Figure 3 • Ultrasound system using Shear Wave TM elastography.
Photo courtesy of SuperSonic Imagine ( www.supersonicimagine.fr).
Used with permission.
analysis with Mammography, Ultrasound
and MRI in the Detection of Breast Cancer.
Miami Breast Cancer Conference. Orlando,
Florida. February 20–23, 2008.
5Guingrich J, Destounis S, Kaplan S, et al. Evaluation of the SomoVu by U-Systems in
diagnostic patients (presentation). 2006.
6Mitka M. New ultrasound “elasticity” technique may reduce need for breast biopsies.
JAMA . 2007;297( 5):455.
7Ultrasound elastography falls short in reducing
breast biopsies. RSNA. November 29, 2009.
8Breast elastography gets high sensitivity marks
in 7-year study. AuntMinnie.com. November 11, 2009.
9Shear Wave Elastography, A Quantitative Mode.
SuperSonic Imagine. Available at: http://www.
titative-mode, en.htm. Accessed April 6,
10Study NCT00716482—Assessment of the
Clinical Value of SuperSonic Shear Wave
Elastography in the Ultrasonic Evaluation of
11Yang WT. Cone-beam CT faster, potentially
more accurate than conventional mammography. American Roentgen Ray Society.
12Conebeam breast CT, with and without contrast, offers diagnostic promise. AuntMinnie.
com. November 2009.
Bonnie Rush, RT(R)(M)(QM), president of Breast
Imaging Specialists (BIS), is a subject matter expert
and provides practice management, regulatory, and
expert witness services. For more information, please
visit www.mammobis.org or contact her directly at
82% of the included cases. CBBCT found
97% of the lesions that had been confirmed
via pathology. 12 The conclusion was that
CBBCT has potential as a tool for diagnostic
work-ups of breast lesions. However, with
such a small study, this was only preliminarily substantiated. A larger study is underway.
From initial studies, the included
modalities may indeed overcome the
inherent weaknesses of our current imaging arsenal. Their ultimate value will be
determined by ongoing and future studies
along with clinical assessment.
1Duffy SW, Tabár L, Chen H-h, et al. The
impact of organized mammography service
screening on breast carcinoma mortality in
seven Swedish counties: A collaborative
evaluation. Cancer. 2002;95( 3):458–469.
2Gur D, Abrams GS, et al. Digital breast tomosynthesis: observer performance study. AJR.
3NIH. Prospective multi-center trial comparing
PEM and MRI for presurgical planning.
NIH Grant Number R44CA103102.
4Bertrand M. First Year’s Experience using Breast-Specific Gamma Imaging: A comparative