Atlas of Full Breast Ultrasonography by Aristida Colan-Georges

By Aristida Colan-Georges

This atlas describes and illustrates a singular technique, known as complete breast ultrasonography (FBU), that represents a problem to standard breast imaging prognosis. The insurance encompasses exam procedure, diagnostic standards, the imaging beneficial properties of a large choice of lesions, and function in follow-up. FBU consists of anatomic ultrasound scanning according to the ductal echography procedure proposed by way of Michel Teboul, supplemented through Doppler and real-time sonoelastography. The process bargains numerous merits. in comparison with MRI it has a cheaper price, wider availability, larger solution, and stronger correlation with anatomy. in comparison with mammography it has the advantages of absence of irradiation and discomfort, applicability in all circumstances, and higher total accuracy. moreover, the standardized means of acquisition and interpretation implies that it's appropriate as a screening try out, in contrast to vintage ultrasonography. FBU is acceptable in ultrasound BI-RADS evaluate and is of price in depicting either benign and malignant stipulations. it may be prompt as a first-line approach to analysis and for the follow-up of taken care of breasts, whatever the patient’s age, intercourse, or actual .

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5 cm with an adaptor for the water bag (a). The examination with rotation around the nipple for the radial scanning must be very gentle, without breast compression, and it is recommended to keep the fifth finger as a support on the skin 14 2 Breast Doppler Ductal Echography: Technique of Examination Related to the Breast Lobar Anatomy the radius, even when using a long probe, to cover the whole lobe, because omitting this area represents one reason for the false-negative exams of the US. Fig. 3 DE will be performed following the model of the disposal of the mammary lobes, like a daisy petals, partially superposed.

The DE is “intelligible” because the acquisition technique and the descriptive terms are necessarily anatomical and related to ducts (Figs. 30). The Skin It appears as a brightly echogenic complex, which can have a laminar appearance and usually is less than 3 mm thickness. The areolar tissue, represented by a loose network of fibrous tissue and elastic fiber that connect the skin to the underlying structures and the nipple, is quite thicker and hypoechoic in adult and may present irregularities because of the Montgomery’s glands.

In the literature, the general opinion is that in fatty breast, malignancies are less visible on US because of their hypoechogenicity, similar to those of the adipose tissue. Moreover, some authors were surprised that fatty tissue was found to be more hypoechoic in breast than elsewhere, and fantasy was used to present explanations [3]. In fact, fatty tissue in the breast is not delineated from the subcutaneous fatty tissue of the surrounding regions, but there is a continuous layer from the breast hypoderm to the axillary, thoracic, abdominal, or upper and lower limb regions.

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