict of interest
Russian Federation
Aleksandr N. Sencha - doct. of med. sci., Head of radiology department.
Moscow
Competing Interests: No conflict of interest
V. V. Radionov
National Research Center for Obstetrics, Gynecology and Perinatology
Russian Federation
Competing Interests: No conflict of interest
Russian Federation
Valeriy V. Rodionov - doct. of med. sci., Professor, Head of breast diseases department.
MoscowCompeting Interests: No conflict of interest
L. B. Shubin
Yaroslavl’ state medical university
Russian Federation
Competing Interests: No conflict of interest
Russian Federation
Leonid B. Shubin - cand. of med. sci., Associate Professor, division of pathology.
Yaroslavl
Competing Interests: No conflict of interest
E. A. Sencha
Medical Diagnostic Center No. 9
Russian Federation
Competing Interests: No conflict of interest
Russian Federation
Ekaterina A. Sencha - doctor of ultrasound diagnostics department.
Moscow
Competing Interests: No conflict of interest
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Review
For citations:
Bikeev Yu.V., Sencha A.N., Radionov V.V., Shubin L.B., Sencha E.A. Qualitative analysis of contrast-enhanced ultrasound in differential diagnosis of breast lesions. Medical Visualization. 2019;(1):87-96. (In Russ.) https://doi.org/10.24835/1607-0763-2019-1-87-96
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