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Three-dimensional ultrasound for the assessment of breast lesions.
Ultrasound Obstet Gynecol. 2005 Jun; 25(6):592-8.UO

Abstract

OBJECTIVE

To evaluate the diagnostic accuracy of three-dimensional (3D) ultrasound in comparison with conventional two-dimensional (2D) ultrasound in the characterization of breast lesions.

METHODS

The digitally stored 2D ultrasound images and the corresponding 3D scans of 100 breast lesions (57 malignant, 43 benign) that had been morphologically classified as solid tumors, were independently analyzed by six investigators. Ten 2D and 13 3D ultrasound characteristics were determined. Lesion characterization was classified on a four-point scale and a logistic regression model was used to analyze the data. A receiver-operating characteristics curve (ROC) analysis was performed to determine the diagnostic performance of 2D and 3D ultrasound, respectively.

RESULTS

Ultrasound criteria showed major differences between 2D and 3D ultrasound. Logistic regression revealed the retraction phenomenon in the coronal plane of the 3D ultrasound scan to be a significant and independent factor for lesion characterization. The characteristics determined on the conventional planes of 3D ultrasound differed from those determined on the 2D ultrasound images. The diagnostic accuracy of 2D and 3D ultrasound in the ROC analysis was almost identical (area under the curve 0.846 and 0.851, respectively).

CONCLUSIONS

Ultrasound features on 3D ultrasound differ significantly from those on 2D ultrasound. However, the diagnostic accuracy of both methods is almost identical. 3D ultrasound as an adjunct to conventional 2D ultrasound should be evaluated in larger trials to determine its clinical value in breast imaging.

Authors+Show Affiliations

Freiburg University Medical Center, Obstetrics and Gynecology, Freiburg, Germany. watermann@frk.ukl.uni-freiburg.deNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Evaluation Study
Journal Article

Language

eng

PubMed ID

15912473

Citation

Watermann, D O., et al. "Three-dimensional Ultrasound for the Assessment of Breast Lesions." Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology, vol. 25, no. 6, 2005, pp. 592-8.
Watermann DO, Földi M, Hanjalic-Beck A, et al. Three-dimensional ultrasound for the assessment of breast lesions. Ultrasound Obstet Gynecol. 2005;25(6):592-8.
Watermann, D. O., Földi, M., Hanjalic-Beck, A., Hasenburg, A., Lüghausen, A., Prömpeler, H., Gitsch, G., & Stickeler, E. (2005). Three-dimensional ultrasound for the assessment of breast lesions. Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology, 25(6), 592-8.
Watermann DO, et al. Three-dimensional Ultrasound for the Assessment of Breast Lesions. Ultrasound Obstet Gynecol. 2005;25(6):592-8. PubMed PMID: 15912473.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Three-dimensional ultrasound for the assessment of breast lesions. AU - Watermann,D O, AU - Földi,M, AU - Hanjalic-Beck,A, AU - Hasenburg,A, AU - Lüghausen,A, AU - Prömpeler,H, AU - Gitsch,G, AU - Stickeler,E, PY - 2005/5/25/pubmed PY - 2005/10/4/medline PY - 2005/5/25/entrez SP - 592 EP - 8 JF - Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology JO - Ultrasound Obstet Gynecol VL - 25 IS - 6 N2 - OBJECTIVE: To evaluate the diagnostic accuracy of three-dimensional (3D) ultrasound in comparison with conventional two-dimensional (2D) ultrasound in the characterization of breast lesions. METHODS: The digitally stored 2D ultrasound images and the corresponding 3D scans of 100 breast lesions (57 malignant, 43 benign) that had been morphologically classified as solid tumors, were independently analyzed by six investigators. Ten 2D and 13 3D ultrasound characteristics were determined. Lesion characterization was classified on a four-point scale and a logistic regression model was used to analyze the data. A receiver-operating characteristics curve (ROC) analysis was performed to determine the diagnostic performance of 2D and 3D ultrasound, respectively. RESULTS: Ultrasound criteria showed major differences between 2D and 3D ultrasound. Logistic regression revealed the retraction phenomenon in the coronal plane of the 3D ultrasound scan to be a significant and independent factor for lesion characterization. The characteristics determined on the conventional planes of 3D ultrasound differed from those determined on the 2D ultrasound images. The diagnostic accuracy of 2D and 3D ultrasound in the ROC analysis was almost identical (area under the curve 0.846 and 0.851, respectively). CONCLUSIONS: Ultrasound features on 3D ultrasound differ significantly from those on 2D ultrasound. However, the diagnostic accuracy of both methods is almost identical. 3D ultrasound as an adjunct to conventional 2D ultrasound should be evaluated in larger trials to determine its clinical value in breast imaging. SN - 0960-7692 UR - https://www.unboundmedicine.com/medline/citation/15912473/Three_dimensional_ultrasound_for_the_assessment_of_breast_lesions_ L2 - https://doi.org/10.1002/uog.1909 DB - PRIME DP - Unbound Medicine ER -