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 method, diagnostic standards, the imaging gains of a large choice of lesions, and function in follow-up. FBU contains anatomic ultrasound scanning in accordance with the ductal echography strategy proposed through Michel Teboul, supplemented by way of Doppler and real-time sonoelastography. The strategy bargains quite a few benefits. in comparison with MRI it has a cheaper price, wider availability, higher solution, and greater correlation with anatomy. in comparison with mammography it has some great benefits of absence of irradiation and discomfort, applicability in all instances, and higher total accuracy. moreover, the standardized means of acquisition and interpretation implies that it truly is appropriate as a screening try out, in contrast to vintage ultrasonography. FBU is appropriate in ultrasound BI-RADS evaluate and is of price in depicting either benign and malignant stipulations. it may be prompt 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 situation.
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Additional resources for Atlas of Full Breast Ultrasonography
It could be useful for scanning continual intraductal structures, and thus, SieScape/panoramic view represents an important advancing technique in the anatomical study of the breast. 19 There are inherent limits of the panoramic scans: the lack of precision, the image resulted being a construction, depending on the speed of the transducer’s movement (no any measurements in the horizontal plane, but only in the anterior-posterior plane); furthermore, this technique is imprecise as localization, rarely we will pass by the same route, thus the panoramic scan is not reproducible, the technique being operator and hazard dependent.
3 Water-Bag Technique The contour of the breast surface is not regular/plane, but spheroid, so it is difficult to follow-up its relief, without distortion of the internal architecture; especially on the nipple, we cannot perform a good examination in all cases, even using a lot of echo jelly; otherwise, the best resolution is obtained when the ductal axis is parallel to the probe surface. To improve the quality of the images, it is recommended to use in the first step a water bag added to the transducer by an adaptor, recommended by Teboul and Amy , which will solve all the previous problems and will offer a better resolution in the superficial planes, especially for the skin and the fatty subcutaneous layer (Fig.
With better resolution, the visual evaluation of lesions was improved to such a point that the use of needle aspiration was often bypassed, and surgical biopsies were directly performed with a high rate of reliability. This method is opposed to breast MRI, for instance, which increased biopsies and needs a complementary method such as mammography or US to complete diagnosis. DE added confidence to surgeons in the US technique, so that the American College of Breast Surgeons has recommended adopting, teaching, diffusing, and utilizing ultrasound and DE for the management of breast diseases .
Atlas of Full Breast Ultrasonography by Aristida Colan-Georges