JSUM ultrasound elastography practice guidelines: breast.
Ten years have passed since the first elastography application: Real-time Tissue Elastography™. Now there are several elastography applications in existence. The Quality Control Research Team of The Japan Association of Breast and Thyroid Sonology (JABTS) and the Breast Elasticity Imaging Terminology and Diagnostic Criteria Subcommittee, Terminology and Diagnostic Criteria Committee of the Japan Society of Ultrasonics in Medicine (JSUM) have advocated breast elastography classifications for exact knowledge and good clinical use. We suggest two types of classifications: the technical classification and the classification for interpretation. The technical classification has been created to use vibration energy and to make images, and also shows how to obtain a good elastic image. The classification for interpretation has been prepared on the basis of interpretation of evidence in this decade. Finally, we describe the character and specificity of each vender equipment. We expect the present guidelines to be useful for many physicians and examiners throughout the world.
Department of General Surgery, Kawasaki Medical School, Okayama, Japan. urbandoc@med.kawasaki-m.ac.jp.
Kazutaka
K
Nakashima
Department of Human Health Sciences, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
Tsuyoshi
T
Shiina
Department of Ultrasonography Center, St. Marianna University School of Medicine, Kawasaki, Kanagawa, Japan.
Masaru
M
Sakurai
Department of Breast Surgical Oncology, Showa University School of Medicine, Tokyo, Japan.
Katsutoshi
K
Enokido
Department of Advanced Diagnosis, National Hospital Organization Nagoya Medical Center, Nagoya, Aichi, Japan.
Tokiko
T
Endo
Department of Radiology, St. Luke's International Hospital, Tokyo, Japan.
Hiroko
H
Tsunoda
Center of Medical Ultrasonics, Dokkyo Medical University, Mibu, Tochigi, Japan.
Etsuo
E
Takada
Department of Senology, Tsukuba Medical Center Foundation, Tsukuba, Ibaraki, Japan.
Takeshi
T
Umemoto
Department of Senology, Tsukuba Medical Center Foundation, Tsukuba, Ibaraki, Japan.
Ei
E
Ueno
Breast; Elastography; Shear wave elastography; Strain elastography; Ultrasound