By Veronika Gazhonova
This booklet introduces an exhilarating new technique for breast ultrasound diagnostics – automatic whole-breast quantity scanning (3D ABVS). Scanning approach is defined intimately, with tips on scanning positions and protocols. Imaging findings are then illustrated and mentioned for regular breast variations, the several different types of breast melanoma, fibroadenomas, cystic affliction, benign and malignant male breast issues, mastitis, breast implants, and postoperative breast scars. with a purpose to reduction appreciation of the advantages of 3D ABVS, comparisons with findings on X-ray mammography and traditional second handheld US are offered. Readers can be particularly inspired by means of the convincing demonstration of the benefits of the recent process for analysis of breast melanoma in ladies with dense glandular tissue. In permitting readers to benefit easy methods to practice and interpret 3D ABVS, this ebook can be of significant price for all who're embarking on its use. it's going to additionally function a welcome reference for radiologists, oncologists, and ultrasonographers who have already got a few familiarity with the technique.
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Additional resources for 3D Automated Breast Volume Sonography: A Practical Guide
Nipple line is marked by a straight line (black line). Identification of the lesions in the radiodense breast with ABVS and their projection on MMG. An equal distance from the nipple to the lesion is seen on both images. (a) Left part, R SUP (right superiorto-inferior) slice on ABVS; right part, mammogram in craniocaudal view. Dense nodule in the deep part of the outer breast on the MMG corresponds to the hypoechoic oval-shaped nodule with a clear thin round rim. Note the equal distance between the nipple and the nodule shown by both methods.
Therefore, during the automatic scanning, the patient should not talk or move. Breathing chest movements do not interfere with scanning and do not alter the image. The lack of contact of the scanning membrane with the skin of the gland can cause some so-called “dark side” artifacts; this should be avoided. , in patients with breast scar deformation after breast conserving surgery or lumpectomy, in breast-expanders, in large tumors with nipple retraction, or, vice versa, with the bulging of the mass and, less often, after breast augmentation.
In addition, this is, in our view, the greatest advantage of ABVS. Secondly, the dense breast tissue on mammogram tumors could be negative and hide the symptoms of malignancy. If a combination of methods works together on one screen, these changes could be revealed more accurately, and many more tumors would be found at an early stage (Fig. 21). The preferable use of a combination of ABVS and MMG methods in breast screening has already been discussed in a number of works [4–8]. Both ABVS and MMG provide a pronounced contrasting of glandular and fatty tissue.