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BackgroundMammography is the most accepted, accurate, and effective modality in screening of breast cancer, yet its sensitivity is affected by the density of the breast tissue. Alternative methods for screening are the sonography and MRI but both had their limitations. A new option named ABUS (automated breast ultrasound system) is now proposed to overcome the breast US limitation as it is time-consuming and operator-dependent and to overcome the costly time-consuming MRI. The objectives of the study are to evaluate the accuracy of ABUS in the detection of different breast lesions as a substitution for mammography. This prospective study included 25 women outreached for digital mammography or handheld ultrasound examination at the period between January 2017 and February 2018. Women have no specific age group.ResultsSignificant improvement in the detection of breast lesions by ABUS use with mammogram especially in dense breasts (ACR class C and D)ConclusionABUS is a promising competitor to mammogram in screening of breast lesions

Automated breast ultrasound system (ABUS): can it replace mammography as a screening tool?