Potential of Lesion-to-Fat Elasticity Ratio Measured by Shear Wave Elastography to Reduce Benign Biopsies in BI-RADS 4 Breast Lesions.
Riku TogawaAndré PfobChristopher BüschZaher AlwafaiCorinne BalleyguierDirk-André ClevertVolker DudaSarah FastnerManuela GoncaloChristina GomezInes GruberMarkus HahnAndré HennigsPanagiotis KapetasJuliane NeesRalf OhlingerFabian RiedelMatthieu RuttenBenedikt SchäfgenAnne StieberMitsuhiro TozakiSebastian WojcinskiGeraldine RauchJörg HeilRichard G BarrMichael GolattaPublished in: Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine (2023)
Adding lesion-to-fat ratio measured by shear wave elastography to conventional B-mode ultrasound in BI-RADS 4a breast lesions could help reduce the number of benign biopsies by 44.04%. At the same time, however, 1.98% of malignancies were missed, which would still be in line with American College of Radiology BI-RADS 3 definition of <2% of undetected malignancies.