By Aristida Colan-Georges
This atlas describes and illustrates a singular process, known as complete breast ultrasonography (FBU), that represents a problem to standard breast imaging analysis. The assurance encompasses exam approach, diagnostic standards, the imaging positive factors of a large choice of lesions, and function in follow-up. FBU consists of anatomic ultrasound scanning according to the ductal echography process proposed via Michel Teboul, supplemented through Doppler and real-time sonoelastography. The strategy bargains various benefits. in comparison with MRI it has a lower price, wider availability, higher answer, and stronger correlation with anatomy. in comparison with mammography it has the advantages of absence of irradiation and soreness, applicability in all circumstances, and higher total accuracy. moreover, the standardized means of acquisition and interpretation implies that it truly is appropriate as a screening try out, not like vintage ultrasonography. FBU is acceptable in ultrasound BI-RADS evaluate and is of price in depicting either benign and malignant stipulations. it may be suggested as a first-line approach to prognosis and for the follow-up of handled breasts, whatever the patient’s age, intercourse, or actual .
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Extra resources for Atlas of Full Breast Ultrasonography
The fatty breasts present longer apparent Cooper ligaments. The regions in the vicinity of the Cooper ligaments include the atrophic TDLUs, the site of the developing of the most benign and malignant breast lesions. In the classical US, some cancers apparently are surrounded by fatty tissue, but they are located along the Cooper ligaments and are developed from remnants of the TDLUs; these aspects are difficult to detect without DE because both fat and cancer are hypoechoic. In the literature, the general opinion is that in fatty breast, malignancies are less visible on US because of their hypoechogenicity, similar to those of the adipose tissue.
1 The breast pathology was redefined by T. Tot and L. Tabar, which developed the theory of the “sick lobe” [2–4]: the breast carcinoma is a lobar disease, with simultaneously or asynchronously appearance (either in situ or infiltrative type) of multiple tumor foci originated in a single lobe of the breast. This theory affirms that the malignant process is initiated when the sick lobe is differentiated, in early embryonic life, as an explanation for the almost simultaneous transformation of the whole lobe.
Moreover, the analysis of the multicentric cancers confirmed and raised the literature data that affirms more than 43 % of multiple lesions, this percentage increasing with the new equipment to be above 55 %. The very significant number of multifocal cancer (more than 1 out 2), of infracentimetric dimensions, certainly will involve surgical and chemotherapeutic treatment adaptations. The DE is not a different technique of examination, but an US with another method of acquisition and interpreting the images, based on the anatomy and sustained by the most recent theories of breast pathology.