"With greater emphasis now being placed on characterising breast density, more authors feel there is a place for screening ultrasound in the dense (>75%) breast. In Connecticut, ultrasound of the dense breast is now mandated and paid for by the state. There is good evidence that in this group of patients the yield of ultrasound in picking up cancers is almost as high as mammography itself in the range of an additional 3-4/1000 cancers found (Berg, ECR, 2013). In the context of screening for breast cancer, ultrasound in capable hands will find low grade DCIS that may not be visible on mammography. "Second look" ultrasound after breast MRI will yield a positive finding in about 56% of cases."
Expected headings
"Scanning technique"
"Use of breast ultrasound"
"Cysts"
"Power Doppler and vocal fremitus"
"Features that are found not to be useful in differentiating malignant from benign lesions"
"Classification of nodules"
"Potential pitfalls in breast ultrasound in practice"
"Screening ultrasound"
"In assessing for malignancy, it is important to remember that one must use the most suspicious feature of three modalities (pathology, ultrasound and mammography) to guide management."
"indeterminate: no malignant findings; no combination of benign findings (needs biopsy)"
"With greater emphasis now being placed on characterising breast density, more authors feel there is a place for screening ultrasound in the dense (>75%) breast. In Connecticut, ultrasound of the dense breast is now mandated and paid for by the state. There is good evidence that in this group of patients the yield of ultrasound in picking up cancers is almost as high as mammography itself in the range of an additional 3-4/1000 cancers found (Berg, ECR, 2013). In the context of screening for breast cancer, ultrasound in capable hands will find low grade DCIS that may not be visible on mammography. "Second look" ultrasound after breast MRI will yield a positive finding in about 56% of cases."