Open AccessEffectiveness of Multimodality Imaging in Differential Diagnostics of Nonpalpable Breast Architectural Distortion
Author(s) -
О. Э. Якобс,
Rozhkova Ni,
А. Д. Каприн
Publication year - 2017
Publication title -
medicinskaâ vizualizaciâ
Language(s) - English
Resource type - Journals
eISSN - 2408-9516
pISSN - 1607-0763
DOI - 10.24835/1607-0763-2017-3-133-142
Subject(s) - medicine , radiology , mammography , differential diagnosis , biopsy , breast cancer , breast imaging , angiography , color doppler , ultrasonography , cancer , pathology
Objective: the aim of the study was to estimate the informative value of multimodality imaging in differential diagnostics of nonpalpable breast architectural distortion of different origin. Matherials and methods. We analyzed the results of multimodality examination of 307 women with nonpalpable breast architectural distortion of different origin. They underwent mammography, handheld sonography (B-mode), compressive elastosonography, Doppler angiography, automated breast volume US-scanning, US-guided core needle biopsy (n = 115; 38%) and stereotactic core needle biopsy (n = 192; 62%), pathomorphologic analysis. Results. Breast cancer were diagnosed in 221 (72%) women, benign lesions – in 86 (28%) women. Surgical treatment was performed In 254 (83%) cases and 31 (10%) breast lesions were removed with vacuum-assisted aspiration biopsy. Conclusion. Multimodality imaging with the invasive procedures gave 92.5% sensitivity, 100% specificity, 100% showed positive prognosis, 72.5% negative prognosis, 93.1% accuracy index.