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Year :2017
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Month :
March-April
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Volume :
6
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Issue :
2
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Page :
RO87 - RO92
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Role of Real Time Elastography Combined with Ultrasound for the Characterisation of Breast Masses
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Correspondence Address :
Divya Moorthy, Senthil Kumar Aiyappan, Bulabai Karpagam, Vinayagam Shanmugam,
Dr. Senthil Kumar Aiyappan,
Associate Professor, Department of Radiology,
SRM Medical College Hospital and Research Centre,
Kattangulathur, Kancheepuram-603203,
Tamil Nadu, India.
E-mail: senthilkumarpgi@yahoo.co.in
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Introduction: Introduction: Real time elastography is a relatively new imaging technique which acts as a complimentary tool in improving the diagnostic ability of ultrasound for evaluating patients with breast masses. They provide information on tissue stiffness, thereby differentiating benign from malignant lesions and hence avoiding unwanted biopsies on benign lesions.
Aim: To evaluate the role of real time elastography combined with ultrasound for the differentiation of breast masses using histological analysis as a reference standard.
Materials and Methods: The study was done in 116 patients presented to the Department of Radiology with palpable breast masses using GE Health care LOGIQ F8 ultrasound machine. All patients with focal breast mass, who gave consent to all the imaging modalities were included. Ultrasound followed by real time elastography was done and the lesions were given BIRADS score and elastography score. These patients were then subjected to breast biopsy and the results of biopsy were correlated with ultrasound and elastography.
Results: Fibroadenoma was the commonest benign lesion and ductal carcinoma was the commonest malignant lesion in our study. The sensitivity, specificity of real time elastography was 89.03%, 90.7% and sensitivity, specificity of ultrasound combined with elastography was 98.63%, 90.70% in this study.
Conclusion: Ultrasound combined with real time elastography has higher sensitivity and can avoid unnecessary breast biopsies in BIRADS III/IV lesions. Elastography can guide the exact site for biopsies and improve the number of positive breast biopsies.
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