By Veronika Gazhonova
This publication introduces an exhilarating new strategy for breast ultrasound diagnostics – automatic whole-breast quantity scanning (3D ABVS). Scanning strategy is defined intimately, with tips on scanning positions and protocols. Imaging findings are then illustrated and mentioned for regular breast variations, the various sorts of breast melanoma, fibroadenomas, cystic sickness, benign and malignant male breast problems, mastitis, breast implants, and postoperative breast scars. with the intention to relief appreciation of the advantages of 3D ABVS, comparisons with findings on X-ray mammography and traditional 2nd handheld US are provided. Readers should be specially inspired through the convincing demonstration of the benefits of the recent approach for prognosis of breast melanoma in ladies with dense glandular tissue. In allowing readers to profit the best way to practice and interpret 3D ABVS, this ebook might be of significant worth for all who're embarking on its use. it's going to additionally function a welcome reference for radiologists, oncologists, and ultrasonographers who have already got a few familiarity with the technique.
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Extra resources for 3D Automated Breast Volume Sonography: A Practical Guide
3 Breast in the secretory phase of the menstrual cycle in a 28-year-old woman, nulliparous. Thickened hypoechoic periglandular stroma (2). The anechoic structure inside the stroma corresponds to the slightly dilated ducts (1) in the secretory phase of the menstrual cycle. Comparison of data of the same patient in conventional 2D HHUS and ABVS images. (a) HHUS image depicts thickened glandular tissue and a decrease in echogenicity of the breast with ill-defined line-structures. (b) ABVS tomogram of the left breast.
The US picture is characterized by the appearance of fluid-filled elongated spaces or clefts inside the solid hypoechoic mass with well-defined contours. Large nodes have a lobular structure and marked hypervascularity. The ABVS picture is nonspecific and very similar to fibroadenoma (Fig. 19). Suspected phyllodes tumors are better diagnosed by MRI. They are usually of homogenous high signal intensity on T2-weighted images and demonstrate rapid enhancement on dynamic contrast-enhanced MR images.
Using ABVS, it was reported that the compression sign or hyperechoic rim allows detection of the benignity of the lesions with high sensitivity and specificity . The benign node on ABVS is surrounded by a thin hyperechoic capsule (Fig. 18). 2 Fibroadenomas 51 b a Fig. 18 A case of an old intracanalicular fibroadenoma of the left breast with hyalinosis of the stroma in a 55-yearold woman. Comparison of the ABVS and MMG performance. (a) Image analysis on the ABVS workstation. L LAT view (left latero-medial oblique view).
3D Automated Breast Volume Sonography: A Practical Guide by Veronika Gazhonova