Combination of shear wave elastography and BI-RADS in identification of solid breast masses

Abstract Background To explore the value of quantitative shear wave elastography (SWE) plus the Breast Imaging Reporting and Data System (BI-RADS) in the identification of solid breast masses. Methods A total of 108 patients with 120 solid breast masses admitted to our hospital from January 2019 to...

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Autores principales:	Xue Zheng, Fei Li, Zhi-Dong Xuan, Yu Wang, Lei Zhang
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	BI-RADS Shear wave elastography Color doppler flow imaging Solid breast mass Diagnostic value Medical technology R855-855.5
Acceso en línea:	https://doaj.org/article/ee083f0e1f46482b911fb0b44fcd80af
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spelling	oai:doaj.org-article:ee083f0e1f46482b911fb0b44fcd80af2021-12-05T12:21:24ZCombination of shear wave elastography and BI-RADS in identification of solid breast masses10.1186/s12880-021-00702-41471-2342https://doaj.org/article/ee083f0e1f46482b911fb0b44fcd80af2021-12-01T00:00:00Zhttps://doi.org/10.1186/s12880-021-00702-4https://doaj.org/toc/1471-2342Abstract Background To explore the value of quantitative shear wave elastography (SWE) plus the Breast Imaging Reporting and Data System (BI-RADS) in the identification of solid breast masses. Methods A total of 108 patients with 120 solid breast masses admitted to our hospital from January 2019 to January 2020 were enrolled in this study. The pathological examination served as the gold standard for definitive diagnosis. Both SWE and BI-RADS grading were performed. Results Out of the 120 solid breast masses in 108 patients, 75 benign and 45 malignant masses were pathologically confirmed. The size, shape, margin, internal echo, microcalcification, lateral acoustic shadow, and posterior acoustic enhancement of benign and malignant masses were significantly different (all P < 0.05). The E mean, E max, SD, and E ratio of benign and malignant masses were significantly different (all P < 0.05). The E min was similar between benign and malignant masses (P > 0.05). The percentage of Adler grade II-III of the benign masses was lower than that of the malignant masses (P < 0.05). BI-RADS plus SWE yielded higher diagnostic specificity and positive predictive value than either BI-RADS or SWE; BI-RADS plus SWE yielded the highest diagnostic accuracy among the three methods (all P < 0.05). Conclusion SWE plus routine ultrasonography BI-RADS has a higher value in differentiating benign from malignant breast masses than color doppler or SWE alone, which should be further promoted in clinical practice.Xue ZhengFei LiZhi-Dong XuanYu WangLei ZhangBMCarticleBI-RADSShear wave elastographyColor doppler flow imagingSolid breast massDiagnostic valueMedical technologyR855-855.5ENBMC Medical Imaging, Vol 21, Iss 1, Pp 1-6 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	BI-RADS Shear wave elastography Color doppler flow imaging Solid breast mass Diagnostic value Medical technology R855-855.5
spellingShingle	BI-RADS Shear wave elastography Color doppler flow imaging Solid breast mass Diagnostic value Medical technology R855-855.5 Xue Zheng Fei Li Zhi-Dong Xuan Yu Wang Lei Zhang Combination of shear wave elastography and BI-RADS in identification of solid breast masses
description	Abstract Background To explore the value of quantitative shear wave elastography (SWE) plus the Breast Imaging Reporting and Data System (BI-RADS) in the identification of solid breast masses. Methods A total of 108 patients with 120 solid breast masses admitted to our hospital from January 2019 to January 2020 were enrolled in this study. The pathological examination served as the gold standard for definitive diagnosis. Both SWE and BI-RADS grading were performed. Results Out of the 120 solid breast masses in 108 patients, 75 benign and 45 malignant masses were pathologically confirmed. The size, shape, margin, internal echo, microcalcification, lateral acoustic shadow, and posterior acoustic enhancement of benign and malignant masses were significantly different (all P < 0.05). The E mean, E max, SD, and E ratio of benign and malignant masses were significantly different (all P < 0.05). The E min was similar between benign and malignant masses (P > 0.05). The percentage of Adler grade II-III of the benign masses was lower than that of the malignant masses (P < 0.05). BI-RADS plus SWE yielded higher diagnostic specificity and positive predictive value than either BI-RADS or SWE; BI-RADS plus SWE yielded the highest diagnostic accuracy among the three methods (all P < 0.05). Conclusion SWE plus routine ultrasonography BI-RADS has a higher value in differentiating benign from malignant breast masses than color doppler or SWE alone, which should be further promoted in clinical practice.
format	article
author	Xue Zheng Fei Li Zhi-Dong Xuan Yu Wang Lei Zhang
author_facet	Xue Zheng Fei Li Zhi-Dong Xuan Yu Wang Lei Zhang
author_sort	Xue Zheng
title	Combination of shear wave elastography and BI-RADS in identification of solid breast masses
title_short	Combination of shear wave elastography and BI-RADS in identification of solid breast masses
title_full	Combination of shear wave elastography and BI-RADS in identification of solid breast masses
title_fullStr	Combination of shear wave elastography and BI-RADS in identification of solid breast masses
title_full_unstemmed	Combination of shear wave elastography and BI-RADS in identification of solid breast masses
title_sort	combination of shear wave elastography and bi-rads in identification of solid breast masses
publisher	BMC
publishDate	2021
url	https://doaj.org/article/ee083f0e1f46482b911fb0b44fcd80af
work_keys_str_mv	AT xuezheng combinationofshearwaveelastographyandbiradsinidentificationofsolidbreastmasses AT feili combinationofshearwaveelastographyandbiradsinidentificationofsolidbreastmasses AT zhidongxuan combinationofshearwaveelastographyandbiradsinidentificationofsolidbreastmasses AT yuwang combinationofshearwaveelastographyandbiradsinidentificationofsolidbreastmasses AT leizhang combinationofshearwaveelastographyandbiradsinidentificationofsolidbreastmasses
_version_	1718372051228557312

Combination of shear wave elastography and BI-RADS in identification of solid breast masses

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