The Usefulness of Color Doppler Ultrasonography In the Evaluation of Breast Mass
Journal of the Korean Radiological Society
;
: 937-941, 1997.
Article
in Korean
| WPRIM
| ID: wpr-123853
ABSTRACT
PURPOSE:
To evaluate the usefulness of color Doppler ultrasonography in the differential diagnosis of breast masses. MATERIALS ANDMETHODS:
We prospectively evaluated to pathologically proven breast lesions. Forty-three were benign (39 fibroadenomas, two papillomas and two lipoma) and 27 were malignant (25 infiltrating ductal cardinomas, one mucinous carinoma and one atypical medullary caricinoma). In 32 cases, we categorized color signal from 0 to III, according to the degree of vascularity, and analysed peak systolic velocity (PSV) and resistive index (RI).RESULTS:
Color signals of malignant lesions tended to be high grade (II, III), whereas those of benign lesions tended to be low (0, I), and the difference was statistically significant (P<0.005). In the analysis of spectral waveform , correlation between RI, PSV and malignancy was statistically significant (P<0.02). RI above 0.7 and PSV above 10 were the highest recorded values for sensitivity and specificity.CONCLUSION:
Color Doppler ultrasound is a useful modality to distinguish benign from malignant breast masses. Malignancy is suggested when the color signal is grade II or III, the resistive index is higher than 0.7, and peak systolic velocity is higher than 10cm/sec.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Papilloma
/
Breast
/
Prospective Studies
/
Ultrasonography
/
Sensitivity and Specificity
/
Fibroadenoma
/
Ultrasonography, Doppler, Color
/
Diagnosis, Differential
/
Mucins
Type of study:
Diagnostic study
/
Observational study
Language:
Korean
Journal:
Journal of the Korean Radiological Society
Year:
1997
Type:
Article
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