Clinical application of qualitative assessment for breast masses in shear-wave elastography

被引:43
|
作者
Gweon, Hye Mi [1 ]
Youk, Ji Hyun [1 ]
Son, Eun Ju [1 ]
Kim, Jeong-Ah [1 ]
机构
[1] Yonsei Univ, Coll Med, Dept Radiol, Gangnam Severance Hosp, Seoul, South Korea
基金
新加坡国家研究基金会;
关键词
Sonoelastography; Shear wave; BI-RADS; Breast ultrasound; Breast masses; ULTRASOUND ELASTOGRAPHY; LESIONS; BENIGN; ELASTICITY; DIAGNOSIS; DIFFERENTIATION; CLASSIFICATION; EXPERIENCE; US;
D O I
10.1016/j.ejrad.2013.08.004
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
Purpose: To evaluate the interobserver agreement and the diagnostic performance of various qualitative features in shear-wave elastography (SWE) for breast masses. Materials and methods: A total of 153 breast lesions in 152 women who underwent B-mode ultrasound and SWE before biopsy were included. Qualitative analysis in SWE was performed using two different classifications: E values (Ecol; 6-point color score, Ehomo; homogeneity score and Esha; shape score) and a four-color pattern classification. Two radiologists reviewed five data sets: B-mode ultrasound, SWE, and combination of both for E values and four-color pattern. The BI-RADS categories were assessed B-mode and combined sets. Interobserver agreement was assessed using weighted kappa statistics. Areas under the receiver operating characteristic curve (AUC), sensitivity, and specificity were analyzed. Results: Interobserver agreement was substantial for Ecol (kappa = 0.79), Ehomo (kappa = 0.77) and four-color pattern (kappa = 0.64), and moderate for Esha (kappa = 0.56). Better-performing qualitative features were Ecol and four-color pattern (AUCs, 0.932 and 0.925) compared with Ehomo and Esha (AUCs, 0.857 and 0.864; P < 0.05). The diagnostic performance of B-mode ultrasound (AUC, 0.950) was not significantly different from combined sets with E value and with four color pattern (AUCs, 0.962 and 0.954). When all qualitative values were negative, leading to downgrade the BI-RADS category, the specificity increased significantly from 16.5% to 56.1% (E value) and 57.0% (four-color pattern) (P < 0.001) without improvement in sensitivity. Conclusion: The qualitative SWE features were highly reproducible and showed good diagnostic performance in suspicious breast masses. Adding qualitative SWE to B-mode ultrasound increased specificity in decision making for biopsy recommendation. (C) 2013 Elsevier Ireland Ltd. All rights reserved.
引用
收藏
页码:E680 / E685
页数:6
相关论文
共 50 条
  • [1] Clinical Application of Shear Wave Elastography in Breast Masses
    Chang, Jin Young
    Moon, Jin Hee
    Koh, Sung Hye
    Park, Sun-Young
    Lee, Kwan Seop
    [J]. IRANIAN JOURNAL OF RADIOLOGY, 2017, 14 (01)
  • [2] Diagnostic performance of qualitative shear-wave elastography according to different color map opacities for breast masses
    Kim, Hana
    Youk, Ji Hyun
    Gweon, Hye Mi
    Kim, Jeong-Ah
    Son, Eun Ju
    [J]. EUROPEAN JOURNAL OF RADIOLOGY, 2013, 82 (08) : E326 - E331
  • [3] Clinical application of a color map pattern on shear-wave elastography for invasive breast cancer
    Lee, Seokwon
    Jung, Younglae
    Bae, Youngtae
    [J]. SURGICAL ONCOLOGY-OXFORD, 2016, 25 (01): : 44 - 48
  • [4] Clinical application of color map pattern on shear-wave elastography for invasive breast cancer
    Jung, Y. L.
    Lee, S. W.
    [J]. EUROPEAN JOURNAL OF CANCER, 2016, 57 : S87 - S87
  • [5] Comparison of strain and shear wave elastography for qualitative and quantitative assessment of breast masses in the same population
    Kim, Hyo Jin
    Kim, Sun Mi
    Kim, Bohyoung
    La Yun, Bo
    Jang, Mijung
    Ko, Yousun
    Lee, Soo Hyun
    Jeong, Heeyeong
    Chang, Jung Min
    Cho, Nariya
    [J]. SCIENTIFIC REPORTS, 2018, 8
  • [6] Comparison of strain and shear wave elastography for qualitative and quantitative assessment of breast masses in the same population
    Hyo Jin Kim
    Sun Mi Kim
    Bohyoung Kim
    Bo La Yun
    Mijung Jang
    Yousun Ko
    Soo Hyun Lee
    Heeyeong Jeong
    Jung Min Chang
    Nariya Cho
    [J]. Scientific Reports, 8
  • [7] Shear-wave elastography quantitative assessment of the male breast: added value to distinguish benign and malignant palpable masses
    Crombe, Amandine
    Hurtevent-Labrot, Gabrielle
    Asad-Syed, Maryam
    Palussiere, Jean
    MacGrogan, Gaetan
    Kind, Michele
    Ferron, Stephane
    [J]. BRITISH JOURNAL OF RADIOLOGY, 2018, 91 (1082):
  • [8] Shear-wave elastography for breast masses: local shear wave speed (m/sec) versus Young modulus (kPa)
    Youk, Ji Hyun
    Son, Eun Ju
    Park, Ah Young
    Kim, Jeong-Ah
    [J]. ULTRASONOGRAPHY, 2014, 33 (01) : 34 - 39
  • [9] Qualitative and quantitative analysis of shear-wave elastography in small (≤20 mm) breast masses combined with BI-RADS category
    Liang, Ming
    Wu, Jia-Yi
    Ou, Bing
    Ruan, Jing-Liang
    Xu, Xiao-Lin
    Yang, Hai-Yun
    Luo, Bao-Ming
    [J]. INTERNATIONAL JOURNAL OF CLINICAL AND EXPERIMENTAL MEDICINE, 2018, 11 (12): : 13338 - 13346
  • [10] Added Value of Shear-Wave Elastography for Evaluation of Breast Masses Detected with Screening US Imaging
    Lee, Su Hyun
    Chang, Jung Min
    Kim, Won Hwa
    Bae, Min Sun
    Seo, Mirinae
    Koo, Hye Ryoung
    Chu, A. Jung
    Gweon, Hye Mi
    Cho, Nariya
    Moon, Woo Kyung
    [J]. RADIOLOGY, 2014, 273 (01) : 61 - 69