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©The Author(s) 2024.
World J Radiol. Oct 28, 2024; 16(10): 528-536
Published online Oct 28, 2024. doi: 10.4329/wjr.v16.i10.528
Published online Oct 28, 2024. doi: 10.4329/wjr.v16.i10.528
Table 1 Biopsy results with histopathological verification of lesions
| Histopathological results | Number of lesions |
| Benign | |
| Fibroadenoma | 35 (17.5) |
| Intraductal papilloma | 12 (6) |
| Fibro adenomatoid change | 10 (5) |
| Mammary duct ectasia | 7 (3.5) |
| Fibrocystic change | 5 (2.5) |
| Complex fibroadenoma | 3 (1.5) |
| Other benign lesions | 8 (4) |
| Total | 80 (40) |
| Malignant | |
| Invasive ductal carcinoma | 71 (35.5) |
| Ductal carcinoma in situ | 30 (15) |
| Invasive lobular carcinoma | 14 (7) |
| Mucinous carcinoma | 2 (1) |
| Malignant phyllodes tumor | 2 (1) |
| Angiosarcoma of the breast | 1 (0.5) |
| Total | 120 (60) |
| Total number of biopsies | 200 (100) |
Table 2 Detailed histological information of misclassified lesions
| Biopsy results | |
| Invasive size in mm | |
| < 15 | 50 (66.7) |
| > 15 | 25 (33.3) |
| Histological grade | |
| I | 6 (8) |
| II | 60 (80) |
| III | 9 (12) |
| Neo vascularization | |
| Yes | 7 (9.3) |
| No | 68 (90.7) |
| Nodal status | |
| Yes | 8 (10.7) |
| No | 67 (89.3) |
| Mitotic index of proliferation (Ki-67) | |
| < 3% | 5 (6.7) |
| Between 3% and 20% | 60 (80) |
| > 20% | 10 (13.3) |
| Hormone receptor | |
| Positive | 60 (80) |
| Negative | 15 (20) |
| Human epidermal growth factor receptor 2 | |
| Positive | 40 (53.3) |
| Negative | 35 (46.7) |
| Triple-negative breast cancer | |
| Yes | 10 (13.3) |
| No | 65 (86.7) |
Table 3 Diagnostic accuracy of two-dimensional-shear wave elastography + bright mode and X-ray mammography
| Feature | Shear wave elastography + bright mode | X-ray mammography | Ultrasound + X-ray mammography |
| True positive | 115 | 114 | 120 |
| True negative | 39 | 15 | 13 |
| False positive | 25 | 24 | 10 |
| False negative | 0 | 2 | 0 |
| Sensitivity | 1.00 (1.00-1.00) | 0.87 (0.81–0.92) | 1.00 (1.00–1.00) |
| Specificity | 0.62 (0.52–0.76) | 0.90 (0.83–0.95) | 0.95 (0.83–0.95) |
| Positive predictive value | 0.83 (0.78–0.92) | 0.76 (0.80–0.92) | 0.92 (0.85-0.95) |
| Negative predictive value | 1.00 (1.00–1.00) | 0.996 (0.99–1.00) | 1.00 (1.00–1.00) |
| Accuracy | 87 | 91 | 98 |
- Citation: Chervenkov L, Georgiev A, Doykov M, Velikova T. Breast cancer imaging-clinical experience with two-dimensional-shear wave elastography: A retrospective study. World J Radiol 2024; 16(10): 528-536
- URL: https://www.wjgnet.com/1949-8470/full/v16/i10/528.htm
- DOI: https://dx.doi.org/10.4329/wjr.v16.i10.528
