Ricerc@Sapienza

The breast imaging-reporting and data system (BI-RADS) lexicon was first developed in 2003 by the American College of Radiology (ACR), in an attempt to standardize image interpretation, reporting and teaching breast imaging, including ultrasound (US) [1]. Despite this validation, the variability in the assessment of focal breast lesions (FBLs) with the use of BI-RADS US lexicon is still an issue, in particular for some of the descriptors, such as margin and echo pattern of lesion.

Purpose: To assess the diagnostic value of strain ratio elastography (SRE), a semiquantitative elastosonographic method based on the displacement of the tissue from an external source (manual compression with the transducer), as compared and in combination with conventional ultrasound for the differentiation of breast lesions. Methods: One hundred and eighty-two patients with breast lesions consecutively underwent B-mode, color Doppler US, and strain US-elastography.

Background: Aim of this study was to evaluate the impact of presurgical breast MRI on the surgical management of selected patients with early-stage breast cancer, who were candidates for BCT.
Materials and methods: The trial was built up according to the major European Breast Society. In additional foci classified as BI-RADS 3-4 (4a, 4b, and 4c), a targeted second-look US study was performed.