Diagnostic Breast

Ultrasound
Hein Els
18 August 2010

Limitations
Operator dependency
Equipment dependency
Need for recent mammogram
Erroneous use of image processing
algorithms

Categories
Benign

Uniform hyper, elipsoid, 2-3 gentle lobulations, thin

echogenic capsule

Indeterminate
Malignant

Spiculated contour, Taller-than-wide (not parallel) orientation,

angular margins, marked hypoechogenicity, posterior acoustic
shadowing, punctate calcifications, duct extension, branch
pattern, microlobulation

Current indications

Adjunct to MG & CBE

Primary method in young patients
Pregnant patients
Infection
Male breast
Guidance for interventional procedures
Second look after positive MR/ PET
Breast cancer imaging

Adjunct to MG &
CBE

Young patients

Young patients

Pregnancy

Pregnancy

Infection

Male

Interventional

Second look

Cancer imaging

Future directions
Elastography
Breast ablation techniques
Three dimentional sonography