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Breast Elastography: How to Perform and Integrate Into a “Best‐Practice” Patient Treatment Algorithm
Author(s) -
Barr Richard G.
Publication year - 2020
Publication title -
journal of ultrasound in medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.574
H-Index - 91
eISSN - 1550-9613
pISSN - 0278-4297
DOI - 10.1002/jum.15137
Subject(s) - medicine , elastography , clinical practice , radiology , protocol (science) , algorithm , medical physics , ultrasound , pathology , computer science , physical therapy , alternative medicine
Breast elastography has been available for more than 15 years but is not widely incorporated into clinical practice. Many publications report extremely high accuracy for various breast elastographic techniques. However, results in the literature are extremely variable. This variability is most likely due to variations in technique, a relatively steep learning curve, and variability in methods between vendors. This article describes our protocol for performing breast elastography using both strain elastography and shear wave elastography, which produces high sensitivity and specificity. Additionally, we will describe the most commonly known false‐positive and false‐negative lesions as well as how to detect them.