Top

Published in:

01-10-2013 | Review Article

JSUM ultrasound elastography practice guidelines: breast

Authors: Kazutaka Nakashima, Tsuyoshi Shiina, Masaru Sakurai, Katsutoshi Enokido, Tokiko Endo, Hiroko Tsunoda, Etsuo Takada, Takeshi Umemoto, Ei Ueno

Published in: Journal of Medical Ultrasonics | Issue 4/2013

Abstract

Ten years have passed since the first elastography application: Real-time Tissue Elastography™. Now there are several elastography applications in existence. The Quality Control Research Team of The Japan Association of Breast and Thyroid Sonology (JABTS) and the Breast Elasticity Imaging Terminology and Diagnostic Criteria Subcommittee, Terminology and Diagnostic Criteria Committee of the Japan Society of Ultrasonics in Medicine (JSUM) have advocated breast elastography classifications for exact knowledge and good clinical use. We suggest two types of classifications: the technical classification and the classification for interpretation. The technical classification has been created to use vibration energy and to make images, and also shows how to obtain a good elastic image. The classification for interpretation has been prepared on the basis of interpretation of evidence in this decade. Finally, we describe the character and specificity of each vender equipment. We expect the present guidelines to be useful for many physicians and examiners throughout the world.

The unit (kPa or m/s) used differs depending on the country.

Ueno E, Tohno E, Bamber JC, et al. Dynamic tests in real-time breast echography. Ultrasound Med Biol. 1988;14:53.PubMedCrossRef

Ophir J, Caspedes I, Ponnekanti H, et al. Elastography: a quantitative method for imaging the elasticity of biological tissues. Ultrason Imaging. 1991;13:111–34.PubMed

Nakashima K. Report of achievements from quality control research group. J Breast Thyroid Sonol. 2013;12:61.

Japan Association of Breast and Thyroid Sonology. Guideline for breast ultrasound diagnosis, 2nd edn. Nankodo; 2008 (in Japanese).

Itoh A, Ueno E, Tohno E, et al. Breast disease: clinical application of US elastography for diagnosis. Radiology. 2006;239:341–50.PubMedCrossRef

Raza S, Odulate A, Ong EM, et al. Using real-time tissue elastography for breast lesion evaluation. J Ultrasound Med. 2010;29:551–63.PubMed

Ueno E, Umemoto T, Bando H, et al. New quantitative method in breast elastography: fat–lesion ratio (FLR) [abstract]. In: Proceedings of the radiological society of North America scientific assembly and annual meeting. Oak Brook, IL: Radiological Society of North America; 2007. p. 697.

Farrokh A, Wojcinski S, Degenhardt F. Diagnostic value of strain ratio measurement in the differentiation of malignant and benign breast lesions. Ultraschall Med. 2011;32:400–5.PubMedCrossRef

Alhabshi SM, Rahmat K, Abdul Halim N, et al. Semi-quantitative and qualitative assessment of breast ultrasound elastography in differentiating between malignant and benign lesions. Ultrasound Med Biol. 2013;39:568–78.PubMedCrossRef

10.

Chang JM, Moon WK, Cho N, et al. Breast mass evaluation: factors influencing the quality of US elastography. Radiology. 2011;259:59–64.PubMedCrossRef

11.

Nakashima K, Moriya T. Comprehensive ultrasound diagnosis for intraductal spread of primary breast cancer. Breast Cancer 2013;20:3–12.

12.

Adamietz BR, Kahmann L, Fasching PA, et al. Differentiation between phyllodes tumor and fibroadenoma using real-time elastography. Ultraschall Med. 2011;32:E75–9.PubMedCrossRef

13.

Hayashi M, Yamamoto Y, Ibusuki M, et al. Evaluation of tumor stiffness by elastography is predictive for pathological complete response to neoadjuvant chemotherapy in patients with breast cancer. Ann Surg Oncol. 2012;19:3042–9.PubMedCrossRef

14.

Wojcinski S, Dupont J, Schmidt W, et al. Real-time ultrasound elastography in 180 axillary lymph nodes: elasticity distribution in healthy lymph nodes and prediction of breast cancer metastases. BMC Med Imaging. 2012;12:35. doi:10.1186/1471-2342-12-35.PubMedCrossRef

15.

Lakhani SR, Ellis IO, Schnitt SJ, et al. WHO classification of tumours of the breast, 4th edn, 2012.

16.

Stachs A, Hartmann S, Stubert J, et al. Differentiating between malignant and benign breast masses: factors limiting sonoelastographic strain ratio. Ultraschall Med. 2013;34:131–6.PubMedCrossRef

17.

Thomas A, Warm M, Hoopmann M, et al. Tissue Doppler and strain imaging for evaluating tissue elasticity of breast lesions. Acad Radiol. 2007;14:522–9.PubMedCrossRef

18.

Fischer T, Peisker U, Fiedor S, et al. Significant differentiation of focal breast lesions: raw data-based calculation of strain ratio. Uitraschall in der Medizin. 2012;33:372–9.CrossRef

19.

Hall TJ, Zhu Y, Spalding CS, et al. Ultrasound palpation imaging as a tool for improved differentiation among breast abnormalities [abstract]. Radiology. 2001;221:697.CrossRef

20.

Barr RG. Real-time ultrasound elasticity of the breast: initial clinical results. Ultrasound Q. 2010;26:61–6.PubMedCrossRef

21.

Tozaki M, Isobe S, Yamaguchi M, et al. Ultrasonographic elastography of the breast using acoustic radiation force impulse technology: preliminary study. Jpn J Radiol. 2011;29:452–6.PubMedCrossRef

22.

Tozaki M, Isobe S, Sakamoto M. Combination of elastography and tissue quantification using the acoustic radiation force impulse (ARFI) technology for differential diagnosis of breast masses. Jpn J Radiol. 2012;30:659–70.PubMedCrossRef

23.

Tozaki M, Saito M, Joo C, et al. Ultrasonographic tissue quantification of the breast using acoustic radiation force impulse technology: phantom study and clinical application. Jpn J Radiol. 2011;29:598–603.PubMedCrossRef

24.

Tozaki M, Isobe S, Fukuma E. Preliminary study of ultrasonographic tissue quantification of the breast using the acoustic radiation force impulse (ARFI) technology. Eur J Radiol. 2011;80:e182–7.PubMedCrossRef

25.

Friedrich-Rust M, Wunder K, Kriener S, et al. Liver fibrosis in viral hepatitis: noninvasive assessment with acoustic radiation force impulse imaging versus transient elastography. Radiology. 2009;252:595–604.PubMedCrossRef

26.

Lupsor M, Badea R, Stefanescu H, et al. Performance of a new elastographic method (ARFI technology) compared to unidimensional transient elastography in the noninvasive assessment of chronic hepatitis C: preliminary results. J Gastrointestin Liver Dis. 2009;18:303–10.PubMed

27.

Takahashi H, Ono N, Eguchi Y, et al. Evaluation of acoustic radiation force impulse elastography for fibrosis staging of chronic liver disease: a pilot study. Liver Int. 2010;30:538–45.PubMedCrossRef

28.

Gallotti A, D’Onofrio M, Mucelli RP. Acoustic radiation force impulse (ARFI) technique in ultrasound with Virtual Touch tissue quantification of the upper abdomen. Radiol Med. 2010;115:889–97.PubMedCrossRef

29.

Yoneda M, Suzuki K, Kato S, et al. Nonalcoholic fatty liver disease: US-based acoustic radiation force impulse elastography. Radiology. 2010;256:640–7.PubMedCrossRef

30.

Tanter M, Bercoff J, Athanasiou A, et al. Quantitative assessment of breast lesion viscoelasticity; initial clinical result using supersonic shear wave imaging. Ultrasound Med Biol. 2008;34:1373–86.PubMedCrossRef

31.

Burnside ES, Hall TJ, Sommer AM, et al. Differentiating benign from malignant solid breast masses with US strain imaging. Radiology. 2007;245:401–10.PubMedCrossRef

32.

Regner DM, Hesley GK, Hangiandreou NJ, et al. Breast lesions: evaluation with US strain imaging—clinical experience of multiple observers. Radiology. 2006;238:425–37.PubMedCrossRef

33.

Athanasiou A, Tardivon A, Tanter M, et al. Breast lesions: quantitative elastography with supersonic shear imaging—preliminary results. Radiology. 2010;256:297–303.PubMedCrossRef

34.

Cosgrove DO, Berg WA, Doré CJ, et al. Shear wave elastography for breast masses is highly reproducible. Eur Radiol. 2012;22:1023–32.PubMedCrossRef

35.

Evans A, Whelehan P, Thomson K, et al. Quantitative shear wave ultrasound elastography: initial experience in solid breast masses. Breast Cancer Res. 2010;12:R104.PubMedCrossRef

36.

Chang JM, Moon WK, Cho N, et al. Clinical application of shear wave elastography (SWE) in the diagnosis of benign and malignant breast diseases. Breast Cancer Res Treat. 2011;129:89–97.PubMedCrossRef

37.

Berg WA, Cosgrove DO, Doré CJ, et al. Shear-wave elastography improves the specificity of breast US: the BE1 multinational study of 939 masses. Radiology. 2012;262:435–49.PubMedCrossRef

38.

Evans A, Whelehan P, Thomson K, et al. Invasive breast cancer: relationship between shear-wave elastographic findings and histologic prognostic factors. Radiology. 2012;263:673–7.PubMedCrossRef

39.

Tozaki M, Fukuma E. Pattern classification of shear wave elastography images for differential diagnosis between benign and malignant solid breast masses. Acta Radiol. 2011;52:1069–75.PubMedCrossRef

40.

Hye Mi Gweon, Ji Hyun Youk, Eun Ju Son, et al. Visually assessed colour overlay features in shear-wave elastography for breast masses: quantification and diagnostic performance. Eur Radiol. 2012 [Epub ahead of print].

41.

Barr RG. Sonographic breast elastography: a primer. J Ultrasound Med. 2012;31:773–83.PubMed

42.

Barr RG, Zhang Z. Effects of precompression on elasticity imaging of the breast: development of a clinically useful semiquantitative method of precompression assessment. J Ultrasound Med. 2012;31:895–902.PubMed

43.

Stavros AT, Thickman D, Rapp CL, et al. Solid breast nodules: use of sonography to distinguish between benign and malignant lesions. Radiology. 1995;196:123–34.PubMed

44.

Sadigh G, Carlos RC, Neal CH, et al. Accuracy of quantitative ultrasound elastography for differentiation of malignant and benign breast abnormalities: a meta-analysis. Breast Cancer Res Treat. 2012;134:923–31.PubMedCrossRef

Title: JSUM ultrasound elastography practice guidelines: breast
Authors: Kazutaka Nakashima
Tsuyoshi Shiina
Masaru Sakurai
Katsutoshi Enokido
Tokiko Endo
Hiroko Tsunoda
Etsuo Takada
Takeshi Umemoto
Ei Ueno
Publication date: 01-10-2013
Publisher: Springer Japan
Published in: Journal of Medical Ultrasonics / Issue 4/2013
Print ISSN: 1346-4523
Electronic ISSN: 1613-2254
DOI: https://doi.org/10.1007/s10396-013-0457-0

At a glance: The STEP trials

Springer Medicine

JSUM ultrasound elastography practice guidelines: breast

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 4/2013

Open innovation in medical ultrasonics

Early ultrasonographic evaluation of tumor thrombus level during sunitinib therapy for renal cell carcinoma

Acknowledgment to reviewers

Nonbacterial thrombotic endocarditis demonstrated by repeat echocardiography

Ultrasonographic findings: an unusual case of secondary leiomyosarcoma after radiotherapy for breast cancer

JSUM ultrasound elastography practice guidelines: basics and terminology