Book Info



Radiology Imaging Associates, Greenwood Village, CO, Provides step by step guidance through each phase of breast ultrasound. Discusses equipment requirements, relevant anatomy, and specific techniques. Offers more than 1,500 high quality illustrations showing various critical pathologic features. For students and residents. DNLM: Ultrasonography, Mammary.



This volume is a complete and definitive guide to performing and interpreting breast ultrasound examinations. The book explains every aspect of the examination in detail_from equipment selection and examining techniques, to correlations between sonographic and mammographic findings, to precise characterization of sonographic abnormalities. Complementing the text are more than 1,500 illustrations, including ultrasound scans, corresponding mammographic images, and diagrams of key aspects of the examination.



Dr. Stavros thoroughly explains the physics of breast ultrasound and the special probes and other equipment needed to produce high-resolution images of breast tissue. Chapters on breast ultrasound anatomy demonstrate the anatomic detail that can be seen on current equipment and correlate sonographic and mammographic anatomic features. Subsequent chapters describe examination procedures for evaluating specific abnormalities and detail the distinguishing features of different cystic and solid breast lesions. Also included is a chapter on Doppler characterization of breast lesions.

Preface vii

1 Introduction to Breast Ultrasound 1

2 Breast Ultrasound Equipment Requirements 16

3 Breast Ultrasound Technique 42

4 Breast Anatomy: The Basis for Understanding Sonography 56

5 Targeted Indication: Palpable Abnormality 109

6 Targeted Indication: Mammographic Abnormality 124

7 Nontargeted Indications 147

8 Nontargeted Indications: Breast Secretions, Nipple Discharge, and Intraductal Papillary Lesions of the Breast 157

9 Nontargeted Indications: Mammary Implants 199

10 Sonographic Evaluation of Breast Cysts 276

11 Nonmalignant Breast Disorders that have Complex Cystic Phases 351

12 Ultrasound of Solid Breast Nodules: Distinguishing Benign from Malignant 445

13 Benign Solid Nodules: Specific Pathological Diagnoses 528

14 Malignant Solid Breast Nodules: Specific Types 597

15 Atypical, High-Risk, Premalignant, and Locally Aggressive Lesions 689

16 Evaluation of the Male Breast 712

17 Ultrasound-Guided Needle Procedures in the Breast 742

18 Sonographic Evaluation of the Iatrogenically Altered Breast 778

19 Evaluation of Regional Lymph Nodes in Breast Cancer Patients 834

20 Doppler Evaluation of the Breast 877

21 False-Negative and False-Positive Breast Sonographic Examinations 947

Appendix 979

Index 981