title: Does 3-D sonography bring any advantage to noninvasive breast diagnostics?
abstract: The aim of this prospective trial was to evaluate if 3-D ultrasound (US) brings any advantage to breast diagnostics. A total of 65 women with breast lesions (42 malignant, 23 benign) were examined preoperatively with 2-D and 3-D US. The impact of the use of the 3-D coronal plane for the visualization of the infiltrative zone in comparison to 2-D US was evaluated. Additionally, 3-D surface imaging and volumetry were performed. The coronal plane was of benefit when the infiltrative zone was unclear (6 of 8 cases) or not visible (17 of 39 cases; 43.6%) using 2-D imaging. The surface mode was advantageous for imaging complex structures (e.g., a multinodular fibroadenoma). Volumetry yielded a highly significant correlation between 2-D and 3-D US. 3-D US of breast lesions as adjunct to 2-D sonography can offer a better assessment of the infiltrative zone. Moreover, it enables accurate documentation of data.
authors.affiliation: Department of Gynaecology and Obstetrics, University of Tuebingen, Tuebingen, Germany.
authors.forename: G C
authors.initials: GC
authors.lastname: Meyberg-Solomayer
authors.forename: B
authors.initials: B
authors.lastname: Kraemer
authors.forename: A
authors.initials: A
authors.lastname: Bergmann
authors.forename: E
authors.initials: E
authors.lastname: Kraemer
authors.forename: U
authors.initials: U
authors.lastname: Krainick
authors.forename: D
authors.initials: D
authors.lastname: Wallwiener
authors.forename: E-F
authors.initials: EF
authors.lastname: Solomayer
mesh_terms: D000236:Adenoma / Q000000981:diagnostic imaging; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001943:Breast Neoplasms / Q000000981:diagnostic imaging*; D018270:Carcinoma, Ductal, Breast / Q000000981:diagnostic imaging; D005260:Female; D018226:Fibroadenoma / Q000000981:diagnostic imaging; D006801:Humans; D021621:Imaging, Three-Dimensional / Q000379:methods*; D008875:Middle Aged; D009361:Neoplasm Invasiveness; D018300:Papilloma, Intraductal / Q000000981:diagnostic imaging; D011300:Preoperative Care / Q000379:methods; D011446:Prospective Studies; D016217:Ultrasonography, Mammary / Q000379:methods*