Ultrasound and strain elastography in evaluation of suspicious breast masses
Other Title(s)
فحص السونار و السترين الإستوجرافي في تقييم حالات أورام الثدي ذات الشبهة الخبيثة
Joint Authors
Taj al-Din, Qasim Amir Hadi
al-Musawi, Zahra Majid Abd al-Amir
al-Musawi, Hadi Muhammad Ali
Abu-Tuhayn, Ali Abd al-Kazim
Source
Issue
Vol. 14, Issue 4 (31 Dec. 2017), pp.616-626, 11 p.
Publisher
University of Babylon College of Medicine
Publication Date
2017-12-31
Country of Publication
Iraq
No. of Pages
11
Main Subjects
Abstract EN
Breast cancer is the most prevalent type of cancer in Iraq, and the commonest among females worldwide.
Ultrasound is an important widely used noninvasive modality in line with mammography and other methods for the detection and characterization of breast masses in routine clinical practice.
Elastography is a recent promising method used as an adjuvant to ultrasound that improves performance, increase the specificity of interpretation in differentiating benign from malignant breast masses based on imaging tissue stiffness.
We aim to evaluate the accuracy of ultrasound and elastography in diagnosis of suspicious malignant breast masses.
A cross sectional study was conducted in Babylon and Kerbala January 15 to August 20, 2017.
A consecutive sample of women with breast mass suggestive of malignancy were evaluated with ultrasonography and strain elastography prior to histopathological study.
The five point Tsukuba elasticity score were used for differentiation of breast masses.
Ethical approval was taken from the Research Ethical Committee in Babylon University- College of Medicine, and verbal consent was taken from each patient prior to enrolment.
A total sample of (88) females with breast mass aged 16-69 years with a mean ± SD of 41.33 ± 12.57 years.
Ultrasound diagnosed correctly (58) out of the (62) malignant breast masses with a sensitivity and specificity of 93.5% and 100% respectively.
By using strain elastography the sensitivity increased to 98.4% with same specificity of 100% were only one malignant mass was missed.
By using the ROC analysis, the Area Under the Curve and 95% confidence interval was 0.968 (0.931-1) and 0.992 (0.974-1) for ultrasound and elastography respectively.
So when elastography is used with ultrasound, it increases its sensitivity, specificity and accuracy.
Efforts needed to adapt and apply its use properly in Iraq through training programs for radiologists.
American Psychological Association (APA)
al-Musawi, Zahra Majid Abd al-Amir& Taj al-Din, Qasim Amir Hadi& al-Musawi, Hadi Muhammad Ali& Abu-Tuhayn, Ali Abd al-Kazim. 2017. Ultrasound and strain elastography in evaluation of suspicious breast masses. Medical Journal of Babylon،Vol. 14, no. 4, pp.616-626.
https://search.emarefa.net/detail/BIM-835374
Modern Language Association (MLA)
Taj al-Din, Qasim Amir Hadi…[et al.]. Ultrasound and strain elastography in evaluation of suspicious breast masses. Medical Journal of Babylon Vol. 14, no. 4 (2017), pp.616-626.
https://search.emarefa.net/detail/BIM-835374
American Medical Association (AMA)
al-Musawi, Zahra Majid Abd al-Amir& Taj al-Din, Qasim Amir Hadi& al-Musawi, Hadi Muhammad Ali& Abu-Tuhayn, Ali Abd al-Kazim. Ultrasound and strain elastography in evaluation of suspicious breast masses. Medical Journal of Babylon. 2017. Vol. 14, no. 4, pp.616-626.
https://search.emarefa.net/detail/BIM-835374
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p.624-626
Record ID
BIM-835374