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Breast Imaging |
1 From the Strax Institute, 4300 N University Dr, Suite E-200, Lauderhill, FL 33351. From the 2000 RSNA scientific assembly. Received January 25, 2001; revision requested March 6; revision received June 5; accepted July 5. Address correspondence to the author (e-mail: skaplan659@aol.com).
PURPOSE: To evaluate the clinical utility of bilateral whole-breast ultrasonography (US) as an adjunct examination to mammography in asymptomatic women with dense (Breast Imaging Reporting and Data System [BI-RADS] density category 3 or 4) breast tissue.
MATERIALS AND METHODS: Between July 1998 and April 2000, 1,862 patients with negative findings at clinical examinations, negative mammographic results, and breast tissue with BI-RADS category 3 or 4 density were evaluated with bilateral whole-breast US for occult cystic and solid masses, areas of architectural distortion, and acoustic shadowing. Suggestive findings were compared with tissue diagnoses from US-guided core biopsy specimens. US was initially performed by a US or a mammography technologist. The average time to perform the examination was approximately 10 minutes. Abnormal findings were corroborated by a fellowship-trained breast-imaging radiologist.
RESULTS: In the 1,862 women examined with bilateral whole-breast US, 57 biopsies were recommended in 56 patients; follow-up data were available in 51 of the 56 patients. Six breast cancers were detected (cancer detection rate, 0.3%).
CONCLUSION: Bilateral whole-breast US, when performed in patients with dense (BI-RADS category 3 or 4 density) breast tissue, is useful in detecting breast cancer not discovered with mammography or clinical breast examination. The 0.3% cancer detection rate compares favorably with that of screening mammography and with that in previously published studies involving bilateral whole-breast US.
Index terms: Breast, parenchymal pattern • Breast, US, 00.129, 00.12989 • Breast neoplasms, diagnosis, 00.32 • Breast neoplasms, US, 00.129, 00.12989 • Breast radiography, quality assurance, 00.11 • Cancer screening, 00.11. 00.129, 00.12989
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