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Journals / Hitit Medical Journal / 2026 / Cilt: 7 Sayı: 2

Contribution to Diagnosis of Microflow Imaging in Breast Lesions

Meme Lezyonlarında Mikroakım Görüntülemenin Tanıya Katkısı

Sakine Sarman(İskilip Atıf Hoca Devlet Hastanesi)0009-0004-9485-0774
Murat Beyhan(TOKAT GAZİOSMANPAŞA ÜNİVERSİTESİ, TIP FAKÜLTESİ, DAHİLİ TIP BİLİMLERİ BÖLÜMÜ, RADYOLOJİ ANABİLİM DALI)0000-0002-8630-4632
Pages
188–197
Publication Date
2025-06-23
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Thus, benign breast lesions can be monitored and unnecessary biopsies can be prevented.

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: In recent years, the cancer detection rate in breast biopsies varies between 10-31%.
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Key Findings & Data:Material and Method: After local ethics committee approval, 109 lesions of 104 patients older than 18 years were prospectively included in the study.
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Conclusion & Impact:Thus, benign breast lesions can be monitored and unnecessary biopsies can be prevented.
🔬Design:Araştırma Makalesi
📍Scope:Comprehensive Sample
⚙️Variables:Meme kanseri · mikroakım görüntüleme · renkli Doppler ultrasonografi

Abstract

Objective: In recent years, the cancer detection rate in breast biopsies varies between 10-31%. Appropriate classification is required to prevent unnecessary biopsies in breast lesions. The aim of our study is to investigate the contribution of microflow imaging to the diagnosis of benign and malignant breast lesions. Material and Method: After local ethics committee approval, 109 lesions of 104 patients older than 18 years were prospectively included in the study. B-mode ultrasonography, color Doppler ultrasonography, power Doppler ultrasonography and microflow imaging were performed on all patients. B-mode ultrasonography findings were classified according to the BI-RADS category, color Doppler ultrasonography, power Doppler ultrasonography and microflow imaging findings were classified according to the ADLER method. Sensitivity, specificity, negative predictive values and positive predictive values of Doppler ultrasonographic methods were calculated. Results: Histopathologically, 68 of the breast lesions were benign and 41 were malignant. There was a statistically significant difference between benign and malignant lesions on power Doppler ultrasonography and microflow imaging. Negative predictive values were higher than positive predictive values on Doppler ultrasonography examination methods. Doppler ultrasonography examinations were found to be more likely to identify malignant lesions. Conclusion: Vascular findings on power Doppler ultrasonography and microflow imaging can be used as criteria to differentiate benign from malignant breast lesions. Thus, benign breast lesions can be monitored and unnecessary biopsies can be prevented.

Özet

Amaç: Son yıllarda yapılan meme biyopsilerinde kanser saptama oranı %10-31 arasında değişmektedir. Meme lezyonlarında gereksiz biyopsilerin önlenmesi için uygun sınıflandırma gerekmektedir. Çalışmamızın amacı benign ve malign meme lezyonlarında mikroakım görüntülemenin tanıya katkısını araştırmaktır. Gereç ve Yöntem: Çalışmaya yerel etik kurul onayı alındıktan sonra prospektif olarak 18 yaşından büyük 104 hastanın 109 lezyonu dahil edildi. Hastaların hepsine B-mod ultrasonografi, renkli Doppler ultrasonografi, power Doppler ultrasonografi ve mikroakım görüntüleme yapıldı. B-mod ultrasonografi bulguları BI-RADS kategorisine göre, renkli Doppler ultrasonografi, power Doppler ultrasonografi ve mikroakım görüntüleme bulguları ise ADLER metoduna göre sınıflandırıldı. Doppler ultrasonografik yöntemlerin duyarlılık, özgüllük, negatif prediktif değerleri ve pozitif prediktif değerleri hesaplandı. Bulgular: Toplam 30 hasta çalışmaya dahil edildi. Hastalarda trakea-özofageal fistül geliştiğinde mekanik ventilasyonHistopatolojik olarak meme lezyonlarının 68’i benign, 41’i maligndi. Power Doppler ultrasonografi ve mikroakım görüntülemede benign ve malign lezyonlar arasında istatistiksel olarak anlamlı farklılık mevcuttu. Doppler ultrasonografi inceleme yöntemlerinde negatif prediktif değerler pozitif prediktif değerlerden daha yüksekti. Doppler ultrasonografi incelemelerinin malign lezyonları tanımlama olasılığı daha yüksek bulundu. Sonuç: Power Doppler ultrasonografi ve mikroakım görüntülemelerdeki vasküler bulgular benign ve malign meme lezyonlarının ayrımında bir kriter olarak kullanılabilir. Bu sayede benign meme lezyonları takip edilerek gereksiz biyopsiler önlenebilir.

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Cite This Article

Sarman, S., Beyhan, M. (2025). Contribution to Diagnosis of Microflow Imaging in Breast Lesions. Hitit Medical Journal, Cilt: 7 Sayı: 2, 188–197. https://doi.org/10.52827/hititmedj.1580731

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