JDMS Article - SDMS CME Credit

Article: The Role of Ultrasonography and Elastography in Differentiating Benign From Malignant Breast Masses With Pathologic Correlation

Authors: Anil Kumar Sakalecha, MD, Keerthi B H Parameshwar, MD, Shivaprasad G. Savagave, MD, and Bukke Ravindra Naik, MD

Category: Breast [BR]

Credit: 1.0 SDMS CME Credit

Objectives: After studying the article entitled “The Role of Ultrasonography and Elastography in Differentiating Benign From Malignant Breast Masses With Pathologic Correlation,” you will be able to:

1. Discuss routine sonography vs elastography for breast masses

2. Discuss the role of elastography for benign vs malignant breast masses

3. Correlate elastography and sonography results with pathology findings

1. In addition to breast, strain elastography can be used to evaluate which organ?

2. Liver

3. Bowel

4. Kidneys

Of the total lesions studied, most were classified as what breast imaging reporting and data system (BIRAD)?

2

3

4

5

Of the total lesions studied, how many were malignant at final diagnosis?

42

48

52

56

Mean strain ratio identified how many malignant masses correctly?

6

24

36

48

What is a potential benefit of elastography?

Reducing unwanted biopsies in benign or cystic lesions

Adding additional information to BIRAD classifications

Reducing the number of biopsies in suspicious lesions

Eliminating the need for gray scale image optimization

In this study, what was the mean strain ratio cutoff to differentiate benign from malignant breast masses?

3.2

3.8

4.2

4.8

Malignant breast lesions show large aggregates of elastin fibers, a process known as what?

Granulomatous mastitis

Fibrosis

Spiculation

Elastosis