By Aristida Colan-Georges
This atlas describes and illustrates a unique procedure, known as complete breast ultrasonography (FBU), that represents a problem to traditional breast imaging analysis. The assurance encompasses exam process, diagnostic standards, the imaging beneficial properties of a wide selection of lesions, and position in follow-up. FBU contains anatomic ultrasound scanning in keeping with the ductal echography approach proposed by way of Michel Teboul, supplemented by way of Doppler and real-time sonoelastography. The procedure bargains a number of benefits. in comparison with MRI it has a lower price, wider availability, higher solution, and more advantageous correlation with anatomy. in comparison with mammography it has some great benefits of absence of irradiation and soreness, applicability in all instances, and higher total accuracy. additionally, the standardized means of acquisition and interpretation implies that it truly is appropriate as a screening try, in contrast to vintage ultrasonography. FBU is appropriate in ultrasound BI-RADS review and is of price in depicting either benign and malignant stipulations. it may be advised as a first-line approach to prognosis and for the follow-up of taken care of breasts, whatever the patient’s age, intercourse, or actual .
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Additional info for Atlas of Full Breast Ultrasonography
9. 10. 11. 12. 13. International Breast Ultrasound School. The 10th meeting of Japan Association of Breast and Thyroid Sonology Rotten D, Levaillant J-M, Zerat L (1998) Use of three-dimensional ultrasound mammography to analyze normal breast tissue and solid breast masses. In: Merz E (ed) 3-D ultrasonography in obstetrics and gynecology. Lippincott Willams & Wilkins, Philadelphia, Chap. 11, pp 73–78 Chang R-F, Chen W-M, Chen D-R, Moon W-K (2003) Threedimensional breast Ultrasound Computer Aided Diagnosis.
Contrary to certain publications, this author never met a mammographically visible lesion which was not detected by US. Moreover, the analysis of the multicentric cancers confirmed and raised the literature data that affirms more than 43 % of multiple lesions, this percentage increasing with the new equipment to be above 55 %. The very significant number of multifocal cancer (more than 1 out 2), of infracentimetric dimensions, certainly will involve surgical and chemotherapeutic treatment adaptations.
The sick lobe could be determined even later, related to pregnancy, dishormonal pathology, substitution hormonal therapy, or other unknown factors. We find this explanation concordant with the statistically risk factors for breast malignancies such as precocious thelarche, late pregnancy, birth control pills, or postmenopausal substitution therapy. The greatest value of the “sick lobe theory” consists in removing the concept of “breast cancer as a lump;” thus, the radical excision of the whole “sick lobe” should theoretically © Springer International Publishing Switzerland 2016 A.
Atlas of Full Breast Ultrasonography by Aristida Colan-Georges