Doppler evaluation of breast solid masses differentiation of benign and malignant masses role of resistive index
Keywords:Breast. Ultrasonography, Mammary. Fibroadenoma. Blood Vessels. Fibrocystic Breast Disease. Vascular Surgical Procedures. Breast Neoplasms. Sensitivity and Specificity. Diagnostic Techniques, Cardiovascular.
Objective: To know the usefulness of color and spectral doppler in evaluation of solid breast masses using vascularity and resistive index. Material and methods: We performed duplex doppler sonography on 100 patients presenting with breast mass. Resistive index and vascularity of the vessels were detected and analyzed and correlated with histopathological results. Results: 70% of the benign lesions were found having ri below 0.8 and 45 out of 50 patients had low vascularity.43 malignant lesions had high vascularity and 80% had ri above 0.8. Conclusion: High flow visualization on power doppler and indicates a higher possibility of malignancy lesions with ri greater than 0.8 gives high probability of malignancy.
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