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Best Practice Guidelines - DEGUM Recommendations on Breast Ultrasound.
Claudia Maria Vogel-Minea1, Werner Bader2, Jens-Uwe Blohmer3
1Brustzentrum, Diagnostische und Interventionelle Senologie, Rottal-Inn-Kliniken Eggenfelden, Germany.
Summary
This guideline details specific medical indications for breast ultrasound, complementing mammography. It covers follow-up, implants, dense tissue, pregnancy, lactation, and male breast findings, offering DEGUM recommendations.
Area of Science:
- Medical Imaging
- Radiology
- Senology
Background:
- Breast ultrasound is a key diagnostic tool alongside mammography for breast lesion evaluation.
- Existing guidelines (Part I & II) cover ultrasound criteria and methods.
- There is a need for specific guidance on indications for breast ultrasound.
Purpose of the Study:
- To provide best practice guidelines for specific medical indications of breast ultrasound.
- To update senologists on the role of ultrasound in various clinical scenarios.
- To integrate current S3 and AGO guidelines into recommendations.
Main Methods:
- Review and synthesis of current literature and guidelines.
- Development of recommendations for specific breast ultrasound indications.
- Inclusion of pathologies, summaries, and DEGUM recommendations per indication.
Main Results:
- Detailed discussion on the value of breast ultrasound for specific indications.
- Covers follow-up, breast implant evaluation, dense breast tissue workup.
- Addresses diagnostic workup during pregnancy, lactation, and in men.
Conclusions:
- Breast ultrasound is crucial for specific indications beyond general screening.
- Guidelines provide clear recommendations for optimal use of breast ultrasound.
- Adherence to these guidelines enhances diagnostic accuracy in senology.
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