By Aristida Colan-Georges
This atlas describes and illustrates a unique strategy, known as complete breast ultrasonography (FBU), that represents a problem to standard breast imaging prognosis. The assurance encompasses exam approach, diagnostic standards, the imaging gains of a large choice of lesions, and function in follow-up. FBU includes anatomic ultrasound scanning in accordance with the ductal echography strategy proposed through Michel Teboul, supplemented by way of Doppler and real-time sonoelastography. The process deals a number of merits. in comparison with MRI it has a lower price, wider availability, larger answer, and stronger correlation with anatomy. in comparison with mammography it has some great benefits of absence of irradiation and soreness, applicability in all situations, and higher total accuracy. in addition, the standardized means of acquisition and interpretation signifies that it truly is compatible as a screening try out, not like vintage ultrasonography. FBU is appropriate in ultrasound BI-RADS review and is of price in depicting either benign and malignant stipulations. it may be steered as a first-line approach to analysis and for the follow-up of taken care of breasts, whatever the patient’s age, intercourse, or actual .
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Extra info for Atlas of Full Breast Ultrasonography
Doppler DE is useful in the monitoring, guided biopsies, and conservatory surgical treatment , being proved that large surgical mastectomies did not significantly improve the lifetime of the patients. For illustration, we will present some images related to the technique, the results of ductal echography compared with the MRI aspect in the same case, and the influence of the imaging diagnostic approach to the surgical therapy (Figs. 5). Fig. 2 The Advantages of the Breast Doppler Ductal Echography 5 a b c d e f Fig.
1 Patient Positioning All 2D and 3D US investigations should be performed with the patients in supine position with elevated ipsilateral arm. The examiner must sit on the right side of the patient, for a right-handed person, or on the left side, for a contrarily. The patient is turned on the right side for the left breast examination, with the nipple oriented to the zenith, and turned on the left side for the right breast US. We can place a standoff under the elevated shoulder of the patient in the same position as in the surgical room, to allow a better localization of the lesion reproducible especially in large breasts .
Int J Surg Pathol 1:68–71 5. Ichihara S, Moritani S, Ohitake T, Ohuchi N (2005) Ductal carcinoma in situ of the breast: the pathological reason for the diversity 6. 7. 8. 9. of its clinical imaging. In: Research and development in breast ultrasound. Springer, Tokyo Ed, pp 104–113 Teboul M, Halliwell M (1995) Atlas of ultrasound and ductal echography of the breast. Ed. Blackwell Science Inc Teboul M, Halliwell M (1995) Ductal echography: the correct ultrasonic approach to the breast. In: Teboul M, Halliwell M (eds) Atlas of ultrasound and ductal echography of the breast.
Atlas of Full Breast Ultrasonography by Aristida Colan-Georges