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The Use of Unenhanced Doppler Sonography in the Evaluation of Solid Breast Lesions

Jose L. del Cura, Elena Elizagaray, Rosa Zabala, Ana Legórburu and Domingo Grande

Servicio de Radiodiagnóstico, Hospital de Basurto, Av. Montevideo 18, Bilbao 48014, Spain.



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Fig. 1. 43-year-old woman with fibroadenoma. Power Doppler sonogram shows no color signals.

 


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Fig. 2. 45-year-old woman with invasive ductal carcinoma. Power Doppler sonogram shows vessel that penetrates lesion and branches.

 


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Fig. 3A. 53-year-old woman with fibroadenoma. Gray-scale sonogram reveals lobulated heterogeneous nodule.

 


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Fig. 3B. 53-year-old woman with fibroadenoma. Duplex Doppler sonogram of vessels in tumor shows low-resistance pulsatile signal.

 


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Fig. 4A. Resistance and pulsatility index distribution in benign and malignant lesions. Scattergram shows overlap of RI in benign and malignant lesions under level of 1. Only one benign lesion (a radial scar) had RI over 0.99.

 


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Fig. 4B. Resistance and pulsatility index distribution in benign and malignant lesions. Scattergram shows that all but one (same previously described radial scar) of benign lesions had PI values lower than 4. All lesions with PI higher than 4, except that one, were malignant.

 


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Fig. 5. 72-year-old woman with invasive ductal carcinoma. Duplex Doppler sonogram shows high-resistance pulsatile signal, with inverted diastolic flow, in vessels inside tumor.

 


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Fig. 6A. 63-year-old woman with invasive lobular carcinoma. Gray-scale sonogram reveals homogeneous, well-circumscribed, slightly hyperechoic solid mass with slight posterior enhancement. Lesion had appearance of a typically benign lesion.

 


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Fig. 6B. 63-year-old woman with invasive lobular carcinoma. However, duplex Doppler sonogram shows high-resistance flow, with inversion of flow in diastole.

 

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