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The number
of breast biopsies might be reduced by as much as 28 percent if
ultrasound was used to distinguish between benign and malignant
breast lumps, according to researchers at the University of Michigan.
Researchers
analyzed 157 solid masses in 141 women. Of those masses, 59 were
identified on a mammogram or an MRI and 98 could be felt.
Eleven radiologists
who specialized in breast imaging performed ultrasound screenings
and classified the masses as either benign or suspicious.
"If we
would have based the patient's follow-up on the radiologists'
diagnoses following the ultrasound examination, we would have
done 38 fewer biopsies reducing our biopsy rate by 28 percent,"
said Dr. Karen Hunt, senior staff radiologist and lead author
of the study presented at the annual meeting of the American Roentgen
Ray Society.
"If we
would have based the patient's follow-up on the Stavros criteria,
we would have done 24 fewer biopsies, reducing our biopsy rate
by 17 percent," Hunt said.
"It is
important to add that we could have reduced the biopsy rate without
missing any cancers," added Hunt. "All 55 cancers were
classified as suspicious by radiologist gestault and the Stavros
criteria. At the same time, none of those identified as being
benign have turned out to be cancer."
Other
Sources: American Roentgen Ray Society
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