COMPARATIVE EVALUATION OF BREAST LESION BY ELASTOGRAPHY AND MRI WITH ITS HISTO – PATHOLOGICAL CORRELATION

Volume : VIII, Issue : VI, June - 2018

Sangeeta Saxena, Harsh Vardhan Khokhar, Arpit Samdani, Dharamraj Meena, Tusharika Sharma

Methods: A prospective study of 33 patients were carried in the Department of Radio–diagnosis, GMCH, KOTA

[RAJASTHAN].

Patients from all the age groups including women only with BIRADS III/IV/V were included. Already diagnosed cases/cases on

treatment/recurrence/BIRADS–I/II/VI were excluded.

Results: Of 33 cases examined, we had 14 cases of ductal carcinoma, 6 cases of fio–adenoma, 3 cases of phylloides tumor, 3 cases

of abscess, 1 case each of lobular carcinoma, papillary carcinoma, mucinous adenocarcinoma, mastitis, mastitis with abscess,

granulomatous mastitis and complex cyst.

Conclusion: Differentiation between BI–RADS III, IV and V by sono–elastography had 88% sensitivity and 86% specificity and MRI

had 83% sensitivity and 73% specificity.

Discussion: Elastography is extremely helpful in accurate estimation of east benign vs malignant pathology differentiation and helps

in avoid many unnecessary procedure. The elasticity score is an important parameter for lesion characterization. Combination of

morphologic and dynamic MRI studies is very important for east lesion evaluation.