Evaluation of Solid Breast Masses With Power Doppler Sonography

Year 2008, Volume: 13 Issue: 2, 102 - 106, 01.04.2008

Gökhan Akbaş Ayşe Murat Aydın Hakan Artaş Erkin Oğur

Abstract

Objectives: In this study, vascular structures of solid breast masses were evaluated via power Doppler ultrasonography (PDUS) to see its usefulness in benign-malignant differentiation. Material and Methods: 71 female patients and one male patient between the ages of 12-77 (mean 44.3±13.5) were included to the study. 36 benign (Group 1), 38 malignant (Group 2) totally 74 breast masses were evaluated by PDUS for the presence of flow and if there is flow, properties of vascular structures were evaluated. Study was performed via Toshiba SSA-770A/80 Aplio Doppler device (Tokyo, Japan) by using 7.5 MHz multifrequency linear transducer. Localization, contour characteristics and internal echo structure of the mass were evaluated. After B-mode examination, localization and morphological features of vascular structures with respect to masses were evaluated by Doppler Mode examination. Peripheral, central and penetrating features in respect to localization; linear, branching and distortion properties in respect to morphological features were evaluated. Results: There was no significant difference in respect to peripheral flow localization and morphologically being linear (p=0.13 v p=0.34). There were significantly differences between the groups in respect to central flow pattern and penetrating flow pattern (p

Keywords

-

Solid Meme Kitlelerinin Power Doppler Ultrasonorafi ile Değerlendirilmesi

Abstract

Amaç: Solid meme kitlelerinin vasküler yapılarının Power Doppler ultrasongrafi ile değerlendirerek malign- bening ayrımının yapılması amaçlandı. Gereç ve Yöntem: 12-77 yaş arasında, (ortalama 44.3 ± 13.5), 71 kadın, 1 erkek hastada tespit edilen 36 benign (Grup 1), 38 malign (Grup 2) olmak üzere toplam 74 meme kitlesi Power doppler ultrasonografi ile değerlendirildi. İnceleme Toshiba SSA-770A/80 Aplio Doppler cihazı (Tokyo, Japonya), 7.5 MHz multifrekans lineer prob kullanılarak yapıldı. B-mod incelemeyle saptanan kitle daha sonra power Doppler modunda değerlendirildi. Kitleler akım olup olmamasına göre; akım var ise tespit edilen akımlar lokalizasyonlarına (periferik, santral, penetre) ve morfolojik görünümlerine göre (lineer, dallanma, distorsiyon) değerlendirildi Bulgular: Akımların özelliklerine göre değerlendirildiğinde periferal ve lineer akımlar açısından gruplar arasında anlamlı fark yoktu ( p=0.13 ve p=0.34 ). Santral ve penetre akım paterni karşılaştırıldığında ise her iki grup arasındaki fark anlamlıydı (p

Keywords

Benign, malign, solid meme kitleleri, power Doppler ultrasonografi

References

• Kopans DB. Early-stage breast cancer: detection, diagnosis and prognostic indicators In: Kopans DB, Ed. Breast imaging. 2. baskı. Philadelphia: Lippincott Raven, 1998: 7-132.
• Rosenberg AL, Schwartz GF, Feig SA, Patchefsky AS. Clinically occult breast lesions: localization and significance. Radiology 1987; 162: 167-170.
• Jackson VP. The current role of ultrasonography in breast imaging. Radiol Clin North Am 1995; 33: 1161-1170.
• Stavros AT, Thickman D, Rapp CL ve ark. Solid breast nodules: use of sonography to distinguish between benign and malignant lesions. Radiology 1995; 196: 123-134.
• Milz P, Lienemann A, Kessler M, Reiser M. Evaluation of breast lesions by power Doppler sonography. Eur. Radiol 2001; 11: 547554.
• Kook SH, Park HW, Lee YR ve ark. Evaluation of solid breast lesions with power Doppler sonography. J Clin Ultrasound 1999; 27:231-237.
• Birdwell RL, Ikeda DM, Jeffrey SS, Jeffrey RB Jr. Preliminary experience with power Doppler imaging of solid breast masses. Am J Roentgenol 1997; 169: 703-707.
• Gilda Cardenosa. Breast Imaging Companion. 1. Baskı, Philadelphia: Lippincott-Raven, 1997:23-38.
• Svensson WE. The use of color Doppler vascular morphology in improving the ultrasound diagnosis of breast lesions. Acta Clin Croat 2002; 41: 99-100
• Rubin JM, Adler RS, Fowlkes JB ve ark. Fractional moving blood volume: Estimation with power Doppler US. Radiology 1995; 197: 183-190
• Reinikainen H, Rissanen T, Paivansalo M ve ark. B-mode, power Doppler and conrast enhanced power Doppler ultrasonography in the diagnosis of breast tumors. Acta Radiol 2001; 42: 106-113.
• Moon WK, Im JG, Noh DY, Han MC. Nonpalpable breast lesions: Evaluation with power Doppler US and a microbubble contrast agent-initial experience. Radiology 2000; 217: 240-246.
• Schroeder RJ, Bostanjoglo M, Rademaker J, Maeurer J, Felix R. Role of power Doppler techniques and ultrasound contrast enhancement in the differential diagnosis of focal breast lesions. Eur Radiol 2003; 13: 68-79.
• Algül A, Balci P, Seçil M, Canda T. Meme kitlelerinde kontrastlı power Doppler ve renkli Doppler US: tanısal etkinlikleri ve ayırıcı tanıya katkıları. Tani Girisim Radyol. 2003; 9: 199-206.
• Tunacı M. Nonpalpabl meme lezyonlarında ince iğne aspirasyon ve kesici iğne biyopsisi. Türk Radyoloji Dergisi 1998; 33: 113119.
• Sakarya ME, Arslan H. Power Doppler ultrason. Tanısal ve Girişimsel Radyoloji 1997; 13: 252-256.
• Giuseppetti GM, Baldassarre S, Marconi E. Color Doppler Sonography. Eur J Radiol 1998; 27: 254-258.
• Lee SW, Choi HY, Baek SY, Lim SM. Role of color and power Doppler imaging in differantiating between malignant and benign solid breast diseases. J Clin Ultrasound 2002; 30: 459-464.
• Choi HY, Kim HY, Baek SY, Kang BC, Lee SW. Significance of resistive index in color Doppler ultrasonogram: differentiation between benign and malignant breast masses. Clin Imaging 1999; 23: 284-288.
• Raza S, Baum JK. Solid breast lesions: Evaluation with power Doppler US. Radiology 1997; 203: 164-168.