Combined Evaluation of Breast Carcinoma with Digital Mammography and Sonomammography-A Prospective Study
Journal Title: International Journal of Anatomy Radiology and Surgery - Year 2018, Vol 7, Issue 2
Abstract
Introduction: The incidence of breast cancer is rising in developing countries with an annual increase of 3.1% in India. Early diagnosis, work up and intervention is saving many lives. Aim: To study and compare the mammographic and sonomammographic characteristics of breast carcinoma.Also, to evaluate the additional benefit of combining ultrasound with mammography by categorising them on the BIRADS system. Materials and Methods: This prospective study was conducted over a period of one and a half year with a study population of 30 patients in the Radiodiagnosis Department of Dayanand Medical College and Hospital, Ludhiana, India. All the cases underwent X-ray mammography and ultrasound (using high frequency linear probe, 5-12MHz). Elastography was also done in all patients. All malignant breast lesions were characterised on both modalities and comparison of characteristics was done. BIRADS score was given on each modality separately as well as by combining the findings of both modalities in all the patients. Results: Our results show that findings of mammography and sonomammography correlated well. Mammography was better in detecting architectural distortion and microcalcifications while sonomammography provided additional benefit by determining exact mass size, duct dilatation and hardness of malignant mass. When the results of both modalities were interpreted together, it was found to improve the diagnostic accuracy. Conclusion: We concluded that mammography and ultrasound are complementary to each other in malignant breast lesions and increase the confidence of diagnosis. Every radiologist should give a combined BIRADS score to grade breast masses irrespective of the age of patient and density of breast tissue, so as to avoid delay in diagnosis and treatment.
Authors and Affiliations
Kamini Gupta, Srishti Arora, Parambir Sandhu
Keywords
Related Articles
- EP ID EP529727
- DOI 10.7860/IJARS/2018/34729:2385
- Views 124
- Downloads 0
Magnetic Resonance Spectroscopy in Temporal Lobe Epilepsy
Introduction: Epilepsy affects 2% to 5% of the population at some time in their lives and hippocampal sclerosis accounts for 50% to 70% of cases. The role of proton magnetic resonance spectroscopy (1H-MRS) has been shown...
Laparoscopic Management of Post Traumatic Diaphragmatic Hernia: Report of Two Cases and Review of Literature
Traumatic diaphragmatic rupture is a serious complication following abdominal-thoracic trauma and is often missed in acute phase due to the presence of concurrent injuries. It can present later as diaphragmatic hernia wh...
Correlative Evaluation of Abdominal Aorta (aIMT) and Carotid Arteries (cIMT) Intima Media Thickness in Small for Gestational-Age (SGA) and Appropriate for Gestational Age (AGA) Term Newborns
ABSTRACT Introduction: Small for gestation newborns displays prenatal circulatory adaptations (including thickening of vessel wall) to the suboptimal intra-uterine environment. These adaptations thought to lead to an alt...
Ultrasonographic Measurement of Placental Thickness and its Correlation with Femur Length
Introduction: Placenta is a materno-fetal organ which is a reflection of health and size of the fetus. Placental Thickness (PT)) can be used as a new parameter to estimate the gestational age of the fetus. Aim: To study...
Comparison of Water, Mannitol and Positive Oral Contrast for Evaluation of Bowel By Computed Tomography
Introduction: Small bowel remains a challenging anatomical site. Imaging approaches like CT-enterography helps in diagnosing non specific clinical presentations and imaging aids in appropriate management. Hence, bowel ev...