Purpose: Speckle reduction imaging (SRI) is a newly developed technique in ultrasound examination. This study aimed to compare the diagnostic performance of SRI and non-SRI breast ultrasound examinations by using a morphology-based computer-aided diagnostic system.
Methods: One hundred ten patients with pathologically proven breast lesions were enrolled consecutively from April 2008 to October 2008. SRI and non-SRI ultrasound images were both obtained at the same examination for each patient. The regions of interest were manually sketched by an experienced physician without histological information. Nineteen practical morphologic features from the extracted contour were calculated and a support vector machine classifier identified the breast tumor as benign or malignant. Conventional binomial receiver operating characteristics curve analysis was used to represent the diagnostic performance of both SRI and non-SRI.
Results: Between SRI and non-SRI methods, there were no significant differences in the area under the receiver operating characteristics curve (Az value: 0.82 versus 0.81), the sensitivity (78.9% versus 84.2%), and the specificity (73.6% versus 70.8%).
Conclusions: Based on the morphology study, the performance of breast ultrasound in characterizing the solid breast mass as benign or malignant was not significantly improved with SRI.
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http://dx.doi.org/10.1002/jcu.20897 | DOI Listing |
Eur Radiol
January 2025
Department of Information Technology, Uppsala University, 75237, Uppsala, Sweden.
Objectives: The aim is to assess the feasibility and accuracy of a novel quantitative ultrasound (US) method based on global speed-of-sound (g-SoS) measurement using conventional US machines, for breast density assessment in comparison to mammographic ACR (m-ACR) categories.
Materials And Methods: In a prospective study, g-SoS was assessed in the upper-outer breast quadrant of 100 women, with 92 of them also having m-ACR assessed by two radiologists across the entire breast. For g-SoS, ultrasonic waves were transmitted from varying transducer locations and the image misalignments between these were then related analytically to breast SoS.
J Clin Med
December 2024
Multidisciplinary Breast Centre, Dipartimento Scienze della Salute della Donna e del Bambino e di Sanità Pubblica, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, 00168 Rome, Italy.
: B3 breast lesions, characterized by uncertain malignant potential, pose a significant challenge for clinicians. With the increasing use of preoperative biopsies, there is a need for careful management strategies, including watchful waiting, vacuum-assisted excision (VAE), and surgery. This study aims to assess the concordance between preoperative biopsy findings and postoperative histology, with a focus on evaluating the positive predictive value (PPV) for malignancy in B3 lesions.
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Department of Diagnostic Imaging, Oncologic Radiotherapy and Hematology, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, 00100 Rome, Italy.
The growing interest in minimal and non-invasive therapies, especially in the field of cancer treatment, highlights a significant shift toward safer and more effective options. Ablative therapies are well-established tools in cancer treatment, with known effects including locoregional control, while their role as modulators of the systemic immune response against cancer is emerging. The HIFU developed with magnetic resonance imaging (MRI) guidance enables treatment precision, improves real-time procedural control, and ensures accurate outcome assessment.
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Department of Diagnostic and Interventional Radiology, University Hospital Split, Spinčićeva 1, 21000 Split, Croatia.
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December 2024
Department of Physiotherapy, University Department of Health Studies, University of Split, 21000 Split, Croatia.
: Shoulder pain is a common treatment outcome in breast cancer survivors. While various risk factors and mechanisms for shoulder pain have been proposed, evidence is inconsistent. Increased risk of subacromial pain syndrome exists, which can lead to disability and reduced quality of life if untreated.
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