Cited 4 times in
Lesion stiffness measured by shear-wave elastography: Preoperative predictor of the histologic underestimation of US-guided core needle breast biopsy
DC Field | Value | Language |
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dc.contributor.author | 김정아 | - |
dc.contributor.author | 박아영 | - |
dc.contributor.author | 손은주 | - |
dc.contributor.author | 육지현 | - |
dc.contributor.author | 한경화 | - |
dc.date.accessioned | 2018-03-26T16:44:48Z | - |
dc.date.available | 2018-03-26T16:44:48Z | - |
dc.date.issued | 2015 | - |
dc.identifier.issn | 0720-048X | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/156780 | - |
dc.description.abstract | OBJECTIVES: To determine whether lesion stiffness measured by shear-wave elastography (SWE) can be used to predict the histologic underestimation of ultrasound (US)-guided 14-gauge core needle biopsy (CNB) for breast masses. METHODS: This retrospective study enrolled 99 breast masses from 93 patients, including 40 high-risk lesions and 59 ductal carcinoma in situ (DCIS), which were diagnosed by US-guided 14-gauge CNB. SWE was performed for all breast masses to measure quantitative elasticity values before US-guided CNB. To identify the preoperative factors associated with histologic underestimation, patients' age, symptoms, lesion size, B-mode US findings, and quantitative SWE parameters were compared according to the histologic upgrade after surgery using the chi-square test, Fisher's exact test, or independent t-test. The independent factors for predicting histologic upgrade were evaluated using multivariate logistic regression analysis. RESULTS: The underestimation rate was 28.3% (28/99) in total, 25.0% (10/40) in high-risk lesions, and 30.5% (18/59) in DCIS. All elasticity values of the upgrade group were significantly higher than those of the non-upgrade group (P<0.001). On multivariate analysis, the mean (Odds ratio [OR]=1.021, P=0.001), maximum (OR=1.015, P=0.008), and minimum (OR=1.028, P=0.001) elasticity values were independently associated with histologic underestimation. The patients' age, lesion size, and final assessment category on US of the upgrade group were higher than those of the non-upgrade group (P=0.046 for age; P=0.021 for lesion size; P=0.030 for US category), but these were not independent predictors of histologic underestimation on multivariate analysis. CONCLUSION: Breast lesion stiffness quantitatively measured by SWE could be helpful to predict the underestimation of malignancy in US-guided 14-gauge CNB. | - |
dc.description.statementOfResponsibility | restriction | - |
dc.language | English | - |
dc.publisher | Elsevier Science Ireland Ltd | - |
dc.relation.isPartOf | EUROPEAN JOURNAL OF RADIOLOGY | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.subject.MESH | Adult | - |
dc.subject.MESH | Biopsy, Large-Core Needle | - |
dc.subject.MESH | Breast/pathology | - |
dc.subject.MESH | Breast Neoplasms/diagnostic imaging* | - |
dc.subject.MESH | Breast Neoplasms/pathology* | - |
dc.subject.MESH | Elasticity Imaging Techniques/methods* | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Image-Guided Biopsy | - |
dc.subject.MESH | Middle Aged | - |
dc.subject.MESH | Predictive Value of Tests | - |
dc.subject.MESH | Preoperative Care/methods* | - |
dc.subject.MESH | Retrospective Studies | - |
dc.subject.MESH | Ultrasonography, Interventional* | - |
dc.subject.MESH | Ultrasonography, Mammary/methods* | - |
dc.title | Lesion stiffness measured by shear-wave elastography: Preoperative predictor of the histologic underestimation of US-guided core needle breast biopsy | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine | - |
dc.contributor.department | Dept. of Radiology | - |
dc.contributor.googleauthor | Ah Young Park | - |
dc.contributor.googleauthor | Eun Ju Son | - |
dc.contributor.googleauthor | Jeong-Ah Kim | - |
dc.contributor.googleauthor | Kyunghwa Han | - |
dc.contributor.googleauthor | Ji Hyun Youk | - |
dc.identifier.doi | 10.1016/j.ejrad.2015.10.001 | - |
dc.contributor.localId | A00888 | - |
dc.contributor.localId | A01556 | - |
dc.contributor.localId | A01988 | - |
dc.contributor.localId | A02537 | - |
dc.contributor.localId | A04267 | - |
dc.relation.journalcode | J00845 | - |
dc.identifier.eissn | 1872-7727 | - |
dc.identifier.pmid | 26467705 | - |
dc.identifier.url | https://www.sciencedirect.com/science/article/pii/S0720048X15301212 | - |
dc.subject.keyword | Breast | - |
dc.subject.keyword | Core needle biopsy | - |
dc.subject.keyword | Shear-wave elastography | - |
dc.subject.keyword | Underestimation | - |
dc.contributor.alternativeName | Kim, Jeong Ah | - |
dc.contributor.alternativeName | Park, Ah Young | - |
dc.contributor.alternativeName | Son, Eun Ju | - |
dc.contributor.alternativeName | Youk, Ji Hyun | - |
dc.contributor.alternativeName | Han, Kyung Hwa | - |
dc.contributor.affiliatedAuthor | Kim, Jeong Ah | - |
dc.contributor.affiliatedAuthor | Park, Ah Young | - |
dc.contributor.affiliatedAuthor | Son, Eun Ju | - |
dc.contributor.affiliatedAuthor | Youk, Ji Hyun | - |
dc.contributor.affiliatedAuthor | Han, Kyung Hwa | - |
dc.citation.volume | 84 | - |
dc.citation.number | 12 | - |
dc.citation.startPage | 2509 | - |
dc.citation.endPage | 2514 | - |
dc.identifier.bibliographicCitation | EUROPEAN JOURNAL OF RADIOLOGY, Vol.84(12) : 2509-2514, 2015 | - |
dc.identifier.rimsid | 39909 | - |
dc.type.rims | ART | - |
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