The Contribution of Sonoelastography to the Diagnosis and Correlation of Strain Index Values with Pathological Subgroups in Fibroepithelial Breast Lesions

Introduction:Fibroepithelial lesions are the most common benign lesions of the breast. When detected by mammography and ultrasonography (USG), the limitations of these examinations and the goal of diagnosing malignant lesions at an early stage may lead to off-label biopsies. Unnecessary biopsy proce...

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Autores principales:	Fatma Can, Kevser Esmeray Çifci, Mehmet Ali Nazlı
Formato:	article
Lenguaje:	EN
Publicado:	Galenos Yayinevi 2021
Materias:	ultrasonography us elastography fibroepithelial lesion fibroadenoma Medicine R
Acceso en línea:	https://doaj.org/article/9b82b76b9f9242c89a07ca25b5cefd6b
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spelling	oai:doaj.org-article:9b82b76b9f9242c89a07ca25b5cefd6b2021-11-23T10:25:25ZThe Contribution of Sonoelastography to the Diagnosis and Correlation of Strain Index Values with Pathological Subgroups in Fibroepithelial Breast Lesions2619-97932148-094X10.4274/imj.galenos.2021.84453https://doaj.org/article/9b82b76b9f9242c89a07ca25b5cefd6b2021-11-01T00:00:00Z http://istanbulmedicaljournal.org/archives/archive-detail/article-preview/the-contribution-of-sonoelastography-to-the-diagno/49715 https://doaj.org/toc/2619-9793https://doaj.org/toc/2148-094XIntroduction:Fibroepithelial lesions are the most common benign lesions of the breast. When detected by mammography and ultrasonography (USG), the limitations of these examinations and the goal of diagnosing malignant lesions at an early stage may lead to off-label biopsies. Unnecessary biopsy procedures can be avoided by developing additional reliable methods to complement existing diagnostic procedures. For more accurate characterization of breast lesions, US elastography is used, which gives information about elasticity and deformability of the tissue. In our study, we aimed to determine the contribution of elastography to the diagnosis in the evaluation of fibroepithelial lesions of the breast with USG and to determine the relationship between strain index (SI) values and pathological subgroups.Methods:Our study included 160 lesions in 105 patients who were diagnosed with pathologically proven fibroepithelial lesion in the Radiology Clinic of İstanbul Training and Research Hospital between September 2013 and November 2014, or who were followed up for at least two years with no pathology and whose radiological appearance was interpreted in favor of fibroadenoma (FA). Voluntary consent form and ethics committee approval for the study were obtained from the patients. USG examinations were performed with a 13-18 MHz linear high resolution volumetric probe. Considering the color map obtained in the elastography evaluation, different measurements were made from the hardest areas in the mass.Results:In the sonoelastographic evaluation of fibroepithelial lesions, the median mean SI value was calculated as 3.30 (between: 0.35 and 28.80). The SI value was found to be higher in complex FAs than in other subgroups. It was observed that the mean size decreased as the age group got older. A statistically significant positive correlation was found between elastography stiffness index and size (p<0.0001, Pearson correlation index 0.643).Conclusion:We think that US elastography contributes to morphological USG findings in the evaluation of fibroepithelial lesions of the breast and can guide the biopsy decision correctly.Fatma CanKevser Esmeray ÇifciMehmet Ali NazlıGalenos Yayineviarticleultrasonographyus elastographyfibroepithelial lesionfibroadenomaMedicineRENİstanbul Medical Journal, Vol 22, Iss 4, Pp 306-312 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	ultrasonography us elastography fibroepithelial lesion fibroadenoma Medicine R
spellingShingle	ultrasonography us elastography fibroepithelial lesion fibroadenoma Medicine R Fatma Can Kevser Esmeray Çifci Mehmet Ali Nazlı The Contribution of Sonoelastography to the Diagnosis and Correlation of Strain Index Values with Pathological Subgroups in Fibroepithelial Breast Lesions
description	Introduction:Fibroepithelial lesions are the most common benign lesions of the breast. When detected by mammography and ultrasonography (USG), the limitations of these examinations and the goal of diagnosing malignant lesions at an early stage may lead to off-label biopsies. Unnecessary biopsy procedures can be avoided by developing additional reliable methods to complement existing diagnostic procedures. For more accurate characterization of breast lesions, US elastography is used, which gives information about elasticity and deformability of the tissue. In our study, we aimed to determine the contribution of elastography to the diagnosis in the evaluation of fibroepithelial lesions of the breast with USG and to determine the relationship between strain index (SI) values and pathological subgroups.Methods:Our study included 160 lesions in 105 patients who were diagnosed with pathologically proven fibroepithelial lesion in the Radiology Clinic of İstanbul Training and Research Hospital between September 2013 and November 2014, or who were followed up for at least two years with no pathology and whose radiological appearance was interpreted in favor of fibroadenoma (FA). Voluntary consent form and ethics committee approval for the study were obtained from the patients. USG examinations were performed with a 13-18 MHz linear high resolution volumetric probe. Considering the color map obtained in the elastography evaluation, different measurements were made from the hardest areas in the mass.Results:In the sonoelastographic evaluation of fibroepithelial lesions, the median mean SI value was calculated as 3.30 (between: 0.35 and 28.80). The SI value was found to be higher in complex FAs than in other subgroups. It was observed that the mean size decreased as the age group got older. A statistically significant positive correlation was found between elastography stiffness index and size (p<0.0001, Pearson correlation index 0.643).Conclusion:We think that US elastography contributes to morphological USG findings in the evaluation of fibroepithelial lesions of the breast and can guide the biopsy decision correctly.
format	article
author	Fatma Can Kevser Esmeray Çifci Mehmet Ali Nazlı
author_facet	Fatma Can Kevser Esmeray Çifci Mehmet Ali Nazlı
author_sort	Fatma Can
title	The Contribution of Sonoelastography to the Diagnosis and Correlation of Strain Index Values with Pathological Subgroups in Fibroepithelial Breast Lesions
title_short	The Contribution of Sonoelastography to the Diagnosis and Correlation of Strain Index Values with Pathological Subgroups in Fibroepithelial Breast Lesions
title_full	The Contribution of Sonoelastography to the Diagnosis and Correlation of Strain Index Values with Pathological Subgroups in Fibroepithelial Breast Lesions
title_fullStr	The Contribution of Sonoelastography to the Diagnosis and Correlation of Strain Index Values with Pathological Subgroups in Fibroepithelial Breast Lesions
title_full_unstemmed	The Contribution of Sonoelastography to the Diagnosis and Correlation of Strain Index Values with Pathological Subgroups in Fibroepithelial Breast Lesions
title_sort	contribution of sonoelastography to the diagnosis and correlation of strain index values with pathological subgroups in fibroepithelial breast lesions
publisher	Galenos Yayinevi
publishDate	2021
url	https://doaj.org/article/9b82b76b9f9242c89a07ca25b5cefd6b
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The Contribution of Sonoelastography to the Diagnosis and Correlation of Strain Index Values with Pathological Subgroups in Fibroepithelial Breast Lesions

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