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Journals / Turkish Journal of Medical Sciences / 2018 / Cilt: 48 - Sayı: 1

Advantages of b-mode ultrasound combined with strain elastography in differentiation of idiopathic granulomatous mastitis from malignant breast lesions

Mehmet Sedat DURMAZ
Yaşar ÜNLÜ
Ayşegül ALTUNKESER
Serdar ARSLAN
Fatih ÖNCÜ
Mehmet Ali ERYILMAZ
Pages
16–23
Publication Date
2022-11-05
DOI
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Whenthe lesions were assessed with B-mode ultrasound alone, in order to distinguish between IGM and malignant breast lesions, sensitivity,specificity, positive predictive value, negative predictive value, and accuracy were 94.8%, 66.7%, 85.9%, 85.7%, and 85.8%, respectively.However, when assessed with a combination of B-mode ultrasonography and SE, sensitivity, specificity, positive predictive value,negative predictive value, and accuracy were 96.1%, 100%, 100%, 92.3%, and 97.3%, respectively.Conclusion: The combination of SE and B-mode ultrasound has better diagnostic performance in the differentiation of IGM andmalignant breast lesions than B-mode ultrasonography alone.

📌 3 Key Takeaways

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Objective & Hypothesis:Background/aim: To evaluate the diagnostic performance of strain elastography (SE) combined with B-mode ultrasound indistinguishing between idiopathic granulomatous mastitis (IGM) and malignant breast lesions.Materials and methods: Seventy-seven malignant breast lesions and 36 IGM were assessed using B-mode ultrasound and SE.Ultrasonographic findings for all the breast lesions were classified based on the 2013 American College of Radiology Breast ImagingReporting and Data System (BI-RADS-US), and the SE findings were evaluated based on the strain ratio and a five-point scale.
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Key Findings & Data:Thediagnostic performances of B-mode ultrasonography, SE, and the combination of both methods were compared.Results: Significant differences in strain ratio and elastography scores were found between IGM and malignant breast lesions.
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Conclusion & Impact:Whenthe lesions were assessed with B-mode ultrasound alone, in order to distinguish between IGM and malignant breast lesions, sensitivity,specificity, positive predictive value, negative predictive value, and accuracy were 94.8%, 66.7%, 85.9%, 85.7%, and 85.8%, respectively.However, when assessed with a combination of B-mode ultrasonography and SE, sensitivity, specificity, positive predictive value,negative predictive value, and accuracy were 96.1%, 100%, 100%, 92.3%, and 97.3%, respectively.Conclusion: The combination of SE and B-mode ultrasound has better diagnostic performance in the differentiation of IGM andmalignant breast lesions than B-mode ultrasonography alone.
🔬Design:Research Article
📍Scope:2013 Verileri
⚙️Variables:Domain Parameters

Abstract

Background/aim: To evaluate the diagnostic performance of strain elastography (SE) combined with B-mode ultrasound indistinguishing between idiopathic granulomatous mastitis (IGM) and malignant breast lesions.Materials and methods: Seventy-seven malignant breast lesions and 36 IGM were assessed using B-mode ultrasound and SE.Ultrasonographic findings for all the breast lesions were classified based on the 2013 American College of Radiology Breast ImagingReporting and Data System (BI-RADS-US), and the SE findings were evaluated based on the strain ratio and a five-point scale. Thediagnostic performances of B-mode ultrasonography, SE, and the combination of both methods were compared.Results: Significant differences in strain ratio and elastography scores were found between IGM and malignant breast lesions. Whenthe lesions were assessed with B-mode ultrasound alone, in order to distinguish between IGM and malignant breast lesions, sensitivity,specificity, positive predictive value, negative predictive value, and accuracy were 94.8%, 66.7%, 85.9%, 85.7%, and 85.8%, respectively.However, when assessed with a combination of B-mode ultrasonography and SE, sensitivity, specificity, positive predictive value,negative predictive value, and accuracy were 96.1%, 100%, 100%, 92.3%, and 97.3%, respectively.Conclusion: The combination of SE and B-mode ultrasound has better diagnostic performance in the differentiation of IGM andmalignant breast lesions than B-mode ultrasonography alone.

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Cite This Article

DURMAZ, M. S., ÜNLÜ, Y., ALTUNKESER, A., ARSLAN, S., ÖNCÜ, F., ERYILMAZ, M. A. (2022). Advantages of b-mode ultrasound combined with strain elastography in differentiation of idiopathic granulomatous mastitis from malignant breast lesions. Turkish Journal of Medical Sciences, Cilt: 48 - Sayı: 1, 16–23. https://ajindex.com/articles/610256

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