BREAST DISEASES - COLOR DOPPLER US IN DIFFERENTIAL-DIAGNOSIS

被引:237
作者
COSGROVE, DO
KEDAR, RP
BAMBER, JC
ALMURRANI, B
DAVEY, JBN
FISHER, C
MCKINNA, JA
SVENSSON, WE
TOHNO, E
VAGIOS, E
ALSANJARI, NA
机构
[1] ROYAL MARSDEN HOSP,LONDON,ENGLAND
[2] INST CANC RES,LONDON,ENGLAND
关键词
BREAST; DISEASES; BREAST NEOPLASMS; DIAGNOSIS; US; ULTRASOUND; (US); DOPPLER STUDIES;
D O I
10.1148/radiology.189.1.8372225
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
PURPOSE: To subjectively and semi-quantitatively evaluate color Doppler signals on images of breast lesions. MATERIALS AND METHODS: A 5-MHz ultrasound (US) system was used to examine 210 new breast lesions. Signals were evaluated subjectively with an analog scale. A semi-quantitative scoring system involved analysis of the average number of vessels per square centimeter and average density of color pixels. RESULTS: Vessels were detected in 57 of 58 cancers (mean, 0.11 vessels per square centimeter, occupying 1.76% of the scan area). Color Doppler scores had no correlation with conventional prognostic indicators such as lymph node status or survival. Fewer vessels per square centimeter (mean, 0.06) occupying a smaller area (mean, 0.41%) were detected in the five fibroadenomas (n = 36) that showed color Doppler signals. Most cases (99 of 104 [96%]) of benign breast changes had no color Doppler signals. CONCLUSION: Color Doppler signals in a lesion otherwise thought to be benign should prompt a biopsy, while the absence of signals in an indeterminate lesion is reassuring.
引用
收藏
页码:99 / 104
页数:6
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