Breast Ultrasound: A Systematic Approach to Technique and Image Interpretation

by Sohn, Christof

• ISBN13: 9780865777224
• ISBN10: 0865777225
• Edition: 1st
• Format: Hardcover
• Copyright: 1999-01-01
• Publisher: THIEME NEW YORK

Summary

Univ. Gynecological Clinic, Frankfurt, Germany. Second author is from The Johns Hopkins Hospital, Baltimore, MD. Translation of the German edition: Mammasonographie. Ein systematisches Lehrbuch zur Technik und Befundinterpretation. Color and halftone images. For practitioners. DNLM: Breast Neoplasms--diagnosis.

Table of Contents

Introduction	1	(3)
Historical Development of Breast Ultrasound	2	(2)
Basic Technical Principles of Breast Ultrasound	4	(15)
Physics	4	(1)
Sonographic Terms and Techniques	5	(7)
Imagers and Transducers	12	(5)
Offsets	17	(1)
Equipment Settings	17	(1)
Initial Settings	18	(1)
Resolution Tests for Different Scanners	18	(1)
Current Role of Ultrasound in the Evaluation of Breast Masses	19	(5)
Current Indications for Breast Ultrasound	19	(1)
Principles of the Examination	20	(1)
Algorithm for Evaluating Breast Masses	21	(2)
Microcalcifications in Breast Ultrasound	23	(1)
Practical Guidelines for Performing Breast Ultrasound	24	(7)
Procedure	24	(7)
Sonographic Anatomy of the Female Breast and Changes with Aging	31	(8)
Normal Anatomy	31	(1)
Normal Sonographic Anatomy	31	(2)
Childhood	33	(1)
Adolescence	33	(1)
Sexual Maturity	33	(1)
Pregnancy	34	(1)
Lactation	34	(1)
Perimenopause and Postmenopause	35	(2)
Effect of Drugs, Chromosome Abnormalities, and Morphologic Defects on Sonographic Breast Anatomy	37	(1)
Gynecomastia	37	(2)
Sonographic Criteria for the Differential Diagnosis of Breast Masses	39	(13)
Central Echogenicity	40	(1)
Internal Echoes	41	(1)
Axial Orientation	42	(2)
Borders	44	(1)
Edge Shadows	45	(2)
Posterior Acoustic Phenomena	47	(2)
Compressibility And Mobility	49	(1)
Architectural Disruption	49	(1)
Summary	50	(2)
Pathology of Breast Lesions	52	(3)
Malignant Breast Lesions	52	(2)
Benign Breast Lesions	54	(1)
Sonography of Breast Carcinoma	55	(20)
Carcinoma in Situ	55	(5)
Invasive Ductal and Lobular Carcinomas	60	(6)
Other Types of Breast Carcinoma	66	(4)
Multicentric and Multifocal Carcinoma	70	(3)
Inflammatory Carcinoma	73	(2)
Sonography of Benign Breast Lesions	75	(16)
Fibrocystic Changes and Breast Cysts	75	(10)
Fibroadenoma	85	(3)
Phyllodes Tumors	88	(1)
Lipoma	88	(1)
Intraductal and Intracystic Papillomas	89	(1)
Fat Necrosis	89	(1)
Galactocele	89	(1)
Postoperative Changes	90	(1)
Sonography of Inflammatory Breast Diseases	91	(3)
Sonography of the Axilla	94	(4)
Sonography in the Follow-Up of Breast Cancer	98	(5)
Detection of Tumor Recurrence after Prosthetic Breast Augmentation	102	(1)
Detection of Tumor Recurrence after Autologous Breast Augmentation	102	(1)
Sonography of the Male Breast	103	(1)
Sonographic Evaluation of Blood Flow in Breast Masses	104	(29)
Biological Principles of Sonographic Blood Flow Imaging	104	(1)
Techniques of Blood Flow Imaging	105	(5)
Clinical Experience with Blood Flow Imaging in Breast Tumors	110	(7)
How Reliable are Conventional and Color-Flow Ultrasound Imaging in the Evaluation of Breast Masses?	117	(4)
Future Developments in Sonographic Blood Flow Investigations of Breast Masses	121	(8)
Contrast Agents in Breast Ultrasound	129	(4)
Ultrasound-Guided Interventional Procedures in the Differential Diagnosis of Breast Lesions	133	(6)
H.Junkermann
U.M.Hamper
Aspiration Cytology	133	(2)
Core Biopsy	135	(1)
Ultrasound-Guided Preoperative Localization	136	(3)
Three-Dimensional Sonography of Breast Masses	139	(4)
Advantages of 3D Sonography for Evaluating Breast Masses	139	(4)
Sonographic Evaluation of Breast Implants	143	(9)
C.I.Caskey
U.M.Hamper
Introduction	143	(1)
Technique and Normal Implant Appearance	143	(1)
Implant Types	144	(1)
Sonographic Signs of Implant Rupture	145	(4)
Other Complications of Implant Use: Ultrasound Findings	149	(2)
Summary	151	(1)
Documentation in Breast Ultrasound	152	(5)
U.Siekmann
U. M.Hamper
Introduction	152	(1)
Computer-Based Documentation Systems	153	(2)
Criteria for Reporting Breast Ultrasound Findings	155	(1)
Summary	155	(2)
References	157	(9)
Index	166