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[Breast elastography--new diagnostic quality or technologic bubble].

Paweł Rzymski1, Maciej Wilczak2, Tomasz Opala1

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Summary

Breast elastography uses static and dynamic methods for lesion characterization. Specific elastography features can help upgrade or downgrade BIRADS classifications for breast cancer screening.

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Area of Science:

  • Medical Imaging
  • Biophysics

Background:

  • Breast elastography, encompassing static and dynamic techniques, aids in the morphologic characterization of breast lesions.
  • Typical indicators include mass ventralisation, size changes, the switch-off sign, and posterior boundary imaging.

Purpose of the Study:

  • To present recent studies on dynamic elastography implementation in breast cancer screening.
  • To define criteria for upgrading or downgrading BIRADS classifications based on elastography findings.

Main Methods:

  • Morphologic characterization of breast lesions using static and dynamic elastography.
  • Analysis of shear wave elastography parameters such as color, shape, and stiffness (kPa).

Main Results:

  • In shear wave elastography, red color, irregular shape, or stiffness > 160kPa warrants upgrading from BIRADS 3 to 4a.
  • Homogenous, blue lesions with stiffness < 80kPa may be safely downgraded to BIRADS 3.

Conclusions:

  • Elastography findings provide valuable information for assessing breast lesions.
  • Specific shear wave elastography criteria can guide BIRADS classification adjustments, potentially improving breast cancer screening accuracy.