Breast multiparametric ultrasound: a single-center experience.

BI-RADS Breast Doppler Elasticity imaging techniques Microvascular imaging Ultrasonography

Journal

Journal of ultrasound
ISSN: 1876-7931
Titre abrégé: J Ultrasound
Pays: Italy
ID NLM: 101315005

Informations de publication

Date de publication:
05 Aug 2024
Historique:
received: 07 04 2024
accepted: 30 06 2024
medline: 6 8 2024
pubmed: 6 8 2024
entrez: 5 8 2024
Statut: aheadofprint

Résumé

To evaluate the role of multiparametric ultrasound (mpUS) in the characterization of focal breast lesions (FBLs). This prospective study enrolled patients undergoing multiparametric breast ultrasound for FBLs. An experienced breast radiologist evaluated the following ultrasound features: US BI-RADS category, vascularization pattern (internal, vessels in rim and combined) and presence of penetrating vessels with each Doppler method (Color-Doppler, Power-Doppler, Microvascular imaging), strain ratio (SR) and Tsukuba score (TS) with Strain Elastography (SE), E A total of 139 FBLs were included with 75/139 (53.9%) benign and 64/139 (46.1%) malignant FBLs. Internal vascularization patterns (p < 0.001), penetrating vessels (p < 0.001), TS 4-5 (p < 0.001) and all 2D-SWE parameters (p < 0.001) were significantly different between benign and malignant FBLs. The BI-RADS score provided an AUC of 0.876 (95% CI 0.810-0.926) for the diagnosis of malignant FBLs. Among the 2D-SWE measurements, an excellent diagnostic performance was observed for E

Identifiants

pubmed: 39103741
doi: 10.1007/s40477-024-00944-2
pii: 10.1007/s40477-024-00944-2
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© 2024. Società Italiana di Ultrasonologia in Medicina e Biologia (SIUMB).

Références

Hooley RJ, Scoutt LM, Philpotts LE (2013) Breast ultrasonography: state of the art. Radiology 268(3):642–659
doi: 10.1148/radiol.13121606 pubmed: 23970509
Berg WA (2004) Supplemental screening sonography in dense breasts. RadiolClin North Am. 42(5):845–851
doi: 10.1016/j.rcl.2004.04.003
Svensson WE, Pandian AJ, Hashimoto H (2010) The use of breast ultrasound color Doppler vascular pattern morphology improves diagnostic sensitivity with minimal change in specificity. Ultraschall Med 31(5):466–474. https://doi.org/10.1055/s-0028-1109478
doi: 10.1055/s-0028-1109478 pubmed: 20094978
Bartolotta TV, Orlando AAM, Schillaci MI, Spatafora L, Marco MD, Matranga D, Firenze A, Cirino A, Ienzi R (2021) Ultrasonographic detection of vascularity of focal breast lesions: microvascular imaging versus conventional color and power doppler imaging. Ultrason Imaging 43(5):273–281. https://doi.org/10.1177/01617346211029542 . (Epub 2021 Jul 8)
doi: 10.1177/01617346211029542 pubmed: 34236008
Schneider BP, Miller KD (2005) Angiogenesis of breast cancer. J ClinOncol 23(8):1782–1790
doi: 10.1200/JCO.2005.12.017
Ricci P, Maggini E, Mancuso E, Lodise P, Cantisani V, Catalano C (2014) Clinical application of breast elastography: state of the art. Eur J Radiol 83(3):429–437. https://doi.org/10.1016/j.ejrad.2013.05.007
doi: 10.1016/j.ejrad.2013.05.007 pubmed: 23787274
Ophir J, Cespedes I, Ponnekanti H, Yazdi Y, Li X (1991) Elastography: a quantitative method for imaging the elasticity of biological tissues. Ultrason Imaging 13:111–134
doi: 10.1177/016173469101300201 pubmed: 1858217
Itoh A, Ueno E, Tohno E, Kamma H, Takahashi H, Shiina T et al (2006) Breast disease: clinical application of US elastography for diagnosis. Radiology 239:341–350
doi: 10.1148/radiol.2391041676 pubmed: 16484352
Park HJ, Kim SM, Yun B, Jang M, Kim B, Lee SH, Ahn HS (2020) Comparison of one- and two-region of interest strain elastography measurements in the differential diagnosis of breast masses. Korean J Radiol 21(4):431–441. https://doi.org/10.3348/kjr.2019.0479
doi: 10.3348/kjr.2019.0479 pubmed: 32193891 pmcid: 7082658
Youk JH, Gweon HM, Son EJ (2017) Shear-wave elastography in breast ultrasonography: the state of the art. Ultrasonography 36(4):300–309. https://doi.org/10.14366/usg.17024
doi: 10.14366/usg.17024 pubmed: 28513127 pmcid: 5621798
Cho N, Jang M, Lyou CY et al (2012) Distinguishing benign from malignant masses at breast US: combined US elastography and color doppler US–influence on radiologist accuracy. Radiology 262:80–90
doi: 10.1148/radiol.11110886 pubmed: 22084209
Li DD, Xu HX, Guo LH et al (2016) Combination of two-dimensional shear wave elastography with ultrasound breast imaging reporting and data system in the diagnosis of breast lesions: a new method to increase the diagnostic performance. Eur Radiol 36:3290–3300
doi: 10.1007/s00330-015-4163-8
Kapetas P, Clauser P, Woitek R, Wengert GJ, Lazar M, Pinker K, Helbich TH, Baltzer PAT (2019) Quantitative multiparametric breast ultrasound: application of contrast-enhanced ultrasound and elastography leads to an improved differentiation of benign and malignant lesions. Investig Radiol 54(5):257–264. https://doi.org/10.1097/RLI.0000000000000543
doi: 10.1097/RLI.0000000000000543
Cantisani V, David E, Barr RG, Radzina M, de Soccio V, Elia D, De Felice C, Pediconi F, Gigli S, Occhiato R, Messineo D, Fresilli D, Ballesio L, D’Ambrosio F (2021) US-elastography for breast lesion characterization: prospective comparison of US BIRADS, strain elastography and shear wave elastography. Ultraschall Med 42(5):533–540. https://doi.org/10.1055/a-1134-4937 . (Epub 2020 Apr 24; English)
doi: 10.1055/a-1134-4937 pubmed: 32330993
Barr RG, Nakashima K, Amy D et al (2015) WFUMB guidelines and recommendations for clinical use of ultrasound elastography: part 2: breast. Ultrasound Med Biol 41:1148–1160
doi: 10.1016/j.ultrasmedbio.2015.03.008 pubmed: 25795620
Bartolotta TV, Orlando AAM, Dimarco M, Zarcaro C, Ferraro F, Cirino A, Matranga D, Vieni S, Cabibi D (2022) Diagnostic performance of 2D-shear wave elastography in the diagnosis of breast cancer: a clinical appraisal of cutoff values. Radiol Med 127(11):1209–1220. https://doi.org/10.1007/s11547-022-01546-w . (Epub 2022 Sep 17)
doi: 10.1007/s11547-022-01546-w pubmed: 36114930
Mori M, Tsunoda H, Kawauchi N, Kikuchi M, Honda S, Suzuki K, Yamauchi H (2012) Elastographic evaluation of mucinous carcinoma of the breast. Breast Cancer 19(1):60–63. https://doi.org/10.1007/s12282-011-0268-3 . (Epub 2011 Jun 4)
doi: 10.1007/s12282-011-0268-3 pubmed: 21643811
Dogan BE, Turnbull LW (2012) Imaging of triple-negative breast cancer. Ann Oncol 23(Suppl 6):vi63–vi69. https://doi.org/10.1093/annonc/mds191
doi: 10.1093/annonc/mds191
World Medical Association (2013) World Medical Association Declaration of Helsinki: ethical principles for medical research involving human subjects. JAMA 310(20):2191–2194
doi: 10.1001/jama.2013.281053
Watanabe T, Kaoku S, Yamaguchi T et al (2019) Multicenter prospective study of color Doppler ultrasound for breast masses: utility of our color Doppler method. Ultrasound Med Biol 45(6):1367–1379. https://doi.org/10.1016/j.ultrasmedbio.2019.01.021
doi: 10.1016/j.ultrasmedbio.2019.01.021 pubmed: 30905536
Youden WJ (1950) Index for rating diagnostic tests. Cancer 3:32–35
doi: 10.1002/1097-0142(1950)3:1<32::AID-CNCR2820030106>3.0.CO;2-3 pubmed: 15405679
Mendelson EB, Böhm-Vélez M, Berg WA et al (2013) ACR BI-RADS
Hanahan D, Weinberg RA (2011) Hallmarks of cancer: the next generation. Cell 144:646–674
doi: 10.1016/j.cell.2011.02.013 pubmed: 21376230
Săftoiu A, Gilja OH, Sidhu PS et al (2019) The EFSUMB guidelines and recommendations for the clinical practice of elastography in non-hepatic applications: update 2018. Ultraschall Med 40(4):425–445. https://doi.org/10.1055/a-0838-9937
doi: 10.1055/a-0838-9937 pubmed: 31238377
Tang L, Wang Y, Chen P, Chen M, Jiang L (2022) Clinical use and adjustment of ultrasound elastography for breast lesions followed WFUMB guidelines and recommendations in the real world. Front Oncol 24(12):1022917. https://doi.org/10.3389/fonc.2022.1022917
doi: 10.3389/fonc.2022.1022917
Berg WA, Cosgrove DO, Doré CJ, Schäfer FK, Svensson WE, Hooley RJ, Ohlinger R, Mendelson EB, Balu-Maestro C, Locatelli M, Tourasse C, Cavanaugh BC, Juhan V, Stavros AT, Tardivon A, Gay J, Henry JP, Cohen-Bacrie C, BE1 Investigators (2012) Shear-wave elastography improves the specificity of breast US: the BE1 multinational study of 939 masses. Radiology 262(2):435–449. https://doi.org/10.1148/radiol.11110640
doi: 10.1148/radiol.11110640 pubmed: 22282182
Pesce K, Binder F, Chico MJ, Swiecicki MP, Galindo DH, Terrasa S (2020) Diagnostic performance of shear wave elastography in discriminating malignant and benign breast lesions: our experience with QelaXtoTM software. J Ultrasound 23(4):575–583. https://doi.org/10.1007/s40477-020-00481-8 . (Epub 2020 Jun 11)
doi: 10.1007/s40477-020-00481-8 pubmed: 32529557 pmcid: 7588561
Duma MM, Chiorean AR, Chiorean M, Bolboaca SD, Florea M, Feier DS, Rusu GM, Sfrangeu SA (2014) Breast diagnosis: concordance analysis between the BI-RADS classification and tsukuba sonoelastography score. Clujul Med. 87(4):250–257. https://doi.org/10.15386/cjmed-362 . (Epub 2014 Nov 12)
doi: 10.15386/cjmed-362 pubmed: 26528032 pmcid: 4620667
Elia D, Fresilli D, Pacini P, Cardaccio S, Polti G, Guiban O, Celletti I, Kutrolli E, De Felice C, Occhiato R, De Vito C, Amabile MI, De Luca A, D’Andrea V, Vergine M, Pediconi F, D’Ambrosio F, Cantisani V (2021) Can strain US-elastography with strain ratio (SRE) improve the diagnostic accuracy in the assessment of breast lesions? Preliminary results. J Ultrasound 24(2):157–163. https://doi.org/10.1007/s40477-020-00505-3 . (Epub 2020 Jul 10)
doi: 10.1007/s40477-020-00505-3 pubmed: 32651770
Cannella R, Pilato G, Mazzola M et al (2023) New microvascular ultrasound techniques: abdominal applications. Radiol med 128:1023–1034. https://doi.org/10.1007/s11547-023-01679-6
doi: 10.1007/s11547-023-01679-6 pubmed: 37495910 pmcid: 10473992
Diao X, Zhan J, Chen L, Chen Y, Cao H (2020) Role of superb microvascular imaging in differentiating between malignant and benign solid breast masses. Clin Breast Cancer 20(6):e786–e793. https://doi.org/10.1016/j.clbc.2020.06.009 . (Epub 2020 Jul 3)
doi: 10.1016/j.clbc.2020.06.009 pubmed: 32863154
Ganau S, Andreu FJ, Escribano F et al (2015) Shear-wave elastography and immunohistochemical profiles in invasive breast cancer: evaluation of maximum and mean elasticity values. Eur J Radiol 84(4):617–622. https://doi.org/10.1016/j.ejrad.2014.12.020
doi: 10.1016/j.ejrad.2014.12.020 pubmed: 25619502
Elseedawy M, Whelehan P, Vinnicombe S et al (2016) Factors influencing the stiffness of fibroadenomas at shearwave elastography. ClinRadiol 71(1):92–95

Auteurs

Calogero Zarcaro (C)

Section of Radiology, Department of Biomedicine, Neuroscience and Advanced Diagnostic (Bi.N.D.), University Hospital "Policlinico P. Giaccone", Via Del Vespro 129, 90127, Palermo, Italy. calogerozarcaro@gmail.com.

Alessia Angela Maria Orlando (AAM)

Section of Radiology, Department of Biomedicine, Neuroscience and Advanced Diagnostic (Bi.N.D.), University Hospital "Policlinico P. Giaccone", Via Del Vespro 129, 90127, Palermo, Italy.

Fabiola Ferraro (F)

Section of Radiology, Department of Biomedicine, Neuroscience and Advanced Diagnostic (Bi.N.D.), University Hospital "Policlinico P. Giaccone", Via Del Vespro 129, 90127, Palermo, Italy.

Simona Donia (S)

Section of Radiology, Department of Biomedicine, Neuroscience and Advanced Diagnostic (Bi.N.D.), University Hospital "Policlinico P. Giaccone", Via Del Vespro 129, 90127, Palermo, Italy.

Arianna Melita (A)

Section of Radiology, Department of Biomedicine, Neuroscience and Advanced Diagnostic (Bi.N.D.), University Hospital "Policlinico P. Giaccone", Via Del Vespro 129, 90127, Palermo, Italy.

Giuseppe Micci (G)

Section of Radiology, Department of Biomedicine, Neuroscience and Advanced Diagnostic (Bi.N.D.), University Hospital "Policlinico P. Giaccone", Via Del Vespro 129, 90127, Palermo, Italy.

Roberto Cannella (R)

Section of Radiology, Department of Biomedicine, Neuroscience and Advanced Diagnostic (Bi.N.D.), University Hospital "Policlinico P. Giaccone", Via Del Vespro 129, 90127, Palermo, Italy.

Tommaso Vincenzo Bartolotta (TV)

Section of Radiology, Department of Biomedicine, Neuroscience and Advanced Diagnostic (Bi.N.D.), University Hospital "Policlinico P. Giaccone", Via Del Vespro 129, 90127, Palermo, Italy.

Classifications MeSH