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Year : 2022  |  Volume : 17  |  Issue : 1  |  Page : 103-109

Sonography, color doppler, and power doppler evaluation of palpable breast masses with pathological correlation

Department of Radiology, JNMC, DMIMS, Wardha, Maharashtra, India

Correspondence Address:
Dr. Soumya Jain
Department of Radiology, JNMC, DMIMS, Sawangi, Wardha, Maharashtra
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jdmimsu.jdmimsu_83_22

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Background: The study was performed to analyze the accuracy of each of the techniques used in ultrasonography of breast in differentiating benign and malignant masses of the breast. The techniques under evaluation were B-mode, color Doppler, and power Doppler. Materials and Methods: It was a prospective, cross-sectional study involving 240 female patients who were clinically suspected to have a breast mass. The patients were referred to the Department of Radiodiagnosis, AVBRH, where they underwent ultrasonography with Aloka Hitachi USG Machine Arietta S70 with high-frequency linear probe (12–15 MHz) followed by Doppler assessment. Results: Of 240 patients that were included in the study, histologically, 73 (30.4%) patients were diagnosed with breast carcinoma, 167 (69.6%) were diagnosed with benign breast lesions. Gray scale ultrasonography had the highest accuracy with sensitivity of 90.4%, specificity of 92.8%, positive predictive value (PPV) of 84.6%, and negative predictive value (NPV) of 95.68%, followed by color Doppler having sensitivity of 89%, specificity of 87.1%, PPV of 87.69%, and NPV of 88.5%. Power Doppler had sensitivity of 82.19%, specificity of 89.22%, PPV of 76.9%, and NPV of 91.98%. The combined sensitivity and NPV of sonography, spectral color Doppler and power Doppler were found to be more, i.e., 91.78% and 95.97%, respectively. Conclusions: Breast malignancy is a very prevalent and common issue in India as well as in the rest of the world. Sonography has proven to be more accurate in differentiating benign from malignant masses of the breast. Color Doppler and power Doppler findings in conjunction with gray scale ultrasonography findings can help in early detection and give a better understanding of the type of lesion based on the tissue vascularity. This could also be used as an effective first-look screening tool to assess patients who are at high risk for breast carcinomas.

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