ROLE OF ULTRASOUND ELASTOGRAPHY IN THE ASSESSMENT OF INFLAMMATORY BREAST LESIONS
Osman, O., Chalabi, N., Salama, A. (2022). ROLE OF ULTRASOUND ELASTOGRAPHY IN THE ASSESSMENT OF INFLAMMATORY BREAST LESIONS. EKB Journal Management System, 73(2), 269-281. doi: 10.21608/asmj.2022.252399
Ola A. A. Osman; Nivine Chalabi; Asmaa M. M. Salama. "ROLE OF ULTRASOUND ELASTOGRAPHY IN THE ASSESSMENT OF INFLAMMATORY BREAST LESIONS". EKB Journal Management System, 73, 2, 2022, 269-281. doi: 10.21608/asmj.2022.252399
Osman, O., Chalabi, N., Salama, A. (2022). 'ROLE OF ULTRASOUND ELASTOGRAPHY IN THE ASSESSMENT OF INFLAMMATORY BREAST LESIONS', EKB Journal Management System, 73(2), pp. 269-281. doi: 10.21608/asmj.2022.252399
Osman, O., Chalabi, N., Salama, A. ROLE OF ULTRASOUND ELASTOGRAPHY IN THE ASSESSMENT OF INFLAMMATORY BREAST LESIONS. EKB Journal Management System, 2022; 73(2): 269-281. doi: 10.21608/asmj.2022.252399

ROLE OF ULTRASOUND ELASTOGRAPHY IN THE ASSESSMENT OF INFLAMMATORY BREAST LESIONS

Ain Shams Medical Journal
Article 3, Volume 73, Issue 2, June 2022, Page 269-281  XML PDF (593.15 K)
Document Type: Original Article
DOI: 10.21608/asmj.2022.252399
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Authors
Ola A. A. Osman1; Nivine Chalabi2; Asmaa M. M. Salama2
1Radiology department in national institute of diabetes, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
2Radiodiagnosis Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
Abstract
Background: Benign and malignant breast inflammatory conditions must be differentiated from each other as they have different prognosis and management. Ultrasound Elastography can be used in combination with B-mode conventional ultrasound for assessing inflammatory breast lesions. Strain Elastography can help pickup malignant inflammatory breast lesions and avoid unnecessary biopsy from benign inflammatory lesions.
Aim of our Study: is to assess the diagnostic performance of strain ultrasound elastography added to the conventional B-mode ultrasound in evaluating inflammatory breast lesions.
Patient and method: This study includes 40 female patients presenting with mastitis. All breast lesions were assessed by Conventional B-mode ultrasound and Strain Elastography. Qualitative color-coded E-scoring and Semiquantitative SR (strain ratio) evaluation of the sonoelastographic images were performed. The results were compared to histopathological diagnoses or follow-up for 2 weeks after antibiotic therapy.
Results In our study combined conventional ultrasound and elastography shows higher accuracy 84.2% and specificity 81.8% comparing to using conventional ultrasound alone 80%, 77.1% respectively. Both types of elastography shows the same accuracy 85% and specificity 82.8%. Conclusion: by assessment of tissue stiffness; it was found that ultrasound elastography play an important role in differentiating benign and malignant inflammatory disorders.
Keywords
Inflammatory breast disorders; conventional ultrasound; elastography
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