Differential diagnosis of idiopathic granulomatous mastitis and breast cancer using acoustic radiation force impulse imaging

Autor: Bircan Alan, Metehan Gümüş, Cihad Hamidi, Memik Teke, Cemil Göya, Fatma Teke, Ahmet Türkoğlu, Salih Hattapoğlu
Rok vydání: 2016
Předmět:
Zdroj: Journal of Medical Ultrasonics. 44:109-115
ISSN: 1613-2254
1346-4523
DOI: 10.1007/s10396-016-0749-2
Popis: Differentiation of idiopathic granulomatous mastitis (IGM) from carcinoma with routine imaging methods, such as ultrasonography (US) and mammography, is difficult. Therefore, we evaluated the value of a newly developed noninvasive technique called acoustic radiation force impulse imaging in differentiating IGM versus malignant lesions in the breast. Four hundred and eighty-six patients, who were referred to us with a presumptive diagnosis of a mass, underwent Virtual Touch tissue imaging (VTI; Siemens) and Virtual Touch tissue quantification (VTQ; Siemens) after conventional gray-scale US. US-guided percutaneous needle biopsy was then performed on 276 lesions with clinically and radiologically suspicious features. Malignant lesions (n = 122) and IGM (n = 48) were included in the final study group. There was a statistically significant difference in shear wave velocity marginal and internal values between the IGM and malignant lesions. The median marginal velocity for IGM and malignant lesions was 3.19 m/s (minimum–maximum 2.49–5.82) and 5.05 m/s (minimum–maximum 2.09–8.46), respectively (p
Databáze: OpenAIRE