Patient-reported outcomes of automated breast ultrasound: considerations for screening modality selection, based on a prospective observational survey

Abstract

Purpose: This study aimed to evaluate patient-reported experiences with automated breast ultrasound (ABUS) and identify patient characteristics associated with discomfort, to inform screening modality selection and improve resource use. Methods: A survey was prospectively conducted on 140 patients who underwent ABUS for breast cancer screening. The survey assessed patient satisfaction, discomfort, and pain before and after the procedure. Factors such as age, breast density, and body mass index (BMI) were analyzed to determine their impact on patient experiences. Results: The majority of patients expressed satisfaction with ABUS. However, younger patients, those with small or dense breasts, and those with a low BMI reported lower satisfaction and higher pain scores. Conclusion: Based on patient-reported outcomes, ABUS could complement handheld ultrasound in breast screening. Selecting modalities by age, BMI, breast size, and density may enhance satisfaction and resource use. Personalized strategies may improve screening experience and efficiency.