Differentiating benign from malignant solid breast masses: comparison of two-dimensional and three-dimensional US.

Abstract:

PURPOSE:To compare prospectively obtained static two-dimensional (2D) and three-dimensional (3D) ultrasonographic (US) images in the diagnostic performance of radiologists with respect to the differentiation of benign from malignant solid breast masses with histopathologic examination as the reference standard. MATERIALS AND METHODS:This study had institutional review board approval, and patient informed consent was obtained. Conventional 2D and 3D US images were obtained from 141 patients (age range, 25-71 years; mean age, 46 years) with 150 solid breast masses (60 cancers and 90 benign lesions) before excisonal or needle biopsy. Four radiologists who had not performed the examinations independently reviewed 2D US images and stored 3D US data and provided a level of suspicion concerning probability of malignancy. The sensitivity, specificity, and negative predictive values of 2D images were compared with those of 3D US images. RESULTS:For all readers, 3D US images were the same as or better than 2D US images in terms of sensitivity (100% vs 100% for reader 1; 100% vs 98% for reader 2; 98% vs 93% for reader 3; 93% vs 92% for reader 4), specificity (58% vs 56% for reader 1; 51% vs 46% for reader 2; 83% vs 72% for reader 3; 86% vs 84% for reader 4), and negative predictive values (100% vs 100% for reader 1; 100% vs 98% for reader 2; 99% vs 94% for reader 3; 95% vs 94% for reader 4). These differences, however, were not statistically significant (P > .05). CONCLUSION:The performance of the radiologists with respect to the characterization of solid breast masses with static 2D US images was similar to that with 3D US data.

journal_name

Radiology

journal_title

Radiology

authors

Cho N,Moon WK,Cha JH,Kim SM,Han BK,Kim EK,Kim MH,Chung SY,Choi HY,Im JG

doi

10.1148/radiol.2401050743

subject

Has Abstract

pub_date

2006-07-01 00:00:00

pages

26-32

issue

1

eissn

0033-8419

issn

1527-1315

pii

2401050743

journal_volume

240

pub_type

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