Barr Richard G, Nakashima Kazutaka, Amy Dominique, Cosgrove David, Farrokh Andre, Schafer Fritz, Bamber Jeffrey C, Castera Laurent, Choi Byung Ihn, Chou Yi-Hong, Dietrich Christoph F, Ding Hong, Ferraioli Giovanna, Filice Carlo, Friedrich-Rust Mireen, Hall Timothy J, Nightingale Kathryn R, Palmeri Mark L, Shiina Tsuyoshi, Suzuki Shinichi, Sporea Ioan, Wilson Stephanie, Kudo Masatoshi
Department of Radiology, Northeastern Ohio Medical University, Rootstown, Ohio and Radiology Consultants Inc., Youngstown, Ohio, USA.
Department of General Surgery, Kawasaki Medical School, Okayama, Japan.
Ultrasound Med Biol. 2015 May;41(5):1148-60. doi: 10.1016/j.ultrasmedbio.2015.03.008. Epub 2015 Mar 18.
The breast section of these Guidelines and Recommendations for Elastography produced under the auspices of the World Federation of Ultrasound in Medicine and Biology (WFUMB) assesses the clinically used applications of all forms of elastography used in breast imaging. The literature on various breast elastography techniques is reviewed, and recommendations are made on evidence-based results. Practical advice is given on how to perform and interpret breast elastography for optimal results, with emphasis placed on avoiding pitfalls. Artifacts are reviewed, and the clinical utility of some artifacts is discussed. Both strain and shear wave techniques have been shown to be highly accurate in characterizing breast lesions as benign or malignant. The relationship between the various techniques is discussed, and recommended interpretation based on a BI-RADS-like malignancy probability scale is provided. This document is intended to be used as a reference and to guide clinical users in a practical way.
由世界医学与生物学超声联合会（WFUMB）主持制定的本弹性成像指南与建议中的乳腺部分，评估了乳腺成像中使用的各种形式弹性成像的临床应用。回顾了有关各种乳腺弹性成像技术的文献，并根据循证结果提出了建议。就如何进行和解读乳腺弹性成像以获得最佳结果给出了实用建议，重点是避免陷阱。对伪像进行了回顾，并讨论了一些伪像的临床实用性。应变和剪切波技术在将乳腺病变表征为良性或恶性方面均已显示出高度准确性。讨论了各种技术之间的关系，并提供了基于类似BI-RADS恶性概率量表的推荐解读。本文件旨在用作参考，并以实用方式指导临床使用者。
