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, Jiamin Pan Department of Medical Ultrasonics, Institute of Diagnostic and Interventional Ultrasound, The First Affiliated Hospital of Sun Yat-Sen University , Guangzhou, 510080 , China Search for other works by this author on: Oxford Academic Wenjuan Tong Department of Medical Ultrasonics, Institute of Diagnostic and Interventional Ultrasound, The First Affiliated Hospital of Sun Yat-Sen University , Guangzhou, 510080 , China Search for other works by this author on: Oxford Academic Jia Luo Department of Medical Ultrasonics, Institute of Diagnostic and Interventional Ultrasound, The First Affiliated Hospital of Sun Yat-Sen University , Guangzhou, 510080 , China Search for other works by this author on: Oxford Academic Jinyu Liang Department of Medical Ultrasonics, Institute of Diagnostic and Interventional Ultrasound, The First Affiliated Hospital of Sun Yat-Sen University , Guangzhou, 510080 , China Search for other works by this author on: Oxford Academic Fushun Pan Department of Medical Ultrasonics, Institute of Diagnostic and Interventional Ultrasound, The First Affiliated Hospital of Sun Yat-Sen University , Guangzhou, 510080 , China Search for other works by this author on: Oxford Academic Yanling Zheng Department of Medical Ultrasonics, Institute of Diagnostic and Interventional Ultrasound, The First Affiliated Hospital of Sun Yat-Sen University , Guangzhou, 510080 , China Search for other works by this author on: Oxford Academic Xiaoyan Xie Department of Medical Ultrasonics, Institute of Diagnostic and Interventional Ultrasound, The First Affiliated Hospital of Sun Yat-Sen University , Guangzhou, 510080 , China Search for other works by this author on: Oxford Academic
British Journal of Radiology, Volume 93, Issue 1112, 1 August 2020, 20200195, https://doi.org/10.1259/bjr.20200195
Published:
20 July 2020
Article history
Received:
29 February 2020
Revision received:
01 May 2020
Accepted:
15 May 2020
Published:
20 July 2020
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Jiamin Pan, Wenjuan Tong, Jia Luo, Jinyu Liang, Fushun Pan, Yanling Zheng, Xiaoyan Xie, Does contrast-enhanced ultrasound (CEUS) play a better role in diagnosis of breast lesions with calcification? A comparison with MRI, British Journal of Radiology, Volume 93, Issue 1112, 1 August 2020, 20200195, https://doi.org/10.1259/bjr.20200195
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Objective:
To compare the efficacy of contrast-enhanced ultrasound enabled reclassification of Breast Imaging Reporting and Data System (CEUS-BI-RADS) with MRI in the diagnosis of breast lesions with calcification.
Methods:
A total of 52 breast lesions with calcification from 51 patients were detected by ultrasound as hyperechoic foci and categorized as BI-RADS 3–5. The 51 patients further underwent CEUS scan and MRI. The ultrasound-BI-RADS combined with CEUS 5-point score system redefined the classification of BI-RADS which was called CEUS-BI-RADS. The diagnostic efficacy of three methods was assessed by receiver operating characteristic (ROC) curve analysis. Histopathological assessment used as the gold-standard.
Results:
The sensitivities of Ultrasound-BI-RADS, MRI classification of BI-RADS (MRI-BI-RADS) and CEUS-BI-RADS were 85%, 90% and 95% without significant difference among the three modalities (p > 0.05). The diagnostic specificities of ultrasound-BI-RADS, MRI-BI-RADS and CEUS-BI-RADS were 78.1%, 78.1% and 96.8%, respectively (p < 0.05); and the accuracy were 80.7%, 82.6% and 96.1% for ultrasound-BI-RADS, MRI-BI-RADS and CEUS-BI-RADS, respectively (p < 0.05). The area under ROC (AUROC) in differentiation of breast lesions with calcification was 0.945 for CEUS-BI-RADS, 0.907 for MRI-BI-RADS and 0.853 for ultrasound-BI-RADS, with no significant difference among the three modalities (p > 0.05).
Conclusion:
The CEUS-BI-RADS has a better diagnostic efficiency than MRI-BI-RADS in the differentiation of the breast lesions with calcification.
Advances in knowledge:
•CEUS is a better method in differentiation of breast lesions with calcification.
•CEUS-BI-RADS increases the efficiency of diagnosis compared to MRI.
© 2020 The Authors. Published by the British Institute of Radiology
This article is published and distributed under the terms of the Oxford University Press, Standard Journals Publication Model (https://academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model)
Subject
Breast
Issue Section:
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