title: Has color Doppler a role in the evaluation of mammary lesions?
abstract: Has color Doppler a role in the evaluation of mammary lesions? A schematic review of color Doppler diagnostic criteria, indicating a benign or malignant lesion, are described.Malignant tumors have a tendency to show increased vascularization, but avascular tumors may be found as well as hypervascular benign tumors.Number of vessels, blood-flow velocity, and intra-tumoral vessel resistance assessed by color Doppler ultrasonography don't permit clear differentiation between malignant and benign tumors, but intra-tumoral blood-flow analysis well correlates with aggressiveness and histological grade of the mass, so a preoperative assessment using Color Doppler may give preliminary prognostic informations useful for therapeutic planning.Color Doppler ultrasound may be valuable also in assessing the efficacy of neoadjuvant chemotherapy and in particular of antiangiogenesis treatments.Color Doppler ultrasound has many other useful applications in the evaluation of diseases of the female and male breast, that are reviewed in the paper.Color Doppler however is not conceived as a stand-alone examination, but associated with B-mode ultrasound that is quite effective as a diagnostic tool, often not requiring Doppler informations.
authors: Ultrasound School of Marche, Italy.
authors: Paolo
authors: P
authors: Busilacchi
authors: Ferdinando
authors: F
authors: Draghi
authors: Lorenzo
authors: L
authors: Preda
authors: Claudio
authors: C
authors: Ferranti
keywords: Breast; Color Doppler; Mammary lesions
references: Future Oncol. 2010 Aug;6(8):1265-78
references: 20799873
references: Radiol Med. 1995 Jan-Feb;89(1-2):158-63
references: 7716299
references: Oncol Rep. 2010 Nov;24(5):1161-8
references: 20878106
references: Ultraschall Med. 2010 Oct;31(5):466-74
references: 20094978
references: J Ultrasound Med. 2005 Jul;24(7):885-95
references: 15972702
references: J Clin Pathol. 2012 Jan;65(1):69-76
references: 22049216
references: Radiology. 1990 Jul;176(1):175-80
references: 2191364
references: J Magn Reson Imaging. 2008 Dec;28(6):1499-505
references: 19025938
references: J Ultrasound. 2011 Sep;14(3):122-9
references: 23397020
references: Radiol Med. 1996 May;91(5):585-9
references: 8693124
references: Radiology. 1993 Oct;189(1):99-104
references: 8372225
references: J Clin Ultrasound. 2004 Sep;32(7):317-22
references: 15293297
references: J Ultrasound. 2011 Jun;14(2):55-65
references: 23396888