By Veronika Gazhonova
This publication introduces an exhilarating new approach for breast ultrasound diagnostics – computerized whole-breast quantity scanning (3D ABVS). Scanning strategy is defined intimately, with advice on scanning positions and protocols. Imaging findings are then illustrated and mentioned for regular breast versions, the several kinds of breast melanoma, fibroadenomas, cystic illness, benign and malignant male breast issues, mastitis, breast implants, and postoperative breast scars. so as to relief appreciation of the advantages of 3D ABVS, comparisons with findings on X-ray mammography and traditional second handheld US are provided. Readers might be specifically inspired by means of the convincing demonstration of the benefits of the hot technique for prognosis of breast melanoma in girls with dense glandular tissue. In permitting readers to profit tips on how to practice and interpret 3D ABVS, this e-book can be of significant price for all who're embarking on its use. it's going to additionally function a welcome reference for radiologists, oncologists, and ultrasonographers who have already got a few familiarity with the technique.
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Additional info for 3D Automated Breast Volume Sonography: A Practical Guide
ABVS shows two fibroadenomas in one breast in the whole gland view: one is large, and the second is small. One can be seen on the border of the upper quadrants (thick arrow) and the second located in the lower-inner quadrant (thin arrow). The nipple is marked by a rectangle. The residual glandular tissue is located in the upper quadrants at the 10–2 o’clock position. In other areas fatty tissue predominates. (c) A side-by-side comparison of the corresponding images of MMG (left part) and ABVS data (right part).
On the contrary, periglandular stroma is seen as low echogenicity areas. These two structures should be considered as glandular tissue during ultrasound imaging analysis to enable comparisons between MMG and US. Thus, breasts in the early reproductive period (at the age of 15–25) have a cellular structure with alternating zones of low and high echogenicity. This variability of the echostructure is provided by the periglandular stroma. The structure of the glandular tissue varies from reticular to cellular in young women with a regular menstrual cycle.
Glandular tissue with slight cellularity, no fatty involution present women who fall into the screening age group [11, 12]. Overall fibroadenomas comprise 50% of all breast biopsies, and the rate increases to 75 % for biopsies in women under the age of 20 . FA often occurs as a reaction to hormonal changes. Hyperestrogenemia contributes to its development. Usually it presents as a palpable non-tender mobile lesion 1–2 cm in diameter or can be detected incidentally by MMG especially in postmenopausal women.