Ultrasound Multimodality Examination Improves the Diagnostic Efficiency of Non-Mass-Like Breast Lesions

• Published in: Sichuan da xue xue bao. Journal of Sichuan University. Yi xue ban Vol. 55; no. 5; p. 1240
• Main Authors: Wang, Huiyan, Lu, Longying, Zhang, Heqing, Wan, Xue, He, Yushuang, Luo, Honghao, Peng, Yulan, Ma, Lin, Zhao, Haina
• Format: Journal Article
• Language: Chinese
• Published: China 20.09.2024
• Subjects: Adult; Aged; Breast - diagnostic imaging; Breast - pathology; Breast Diseases - diagnostic imaging; Breast Neoplasms - diagnostic imaging; Calcinosis - diagnostic imaging; Contrast Media; Diagnosis, Differential; Elasticity Imaging Techniques - methods; Female; Humans; Middle Aged; Multimodal Imaging - methods; Retrospective Studies; ROC Curve; Ultrasonography - methods; Ultrasonography, Mammary - methods; Breast lesions; Contrast-enhanced ultrasound; Non-mass-like; Ultrasound; Acoustic radiation force impulse
• ISSN: 1672-173X
• DOI: 10.12182/20240960206

This study is focused on ultrasound multimodality examination, which refers to the combined use of three ultrasound examination modalities, ultrasound (US), acoustic radiation force impulse (ARFI) imaging, and contrast-enhanced ultrasound (CEUS). The purpose of this study is to analyze the value of applying ultrasound multimodality examination in the differential diagnosis of benign and malignant breast non-mass-like lesions (NMLs). Cases of breast NMLs were analyzed retrospectively, and the nature of all the lesions was verified by pathological examination. Based on the gray-scale ultrasound image characteristics, the cases were classified into types Ⅰ to Ⅴ, and type Ⅰ and type Ⅱ were further classified into 4 subtypes, Ⅰa, Ⅰb, Ⅱa, and Ⅱb, according to whether there was also calcification, and the proportion of malignant cases in each subtype was statistically analyzed. Logistic regression models of US, US+ARFI, US+CEUS, and US+ARFI+CEUS for the diagnosis of malignant cases were established, ROC curves were