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Tissue elasticity is being increasingly used as diagnostic parameter, since at the macroscopic level benign breast lesions tend to be stiffer than normal breast tissue but softer than breast cancers. Ultrasound elastography allows to probe the elasticity of breast lesions in clinics. Real time elastography (RTE) and shear wave elastography (SWE) are the two most widely used elastography modalities.
Assessment of breast lesions by either RTE or SWE improve the diagnostic performance of standard B-mode ultrasound (US) and have the potential to assist the decision about whether to perform a breast biopsy or not.
Tissue elasticity is being increasingly used as diagnostic parameter, since at the macroscopic level benign breast lesions tend to be stiffer than normal breast tissue but softer than breast cancers. Ultrasound elastography allows to probe the elasticity of breast lesions in clinics. Real time elastography (RTE) and shear wave elastography (SWE) are the two most widely used elastography modalities.
Assessment of breast lesions by either RTE or SWE improve the diagnostic performance of standard B-mode ultrasound (US) and have the potential to assist the decision about whether to perform a breast biopsy or not. However, employing RTE and SWE using the same equipment to directly compare elasticity measurements of a breast lesion has not been done. Investigators propose to prospectively investigate inter-observer agreement of each modality.
The study will investigate and compare the accuracy and reproducibility of SWE and RTE in the characterization of breast lesions. Furthermore, we plan to establish learning curves for RTE and SWE.
In this project, investigators will compare RTE and SWE concerning their potential to discriminate benign breast lesions from breast cancer. Investigators aim is to identify which modality will allow clinicians the best possible patient care.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Real-time elastography | Active Comparator | 98 patients with breast lesion will a receive breast ultrasound (real time elastography) |
|
| Shear Wave | Active Comparator | 98 patients with breast lesion will a receive breast ultrasound (shear wave elastography) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Real-time elastography | Diagnostic Test | Breast ultrasound with real-time elastography |
|
| Measure | Description | Time Frame |
|---|---|---|
| assessment of dignity of breast lesion by use of real-time elastography | variability in breast lesion diagnostics by use of real-time elastography versus shear wave elastography | at baseline |
| assessment of dignity of breast lesion by use of shear wave elastography | variability in breast lesion diagnostics by use of real-time elastography versus shear wave elastography | at baseline |
| Measure | Description | Time Frame |
|---|---|---|
| Examinators learning curve | Establish learning curves for real-time elastography and shear wave elastography | baseline until year 1 |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Rosanna Zanetti | St Claraspital Basel | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| St Claraspital | Basel | 4016 | Switzerland |
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| ID | Term |
|---|---|
| D001941 | Breast Diseases |
| ID | Term |
|---|---|
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
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| Shear wave elastography | Diagnostic Test | Breast ultrasound with shear wave elastography |
|