Abstract

*Dr. Aristida Colan-Georges, MD, PhD

ABSTRACT

Objectives: To promote and illustrate a new hierarchy of the Ultrasound descriptors in addition to the US BIRADS recommendations, for improving the differential diagnosis of the breast tumors. Methods: We made retrospective analysis of 1076 examinations by Full Breast Ultrasonography (FBU), an anatomical radial scanning that illustrates the main lactiferous structures (ducts and lobules) inside the mammary lobes, completed by Doppler and Sonoelastography (SE). Results: The positive diagnosis of the malignant breast masses included the triad: a salient ductal connection, an incident angle of the plunging arteries, and a scoring 4 or 5 Ueno for the SE, with a sensitivity, specificity and accuracy of 88.23%, 99.62% and respectively 99.26%. The lobar and the inflammatory breast cancer (BC) demonstrated salient new-formation vasculature associated with a raised strain. The benign lesions whatever the shape, orientation, posterior effects etc., illustrated an absent/reduced vasculature with an acute plunging angle, and a score BGR, 1, 2 or 3 Ueno. Conclusions: FBU represents an improved Ultrasound technique for screening / diagnosis allowing a whole breast mapping, for all patients, using the US BI-RADS lexicon but related to the lobar anatomy centered by the ductal-lobular tree. The integrative concept eliminates the limits of Doppler and SE as independent tools.