Abstract
Article: Using Automated Breast Sonography as Part of a Multimodality Approach to Dense Breast Screening
Authors: Vincenzo Giuliano, MD, RDMS, RVT
Concetta Giuliano, DO
Category: Breast
Credit: 1 SDMS CME credit
Objectives: After studying the article titled “Using Automated Breast Sonography as Part of a Multimodality Approach to Dense Breast Screening,” you will be able to:
Identify the characteristics associated with a malignant breast cancer.
Explain how automated breast sonography creates diagnostic images.
Discuss the potential advantages and limitations of automated breast sonography.
Breast cancer in women ranks second in incidence in the United States to
Colon cancer Lung cancer Thyroid cancer Melanoma
Recent data show an annual incidence of new cases of breast cancer of approximately
100,000 per year 150,000 per year 200,000 per year 250,000 per year
Automated breast sonography and handheld sonography both have detection rates for cancer of approximately
80% 90% 95% 100%
The volume data acquired using automated breast sonography result in approximately how many reformatted digital images?
250 300 350 450
Sonographic features of malignant breast cancer include all of the following except
Irregular shape and margins Acoustic shadowing Hypoechoic “halo” sign Parallel orientation (mass wider than tall)
False-positive results of automated breast sonography were most commonly the result of
Focal fibrosis Tissue calcification Cystic structures Fatty tissue
The prevalence of increased breast density in women who have mammograms is estimated to be approximately
10%–20% 20%–30% 30%–50% 40%–60%
Potential advantages of automated breast sonography include all of the following except
Short examination times Reduced cost compared with handheld sonography Ease of use Improved reproducibility
Compared with MRI, automated breast sonography offers all the following features except
Multiplanar imaging Simplicity of imaging protocol Improved detection of malignant versus benign lesions Good patient acceptance
At the present time, the principal limitation of automated breast sonography is
Large breast size Reformatted image quality Lesion heterogenicity Lesion hypoechogenicity