title: The effectiveness of power Doppler vocal fremitus imaging in the diagnosis of breast hamartoma.
abstract: OBJECTIVE
  To evaluate the usefulness of power Doppler vocal fremitus (PDVF) breast sonography for differentiation of hamartomas from other breast (malign or benign) masses.
  
  
  METHODS
  Two hundred and six breast masses in 180 women were evaluated. The breast lesions were scanned first by mammography (MG), then by ultrasonography (US) with PDVF imaging. Finally, biopsy was performed on lesions suspicious for malignancy (n=172). We used PDVF imaging to evaluate whether the Power acoustic Doppler artifact existed in all breast lesions.
  
  
  RESULTS
  Pathology results of 172 biopsied lesions showed that 83 were malign and 89 masses were benign. Totally 39 breast hamartomas were diagnosed radiologically (n=25) or histopathologically (n=14). All hamartomas (n=39) produced the power acoustic Doppler artifact as the surrounding tissue at the same depth in PDVF imaging. On the other hand, none of the malign or benign lesions, apart from hamartomas, evidenced a similar vibrational artifact as the surrounding tissue at the same depth in the PDVF imaging.
  
  
  CONCLUSIONS
  PDVF imaging during breast sonography is an invaluable technique in the identification of breast hamartomas from other benign or malign breast masses.
authors.affiliation: Department of Radiology, Bezmialem Vakif University, Faculty of Medicine, İstanbul, Turkey. drseymayildiz@gmail.com.
authors.forename: Seyma
authors.initials: S
authors.lastname: Yildiz
authors.affiliation: Department of Radiology, Bezmialem Vakif University, Faculty of Medicine, İstanbul, Turkey.
authors.forename: Ayse Ahsen
authors.initials: AA
authors.lastname: Bakan
authors.affiliation: Department of Radiology, Bezmialem Vakif University, Faculty of Medicine, İstanbul, Turkey.
authors.forename: Sinem
authors.initials: S
authors.lastname: Aydın
authors.affiliation: Department of Surgery, Bezmialem Vakif University, Faculty of Medicine, İstanbul, Turkey.
authors.forename: Huseiyn
authors.initials: H
authors.lastname: Kadıoglu
authors.affiliation: Department of Radiology, Bezmialem Vakif University, Faculty of Medicine, İstanbul, Turkey.
authors.forename: Asli
authors.initials: A
authors.lastname: Serter
authors.affiliation: Department of Radiology, Medipol University, Faculty of Medicine, İstanbul, Turkey.
authors.forename: Sennur
authors.initials: S
authors.lastname: Bilgin
authors.affiliation: Department of Radiology, Bezmialem Vakif University, Faculty of Medicine, İstanbul, Turkey.
authors.forename: Alpay
authors.initials: A
authors.lastname: Alkan
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D016477:Artifacts; D001941:Breast Diseases / Q000000981:diagnostic imaging*; D001943:Breast Neoplasms / Q000000981:diagnostic imaging*; D003937:Diagnosis, Differential; D005260:Female; D006222:Hamartoma / Q000000981:diagnostic imaging*; D006801:Humans; D008875:Middle Aged; D011446:Prospective Studies; D018615:Ultrasonography, Doppler, Color; D016217:Ultrasonography, Mammary; D055815:Young Adult