title: Additional value of electrical impedance scanning: experience of 240 histologically-proven breast lesions.
abstract: The aim of this study was to quantify the clinical value of using electrical impedance scanning (EIS) as an adjunct to other diagnostic techniques in order to identify cancerous tissue based upon its inherent altered local dielectric properties. 210 consecutive women with 240 sonographically and/or mammographically suspicious findings were examined using EIS. All lesions were histologically-proven. 86/103 malignant and 91/137 benign lesions were correctly identified using EIS (87.8% sensitivity, 66.4% specificity). NPV and PPV of 84.3% and 65.2% were observed, respectively. Excluding cases as defined by a priori criteria, i.e. lesions located deeper than 35 mm, lesions larger than 35 mm, and retroareolar lesions, a sensitivity of 85.5% was observed, and for invasive cancers, 91.7%. The detection rate for ductal carcinoma in situ (DCIS) was poor (57.1%, n=14). By adding EIS to mammography and ultrasound, the sensitivity rose from 86.4 to 95.1%, whereas the accuracy decreased from 82.3 to 75.7%. EIS appears to be of interest as an adjunct to breast diagnostic techniques, performing with a reasonable sensitivity. Further investigations on histomorphological characteristics and the reasons for false-negative findings are essential to gain further knowledge about the bioelectricity of breast lesions, and prove the value of this new technology.
authors.affiliation: Institute of Diagnostic and Interventional Radiology, Friedrich-Schiller University Jena, Bachstr. 18, D-07740 Jena, Germany. ansgar.malich@med.uni-jena.de
authors.forename: A
authors.initials: A
authors.lastname: Malich
authors.forename: T
authors.initials: T
authors.lastname: Böhm
authors.forename: M
authors.initials: M
authors.lastname: Facius
authors.forename: M
authors.initials: M
authors.lastname: Freessmeyer
authors.forename: M
authors.initials: M
authors.lastname: Fleck
authors.forename: R
authors.initials: R
authors.lastname: Anderson
authors.forename: W A
authors.initials: WA
authors.lastname: Kaiser
mesh_terms: D001943:Breast Neoplasms / Q000175:diagnosis*; D017097:Electric Impedance; D005260:Female; D006801:Humans; D008327:Mammography / Q000592:standards; D008875:Middle Aged; D012680:Sensitivity and Specificity; D016217:Ultrasonography, Mammary / Q000592:standards