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A comparative study between the additive role of 3d digital breast tomosynthesis & breast ultrasound in the characterization of breast lesions /

Menna Allah Gaber Ahmed Mohamed Eissa

A comparative study between the additive role of 3d digital breast tomosynthesis & breast ultrasound in the characterization of breast lesions / مقارنة بين دور الاشعة الرقمية بنائية المقاطع (ثلاثية الابعاد) و دور الموجات فوق الصوتية للثدي في تمييز آفات الثدي Menna Allah Gaber Ahmed Mohamed Eissa ; Supervised Soha Talaat Hamed , Omar Zakaria Youssef , Marwa Anas Haggag - Cairo : Menna Allah Gaber Ahmed Mohamed Eissa , 2015 - 158 Leaves : charts , facsimiles ; 25cm

Thesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Radio-diagnosis

To evaluate the impact of Mammography, Ultrasound, and 3D Digital Tomosynthesis in the detection, diagnosis & characterization of breast lesions with BI-RADS score (3, 4 & 5) in any of the used imaging modalities, in symptomatic female patients. Patients and methods: The study included 30 symptomatic patients, their ages ranged from 31 - 75 years (mean age 49.5 ± 9.3 SD). FFDM, 3D tomosynthesis and Ultrasound examinations were done and imaging findings of each modality were evaluated individually & each lesion takes score according to BI-RADS Atlas 2013. Results : All modalities were compared regarding detection, diagnosis & characterization of lesions, each individually assessed. Diagnosis & Characterization of breast lesions dramatically improved when 3D tomosynthesis & Ultrasound images were considered in the evaluation. The sensitivity, specificity, PPV, NPV and accuracy of digital mammography was 79%, 83%, 95%, 50% and 80% have significantly enhanced on applying Tomosynthesis to be 95.5%, 100%, 100%, 87.5% and 96.5% & Ultrasound to be 95.5%, 100%, 100%, 89% and 96.5%.Conclusion: Ultrasound coupled To Mammography is comparable to 3D Tomosynthesis in enhancing the detection and characterization of breast lesions on Digital Mammography especially in dense breasts



3D Tomosynthesis Breast US Digital mammography