The Role of shear-wave Elastography in assessment of inflammatory breast lesions | ||
| Zagazig University Medical Journal | ||
| Articles in Press, Accepted Manuscript, Available Online from 10 September 2025 | ||
| Document Type: Original Article | ||
| DOI: 10.21608/zumj.2025.402378.4046 | ||
| Authors | ||
| Ahmed Shawky Ahmed Taha* 1; Awad Bessar2; Hosam Nabil Almassry2; Ahmed Mustafa Elmaghraby2 | ||
| 1Radiodiagnosis Department, Faculty of Medicine, Cairo University / Beni-suef branch | ||
| 2Radiodiagnosis Department, Faculty of Medicine, Zagazig University | ||
| Abstract | ||
| Background: Mastitis, abscesses, and inflammatory breast cancer are among the benign and malignant disorders that fall under inflammatory breast lesions. Accurate diagnosis is difficult since these illnesses frequently appear with overlapping clinical and radiological characteristics. Shear-wave elastography (SWE) is a new ultrasound-based imaging technique that measures the speed at which shear waves move through tissue to quantitatively evaluate tissue stiffness. Therefore, our goal was to analyze how shear-wave elastography may be used to diagnose inflammatory breast lesions and distinguish between malignant origins of these lesions. Methods: This prospective study, which involved 36 patients, was carried out at Zagazig University Hospital's Radiology Department's Women Imaging Unit after referrals from the breast surgery clinic and outpatient clinic. Shear Wave Elastography was performed following breast ultrasound. Results: Above 2.95, SWV demonstrated an AUC of 0.953, level of sensitivity 85.7%, specificity 89.7%, PPV 66.7%, NPV 96.3%, and accuracy 88.9% when used to distinguish between benign and malignant conditions. With a kappa (κ) of 0.680, the final diagnosis from SWV and biopsy revealed a high degree of agreement on the classification of the lesion as either benign or malignant. With a kappa (κ) of 0.789, HHUS and mammography demonstrated a high degree of agreement in classifying lesions as either benign or malignant. Conclusion: SWE imaging may be useful to improve the diagnostic confidence in an indeterminate BI-RADS 3 or 4a lesion if ultrasonography features are questionable, and it aids in differentiating between benign and malignant breast lesions if biopsy is still recommended. | ||
| Keywords | ||
| Shear-wave elastography; Inflammatory breast lesions; Breast imaging; Tissue stiffness | ||
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