Sonoelastography in Addition to Doppler Ductal Echography: Full Breast Ultrasonography

  • Aristida Colan-Georges


The principles of sonoelastography and the most important manufacturers’ offers are presented, with the advantages and the limits of the various procedures. Elastography is presented as only another descriptor of a tissue/tumor used in FBU, a complementary tool of US, and not as a technique alone. The most important technical recommendations for good imaging acquisitions and the Ueno/Tsukuba scoring as the basis for the breast diagnosis are detailed and illustrated in the following chapter.


Sonoelastography Elasticity scoring Strain ratio Full breast ultrasonography 


  1. 1.
    Kobayashy T (1977) Gray-scale echography for breast cancer. Radiology 122:207–214. doi: 10.1148/122.1.207 CrossRefGoogle Scholar
  2. 2.
    Hashimoto H, Masuda S, Mizutani M, Morishima I et al (2003) Lexicon for breast lesions posterior echoes. In 13th international congress on the ultrasonic examination of the breast. International Breast Ultrasound School. The 10th Meeting of Japan Association of Breast and Thyroid SonologyGoogle Scholar
  3. 3.
    Ophir J et al (1991) Elastography: a quantitative method for imaging the elasticity of biological tissues. Ultrason Imaging 13:111–134CrossRefPubMedGoogle Scholar
  4. 4.
    Ophir JA (2005) Review of theoretical and experimental aspects of imaging the elastic attributes of tissues in vivo. In Research and development in breast ultrasound. Springer, Tokyo Ed, pp 3–6Google Scholar
  5. 5.
    Teboul M (2010) Advantages of Ductal Echography (DE) over Conventional Breast Investigation in the diagnosis of breast malignancies. Med Ultrason 12(1):32–42PubMedGoogle Scholar
  6. 6.
    Scaperrotta G, Ferranti C, Costa C et al (2008) Role of sonoelastography in non-palpable breast lesions. Eur Radiol 18:2381–2389CrossRefPubMedGoogle Scholar
  7. 7.
    Shiina T et al (2002) Real-time tissue elasticity imaging using the combined autocorrelation method. J Med Ultrasonics 29:119–128CrossRefGoogle Scholar
  8. 8.
    Shiina T, Ueno E (2003) In vivo breast examination by real-time freehand elasticity imaging system. In 13th international congress on the ultrasonic examination of the breast. International Breast Ultrasound School. The 10th Meeting of Japan Association of Breast and Thyroid Sonology. In Research and development in breast ultrasound, Springer, Tokyo Ed, pp 7–15Google Scholar
  9. 9.
    Amy D (2007) Introduction & principal of elastography, In 6th Biennale Meeting of the Asian Breast Cancer Society, Hong KongGoogle Scholar
  10. 10.
    Svensson WE, Amiras DG, Shousha S et al (2006) Elasticity imaging on 234 breast lesions shows that it could halve biopsy rates of benign lesions. Eur Radiol 16(supp 1):213–214Google Scholar
  11. 11.
    Georgescu AC, Enachescu V, Bondari A, Bondari S, Manda A, Simionescu C (2011) A new concept: the Full Breast Ultrasound in avoiding false negative and false-positive sonographic errors. doi: 10.1594/ecr2011/C-0449
  12. 12.
    Georgescu AC, Enachescu V (2010) The diagnosis of gynecomastia by Doppler ductal ultrasonography: Etiopathogenic, endocrine and imaging correlations. doi: 10.1594/ecr2010/C-0420
  13. 13.
    Tardivon A, Deloqnette A, Lemery S et al (2006) Ultrasound elastography: results of a French multicentric prospective study about 345 breast lesions. ECR; B-344 [online].
  14. 14.
    Locatelli M, Rizzatto G, Aliani L et al (2007) Characterization of breast lesions with real-time Sonoelastography: Results from the Italian multicenter clinical trial. ECR B-271, Vienna, p.285.
  15. 15.
    Amy D (2010) Lobar ultrasound of the breast. In: Tot T (ed) Breast cancer. © Springer, London Limited. doi: 10.1007/978-1-84996-314-5_8 Google Scholar
  16. 16.
    Georgescu A, Bondari S, Manda A, Andrei E-M (2012) The differential diagnosis between breast cancer and fibro-micro-cystic dysplasia by full breast ultrasonography – a new approach. ECR Viena, EPOS TM. doi: 10.1594/ecr2012/C-0167, Control Nr #4281
  17. 17.
    American College of Radiology (2003) Illustrated breast imaging reporting and data system (BI-RADS): ultrasound. American College of Radiology, Reston, Google Scholar
  18. 18.
    Hertl K, Marolt-Musik M, Kocijancic I et al (2007) Haematomas after percutaneous vacuum-assisted breast biopsy. Ultraschall Med 30:33–36CrossRefGoogle Scholar
  19. 19.
    Bamber J, Cosgrove D, Dietrich CF et al (2013) EFSUMB guidelines and recommendations on the clinical use of ultrasound elastography. Part 1: Basic principles and technology. Ultraschall in der Medizin 34:169–184. doi: 10.1055/s-0033-1335205
  20. 20.
    Barr GR, Nakashima K, Amy D et al (2015) WFUMB guidelines and recommendations for clinical use of ultrasound elastography: Part 2: Breast. Ultrasound Med Biol 41(5):1148–1160CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  • Aristida Colan-Georges
    • 1
  1. 1.Department of Radiology and Imaging DiagnosisCounty Emergency Clinical HospitalCraiovaRomania

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