Abstract
The purpose of this preference study is to determine if tissue harmonic imaging (THI)
is preferred over conventional sonography for imaging breast masses. A prospective
evaluation of 73 identical image pairs (one obtained with conventional sonography,
one with THI sonography) was performed, examining 25 cysts, 36 solid masses, and 12
indeterminate lesions. Each image was evaluated for lesion contrast, margins, and
overall image quality using a graduated score. Statistical analysis was performed
using a modified t test. For cystic and solid lesions, THI was preferred for lesion conspicuity, margin,
and overall quality (P<.001). For indeterminate lesions, THI was significantly preferred for lesion conspicuity
and overall quality (P<.05), but the preference for margins was not significant. Overall, THI of breast
lesions was significantly preferred for lesion contrast and margin evaluation compared
to conventional sonography. This modality deserves further evaluation and may improve
detection and evaluation of breast lesions.
Keywords
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Clinical ImagingAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Tissue harmonic imaging: utility in abdominal and pelvic sonography.J Clin Ultrasound. 1999; 27: 135-142
- Tissue harmonic imaging sonography: evaluation of image quality compared with conventional sonography.AJR, Am J Roentgenol. 1998; 171: 1203-1206
- Ensemble tissue harmonic imaging. Siemens' Technical Publication, 1998 (November)
- Grey-scale harmonic imaging of the liver: how does it compare to standard 4 Mhz ultrasound?.Radiology. 1998; 209P: 341-342
- Prediction of nonlinear acoustic effects at biomedical frequencies and intensities.Ultrasound Med Biol. 1980; 6: 345
- Demonstration of nonlinear acoustical effects at biomedical frequencies and intensities.Ultrasound Med Biol. 1980; 6: 359
- The development of harmonic distortion in pulsed finite-amplitude ultrasound passing through liver.Phys Med Biol. 1986; 31: 1401
- Determination of the nonlinearity parameter B/A for water and m-Xylene.J Acoust Soc Am. 1962; 34: 410-412
- Higher harmonics of vibrating gas-filled microspherse: I. Simulations.Ultrasonics. 1994; 32: 447-453
- Higher harmonics of vibrating gas-filled microspherse: I. Simulations.Ultrasonics. 1994; 32: 455-459
- Non-linear models for real time image processing and their applications in image enhancement, surface area determination and volume visualization.Ultraschall Med. 1993; 14: 210-213
- Why does tissue harmonic imaging improve image quality: a quantitative examination demonstrating side-lobe suppression.J Am Coll Cardiol. 1998; 31: 127A
- Practical nonparametric statistics. 3rd ed. Wiley, New York1999
- Value of tissue harmonic imaging in non-contrast enhanced renal ultrasonography.Radiology. 1998; 209P: 342
- Usefulness of native tissue harmonic imaging in the detection of small hepatocellular carcinoma.Hepatology. 1998; 28: 758A
- Prospective sonographic study of 3093 breast tumors.J Ultrasound Med. 1999; 18: 363-370
- Solid breast nodules: use of sonography to distinguish between benign and malignant lesions.Radiology. 1995; 196: 123-134
- Malignant breast masses detected only by ultrasound.Cancer. 1995; 76: 626-630
- Occult cancer in women with dense breasts: detection with screening US—diagnostic yield and tumor characteristics.Radiology. 1998; 207: 191-199
- Ultrasound and breast evaluation.in: Breast imaging. 2nd ed. Lippincott-Raven, Philadelphia1998: 442
Article info
Publication history
Accepted:
April 15,
2001
Received:
March 10,
2001
Identification
Copyright
© 2001 Elsevier Science Inc. Published by Elsevier Inc. All rights reserved.
