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European Radiology

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16.04.2016 | Breast

Prediction of invasive breast cancer using shear-wave elastography in patients with biopsy-confirmed ductal carcinoma in situ

verfasst von: Jae Seok Bae, Jung Min Chang, Su Hyun Lee, Sung Ui Shin, Woo Kyung Moon

Erschienen in: European Radiology | Ausgabe 1/2017

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Abstract

Objectives

To investigate whether mass stiffness measured by shear-wave elastography (SWE) can predict the histological upgrade of ductal carcinoma in situ (DCIS) confirmed through ultrasound (US)-guided core needle biopsy (CNB).

Methods

The institutional review board approved this study and informed consent was waived. A database search revealed 120 biopsy-confirmed DCIS in patients who underwent B-mode US and SWE prior to surgery. Clinicopathologic results, B-mode findings, size on US, and mean and maximum elasticity values on SWE were recorded. Associations between upgrade to invasive cancer and B-mode US findings, SWE information, and clinical variables were assessed using univariate, multivariate logistic regression, and multiple linear regression analysis.

Results

The overall upgrade rate was 41.7 % (50/120). Mean stiffness value (P = .014) and mass size (P = .001) were significantly correlated with histological upgrade. The optimal cut-off value of mean stiffness value, yielding the maximal sum of sensitivity and specificity, was 70.7 kPa showing sensitivity of 72 % and specificity of 65.7 % for detecting invasiveness. Qualitative elasticity colour scores were significantly correlated with the histological upgrade, mammographic density, and B-mode category (P < .04).

Conclusion

Mean stiffness values evaluated through SWE can be utilized as a preoperative predictor of histological upgrade to invasive cancer in DCIS confirmed at US-guided needle biopsy.

Key Points

• Higher stiffness values were noted in invasive cancer than DCIS.

• Qualitative SWE colour scores significantly correlated with the histological upgrade.

• Qualitative SWE colour scores had excellent interobserver agreement.

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Titel: Prediction of invasive breast cancer using shear-wave elastography in patients with biopsy-confirmed ductal carcinoma in situ
verfasst von: Jae Seok Bae
Jung Min Chang
Su Hyun Lee
Sung Ui Shin
Woo Kyung Moon
Publikationsdatum: 16.04.2016
Verlag: Springer Berlin Heidelberg
Erschienen in: European Radiology / Ausgabe 1/2017
Print ISSN: 0938-7994
Elektronische ISSN: 1432-1084
DOI: https://doi.org/10.1007/s00330-016-4359-6

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Prediction of invasive breast cancer using shear-wave elastography in patients with biopsy-confirmed ductal carcinoma in situ

Abstract

Objectives

Methods

Results

Conclusion

Key Points

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Springer Medizin

Abstract

Objectives

Methods

Results

Conclusion

Key Points

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