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Doppler sonography in breast pathology.
1Dept. of Radiology, Medical Imaging, AZ St-Jan, Brugge, Belgium.
Summary
Advanced breast sonography, utilizing high-frequency probes, significantly improves lesion detection and characterization. This imaging technique enhances diagnostic accuracy when combined with mammography and guides interventional procedures.
Area of Science:
- Radiology
- Medical Imaging
- Diagnostic Ultrasound
Background:
- Breast sonography is a long-standing complementary tool to mammography.
- Recent technological advancements have significantly improved ultrasound equipment and probe technology.
Purpose of the Study:
- To highlight the advancements in breast sonography technology.
- To emphasize the improved diagnostic capabilities of modern breast ultrasound.
- To discuss the role of ultrasound in interventional procedures and vascularity assessment.
Main Methods:
- Utilizing high-frequency linear probes (≥7 MHz, increasingly >10 MHz).
- Employing advanced ultrasound equipment, electronics, and software.
- Incorporating Doppler ultrasound for vascularity assessment.
Main Results:
- Substantial increases in image quality, including contrast and spatial resolution.
- Enhanced Doppler sensitivity for evaluating lesion vascularity.
- Improved differentiation between solid and cystic lesions, and between benign and malignant lesions.
Conclusions:
- Modern breast sonography offers superior image quality and diagnostic performance.
- Ultrasound increases the sensitivity and specificity of breast examinations when used with mammography.
- It is the preferred method for guiding breast interventional procedures and assessing lesion vascularity.