학술논문

Value of inversion imaging to diagnosis in differentiating malignant from benign breast masses
Document Type
article
Source
BMC Medical Imaging, Vol 23, Iss 1, Pp 1-9 (2023)
Subject
Breast masses
Inversion imaging
Diagnosis
Ultrasound
Breast imaging reporting and Data System
Medical technology
R855-855.5
Language
English
ISSN
1471-2342
Abstract
Abstract Background We aimed to evaluate the added value of inversion imaging in differentiating between benign and malignant breast masses when combined with the Breast Imaging Reporting and Data System (BI-RADS). Methods A total of 364 patients with 367 breast masses (151 benign and 216 malignant) who underwent conventional ultrasound and inversion imaging prior to breast surgery were included. A 5-point inversion score (IS) scale was proposed based on the masses’ internal echogenicity and distribution characteristics in the inversion images. The combination of IS and BI-RADS was compared with BI-RADS alone to evaluate the value of inversion imaging for breast mass diagnosis. The diagnostic performance of the BI-RADS and its combination with IS for breast masses were analyzed using area under the receiver operating characteristic curve (AUC), accuracy, sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV). Results The IS for malignant breast masses (3.96 ± 0.77) was significantly higher than benign masses (2.58 ± 0.98) (P