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Ultrasound of the Breast, Including Interventions: An Update

  • Alexander Mundinger

Abstract

The quality of breast ultrasound (US) has constantly improved over recent decades. New transducer technology using high frequencies between 7 and 18 MHz are the physical base for a high spatial resolution. Advances in imaging techniques eliminate speckles and artefacts and improve contrast resolution. International standards are in place for examination technique, description of findings and assessment categories. Future automated volume scanning promises to reduce the problems of operator dependence. US is the breast imaging method of choice for most patients with clinical signs and symptoms. The sensitivity of standard US for breast cancer ranges from 55% to 95%. It transfers an additional diagnostic yield of 30–40% in comparison with mammography to patients with radiodense breasts. US improves detection and characterisation of lesions in preoperative staging and in patients under surveillance after breast cancer. US is inferior to mammography and magnetic resonance imaging (MRI) in the primary detection of ductal carcinoma in situ (DCIS) and does not add information compared with MRI in familiar breast cancer. To date, US has no role in population- based screening due to a lack of prospective and randomised data. US-guided core needle biopsy is the minimally invasive biopsy method of choice for all breast lesions that correlate with findings of other imaging modalities. Sensitivity of US-guided large-core needle biopsy is 93–98%; specificity ranges from 95% to 100%.

Keywords

Terminal Duct Lobular Unit Complicated Cyst Improve Contrast Resolution Additional Diagnostic Yield Primary Axillary Lymph Node Dissection 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer-Verlag Italia 2011

Authors and Affiliations

  • Alexander Mundinger
    • 1
  1. 1.Radiological Department and Breast CentreNiels-Stensen-ClinicsOsnabrueckGermany

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