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Updated: May 4, 2026

Ultrasonographic Evaluation of Breast Cancer-related Lymphedema
Published on: January 12, 2017
[Diagnostic values of breast imaging and reporting data system and ultrasonic elastography for benign and malignant
Min Yang1, Xiao-ning Gu1, Fang Liu1
1Department of Ultrasound, Affiliated Beijing Shijitan Hospital, Capital Medical University; No. 9 Affiliated Clinic Hospital, Beijing University, Beijing 100038, China.
Objective:
To explore the diagnostic values of breast imaging and reporting data system (BI-RADS) and ultrasonic elastography (UE) for benign and malignant breast lesions.
Methods:
A total of 122 breast lesions were studied with BI-RADS and UE scoring to compare the sensitivity and specificity according to the pathologic results. Receiver operating characteristic (ROC) curves were used to assess the diagnostic value of BI-RADS, UE and combination.
Results:
Among them, pathological examinations showed that there were 72 benign and 50 malignant cases. Statistically significant differences in specificity existed between BI-RADS lexicon (as ≥ 4) and UE or combination (P < 0.05) while sensitivity showed no difference (P > 0.05); Statistically significant differences in sensitivity existed between BI-RADS (as ≥ 4B) and UE or combination (P < 0.05) while there was no difference in specificity (P > 0.05); No statistically significant differences existed between UE or combination. The area under the ROC curve was above 0.7.
Conclusion:
Both BI-RADS and UE have a great diagnostic value for breast disease. UE is somewhat superior to BI-RADS. However, the value of combination may be more significant.
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