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academies
Archives of General Internal Medicine | Volume 2
&
April 04-05, 2018 | Miami, USA
International Conference on
Internal Medicine & Practice and Primary Care
International Meeting on
Breast Pathology & Cancer Diagnosis
Introduction
: Elastography is a non-invasive medical imaging
technique that detects tumors based on their stiffness
(elasticity). Strain images display the relative stiffness of
lesions compared with the stiffness of surrounding tissue
as cancerous tumors tend to be many times stiffer than the
normal tissue, which gives under compression.
Purpose
: The purpose of the study is to prospectively
evaluate the sensitivity and specificity of the real-time
sonoelastography as compared with B-mode US for
distinguishing between benign and malignant breast lesions.
Methods
: The study was conducted on 80 patients, with 144
lesions and each patient was subjected to complete history
taking, thorough clinical examination. Then all patients had
conventional US and elastography while 68 patients had
mammography.
Results
: Among the 80 patients, had sensitivity and specificity
of the elastography test in breast lesions according to the
elastography score were 80%, 80.95% respectively. While
sensitivity and specificity of conventional B mode US were
80%, 76% respectively. Yet the combined B mode US and US
elastography showed sensitivity and specificity of 86.6%, and
90.4% respectively.
Conclusion
: Elastography is not used independently but in
the same session of ultrasound taking about five minutes
more than the conventional ultrasound examination as an
additional role for conventional ultrasound examination in an
attempt to increase and improve the accuracy of diagnostic
efficiency assessed by the BIRADs scoring system and not as
a separate examination.
e:
mhzahran@link.netThe role of ultrasound elastography in evaluation of breast masses
Mohamed H Zahran, Mohamed El-Shafei, Doaa M Emara
and
Samar M Eshiba
Alexandria University, Egypt