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The use of unenhanced Doppler sonography in the evaluation of solid breast lesions.
- Source :
-
AJR. American journal of roentgenology [AJR Am J Roentgenol] 2005 Jun; Vol. 184 (6), pp. 1788-94. - Publication Year :
- 2005
-
Abstract
- Objective: The objectives of our study were to investigate differences in Doppler sonography features between benign and malignant breast lesions and between malignant lesions with different prognostic factors and to propose diagnostic criteria for Doppler sonography of breast lesions.<br />Subjects and Methods: We performed power and duplex Doppler sonography examinations in 826 breast lesions scheduled for sonographically guided core needle biopsy. Lesion vascularity, pulsatility index (PI), and resistive index (RI) of the vessels detected were analyzed and correlated with histologic results.<br />Results: Color flow was more frequently seen in malignant (237/348 lesions, 68%) than in benign (171/478, 36%) lesions (p < 0.001). However, sensitivity, specificity, and positive and negative predictive values for this sign were low (68%, 64%, 58%, and 73%, respectively). The RI and PI values were significantly higher (p < 0.001) in cancers. Although an overlap in these values between benign and malignant lesions was observed, all but one nodule with an RI of greater than 0.99 (those with null or inverted diastolic flow) or a PI of greater than 4 were malignant. No significant relationship was found between PI, RI, or flow visualization on power Doppler sonography and tumor grade or lymph node involvement in cancers.<br />Conclusion: Flow visualization on power Doppler sonography indicates a higher possibility of malignancy but is not useful as the main sign for malignancy. However, any lesion with a vessel that has an RI value greater than 0.99 or a PI value greater than 4 within it must be considered as probably malignant regardless of any other sonography sign present. Doppler findings are not useful to predict tumor grade or lymph node involvement.
- Subjects :
- Adult
Aged
Biopsy, Needle
Breast blood supply
Breast pathology
Breast Neoplasms blood supply
Female
Humans
Middle Aged
Neovascularization, Pathologic
Predictive Value of Tests
Prognosis
Prospective Studies
Sensitivity and Specificity
Ultrasonography, Doppler
Ultrasonography, Mammary
Breast Neoplasms diagnostic imaging
Subjects
Details
- Language :
- English
- ISSN :
- 0361-803X
- Volume :
- 184
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- AJR. American journal of roentgenology
- Publication Type :
- Academic Journal
- Accession number :
- 15908531
- Full Text :
- https://doi.org/10.2214/ajr.184.6.01841788