Homogeneously enhancing breast lesions on contrast enhanced US: differential diagnosis by conventional and contrast enhanced US findings
| Autor: | Yoshinobu Shinagawa, Ayako Morita, Kengo Yoshimitsu, Keiko Sakamoto, Mikiko Shimakura, Hiroshi Urakawa, Ritsuko Fujimitsu |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
medicine.medical_specialty medicine.medical_treatment media_common.quotation_subject Contrast Media Breast Neoplasms Enhancement pattern Malignancy Sensitivity and Specificity 030218 nuclear medicine & medical imaging Diagnosis Differential Lesion 03 medical and health sciences 0302 clinical medicine Precontrast medicine Humans Contrast (vision) Radiology Nuclear Medicine and imaging Breast Aged Retrospective Studies media_common Aged 80 and over business.industry Reproducibility of Results Middle Aged Image Enhancement medicine.disease Radiation therapy 030220 oncology & carcinogenesis Female Ultrasonography Mammary Radiology medicine.symptom Differential diagnosis business Contrast-enhanced ultrasound |
| Zdroj: | Japanese Journal of Radiology. 34:508-514 |
| ISSN: | 1867-108X 1867-1071 |
| DOI: | 10.1007/s11604-016-0549-z |
| Popis: | To clarify the details of homogeneously enhancing lesions on contrast-enhanced ultrasonography (CEUS) and also to elucidate whether their differential diagnosis is possible. Seventy-three homogeneously enhancing lesions on CEUS were retrospectively selected. Two radiologists first assessed conventional US findings alone in consensus to differentiate malignant vs. benign lesions. Then, qualitative and quantitative CEUS findings were analyzed to determine the useful findings for the differential diagnosis. Determined CEUS findings were applied to the indeterminate lesions based on conventional US findings to see whether CEUS can improve the diagnostic performance. There were 42 cancers (58 %) out of 73. Sensitivity and specificity using conventional US findings alone were 91 and 55 %, respectively. Among the CEUS findings tested, multivariate analysis revealed only the type 3 enhancement pattern, which indicates a larger enhancing area than the precontrast hypoechoic lesion, was related to malignancy (p |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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