Breast Case Studies

ACUSON Sequoia ultrasound system Breast Case Studies Cases courtesy of Martin Daniaux, M.D., University of Innsbruck, Austria The clinical overlay is not that of the individual pictured. It was modified for better visualization. better modified for It was individual pictured. of the that is not The clinical overlay Case A: Biopsy-Proven Papilloma 28-year-old with bloody secretions from the left nipple. 2D ultrasound imaging shows an oval, well-circumscribed Virtual Touch Strain imaging demonstrating a soft lesion. The 2D shear wave elastography velocity map with a shadow This 2D shear wave elastography displacement map The MRI shows peri-areolar homogeneous intraductal intraductal lesion with a heterogeneous echo pattern. measurement shows the lesion has a low speed of < 4 m/sec. qualitatively demonstrates a medium amount of displacement. lesion enhancement. Case B: Biopsy-Proven Fibroadenoma An MRI was performed on a 29-year-old for left nipple 2D ultrasound imaging reveals an oval, well-circumscribed Virtual Touch strain imaging indicates a lesion that This shear wave elastography velocity map demonstrates The displacement map in the 2D shear wave elastography secretions. Incidentally, an oval, well-circumscribed, heterogeneous lesion. qualitatively appears to be of medium stiffness. Using a low velocity when using the shadow measurement. image shows a high displacement which is seen with heterogeneously enhancing lesion was discovered in the shadow measurement, the mass appears to be similar softer/less stiff lesions. the right upper outer quadrant. in size in both images which may indicate benignity. Case C: Biopsy-Proven Intralobular Carcinoma 60-year-old screening mammogram shows an irregular, 2D imaging shows an irregular, fuzzy, hypoechoic lesion. Color Doppler imaging shows vascularization in the The 2D shear wave elastography velocity map with shadow This 2D shear wave elastography displacement map spiculated lesion in the right upper outer quadrant. tumor area. measurements, demonstrates a very high velocity (red) in qualitatively demonstrates a lower amount of displacement the tumor area > 4 m/sec. The adjacent tissue measurement relative to the surrounding tissue. shows a much lower velocity. Case D: Biopsy-Proven Invasive Breast Carcinoma This two-view mammogram of a 66-year-old with a palpable 2D ultrasound imaging reveals an irregular, taller-than-wide, Virtual Touch Strain imaging demonstrates the classic The 2D shear wave elastography velocity map quantitatively This 2D shear wave elastography displacement map lesion shows a round lesion with increased density in the heterogeneous lesion. eSie Calcs native tracing software was appearance of a hard or stiff breast lesion. indicates a soft lesion with lower velocities. This “Blue qualitatively demonstrates a hard lesion with low tissue right upper outer quadrant. used for measurements. Cancer” appearance is the result of a very stiff breast lesion displacement. This map should be used in conjunction that attenuates the Acoustic Radiation Force Imaging (ARFI) with the other maps to help identify potential artifacts, beam resulting in a lower SWE velocity and a soft appearance especially in very stiff lesions. corresponding to blue on the color bar. Case E: Biopsy-Proven Invasive Breast Carcinoma Siemens   Medical Solutions USA, Inc., 2020 ©   ·   8826 0620   ·   Follow-up two view mammography of a 71-year-old, status Ultrasound 2D imaging demonstrates a spiculated Virtual Touch Strain imaging reveals a stiff/hard breast lesion. The 2D Shear wave elastogram with shadow measurements This 2D Shear wave elastography displacement map post breast tumor excision on the left, demonstrates a newly hypoechoic lesion with irregular borders. quantitatively displays a high velocity (8.37 m/s). This qualitatively demonstrates a hard lesion with low tissue appearing, irregular lesion in the left lower inner quadrant. indicates the lesion is very hard or stiff when compared to displacement. the surrounding tissue (0.41 m/s). Published by Siemens Medical Solutions USA, Inc.   Published by ACUSON Sequoia ultrasound system Breast Case Studies Cases courtesy of Martin Daniaux, M.D., University of Innsbruck, Austria The clinical overlay is not that of the individual pictured. It was modified for better visualization. better modified for It was individual pictured. of the that is not The clinical overlay Case A: Biopsy-Proven Papilloma 28-year-old with bloody secretions from the left nipple. 2D ultrasound imaging shows an oval, well-circumscribed Virtual Touch Strain imaging demonstrating a soft lesion. The 2D shear wave elastography velocity map with a shadow This 2D shear wave elastography displacement map The MRI shows peri-areolar homogeneous intraductal intraductal lesion with a heterogeneous echo pattern. measurement shows the lesion has a low speed of < 4 m/sec. qualitatively demonstrates a medium amount of displacement. lesion enhancement. Case B: Biopsy-Proven Fibroadenoma An MRI was performed on a 29-year-old for left nipple 2D ultrasound imaging reveals an oval, well-circumscribed Virtual Touch strain imaging indicates a lesion that This shear wave elastography velocity map demonstrates The displacement map in the 2D shear wave elastography secretions. Incidentally, an oval, well-circumscribed, heterogeneous lesion. qualitatively appears to be of medium stiffness. Using a low velocity when using the shadow measurement. image shows a high displacement which is seen with heterogeneously enhancing lesion was discovered in the shadow measurement, the mass appears to be similar softer/less stiff lesions. the right upper outer quadrant. in size in both images which may indicate benignity. Case C: Biopsy-Proven Intralobular Carcinoma 60-year-old screening mammogram shows an irregular, 2D imaging shows an irregular, fuzzy, hypoechoic lesion. Color Doppler imaging shows vascularization in the The 2D shear wave elastography velocity map with shadow This 2D shear wave elastography displacement map spiculated lesion in the right upper outer quadrant. tumor area. measurements, demonstrates a very high velocity (red) in qualitatively demonstrates a lower amount of displacement the tumor area > 4 m/sec. The adjacent tissue measurement relative to the surrounding tissue. shows a much lower velocity. Case D: Biopsy-Proven Invasive Breast Carcinoma This two-view mammogram of a 66-year-old with a palpable 2D ultrasound imaging reveals an irregular, taller-than-wide, Virtual Touch Strain imaging demonstrates the classic The 2D shear wave elastography velocity map quantitatively This 2D shear wave elastography displacement map lesion shows a round lesion with increased density in the heterogeneous lesion. eSie Calcs native tracing software was appearance of a hard or stiff breast lesion. indicates a soft lesion with lower velocities. This “Blue qualitatively demonstrates a hard lesion with low tissue right upper outer quadrant. used for measurements. Cancer” appearance is the result of a very stiff breast lesion displacement. This map should be used in conjunction that attenuates the Acoustic Radiation Force Imaging (ARFI) with the other maps to help identify potential artifacts, beam resulting in a lower SWE velocity and a soft appearance especially in very stiff lesions. corresponding to blue on the color bar. Case E: Biopsy-Proven Invasive Breast Carcinoma Siemens   Medical Solutions USA, Inc., 2020 ©   ·   8826 0620   ·   Follow-up two view mammography of a 71-year-old, status Ultrasound 2D imaging demonstrates a spiculated Virtual Touch Strain imaging reveals a stiff/hard breast lesion. The 2D Shear wave elastogram with shadow measurements This 2D Shear wave elastography displacement map post breast tumor excision on the left, demonstrates a newly hypoechoic lesion with irregular borders. quantitatively displays a high velocity (8.37 m/s). This qualitatively demonstrates a hard lesion with low tissue appearing, irregular lesion in the left lower inner quadrant. indicates the lesion is very hard or stiff when compared to displacement. the surrounding tissue (0.41 m/s). Published by Siemens Medical Solutions USA, Inc.   Published by