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Titolo:
Color Doppler sonography of the lateral thoracic (breast-feeding) arteries: a new approach to the diagnosis of breast disease?
Autore:
Obwegeser, R; Berghammer, P; Lorenz, K; Auerbach, L; Kubista, E;
Indirizzi:
Univ Vienna, Div Special Gynaecol, Dept Obstet & Gynaecol, A-1090 Vienna, Austria Univ Vienna Vienna Austria A-1090 tet & Gynaecol, A-1090 Vienna, Austria Kaiser Franz Josef Hosp Vienna, Dept Obstet & Gynaecol, Vienna, Austria Kaiser Franz Josef Hosp Vienna Vienna Austria Gynaecol, Vienna, Austria
Titolo Testata:
ULTRASOUND IN OBSTETRICS & GYNECOLOGY
fascicolo: 5, volume: 18, anno: 2001,
pagine: 515 - 519
SICI:
0960-7692(200111)18:5<515:CDSOTL>2.0.ZU;2-S
Fonte:
ISI
Lingua:
ENG
Soggetto:
DIFFERENTIAL-DIAGNOSIS; TUMORS; FLOW; ANGIOGENESIS; CANCER; MASSES; METASTASIS; ULTRASOUND; CARCINOMAS; INDICATOR;
Keywords:
breast cancer; color Doppler; lateral thoracic artery; sonography;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
28
Recensione:
Indirizzi per estratti:
Indirizzo: Obwegeser, R Univ Vienna, Div Special Gynaecol, Dept Obstet & Gynaecol, Waehringer Guertel 18-20, A-1090 Vienna, Austria Univ Vienna Waehringer Guertel 18-20 Vienna Austria A-1090 a
Citazione:
R. Obwegeser et al., "Color Doppler sonography of the lateral thoracic (breast-feeding) arteries: a new approach to the diagnosis of breast disease?", ULTRASOUN O, 18(5), 2001, pp. 515-519

Abstract

Objective The main arteries to the breast are the lateral thoracic artery and to a lesser extent the internal thoracic artery. In this prospective open diagnostic study involving 94 women, we compared the intraindividual differences of Doppler indices in the lateral thoracic (breast-feeding) arteryof breasts affected by cancer with those unaffected by disease. Methods Sixty-seven consecutive patients were recruited from an outpatientunit for breast surgery and 27 volunteers were studied who were known to be without any breast disease (controls). In each patient we attempted to obtain Doppler indices from the lateral thoracic artery of both breasts. The difference in Doppler indices in each individual was assessed and statistical analysis was Performed to assess whether these differences were significantly altered in women with cancer compared to healthy women. Results Lateral thoracic arteries could be visualized in 88% of the study population. Significantly lower values for pulsatility and resistance indices and systolic/diastolic ratios were obtained in the lateral thoracic arteries of breasts affected by cancer as compared to the contralateral breasts(1.73 +/- 0.39 vs. 2.05 +/- 0.47, P = 0.003; 0.78 +/- 0.06 vs. 0.84 +/- 0.06, P < 0.0001; 4.71 +/- 1.24 vs. 6.75 +/- 3.38, P = 0.0008, respectively). Using the intraindividual difference of pulsatility index, resistance index and systolic/diastolic ratio to screen for malignancy, sensitivities for breast cancer of 78%, 85% and 83%, respectively, were achieved. Depending on the cut-off level, specificity reached 94%. Conclusion The intraindividual difference in Doppler indices in women withbreast cancer maybe a useful test for the diagnosis of breast lesions.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 20/01/21 alle ore 12:33:30