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The Breast Imaging-Reporting and Data System (BI-RADS) is a quality assurance tool originally designed for use with mammography. The system is a collaborative effort of many health groups but is published and trademarked by the American College of Radiology (ACR).
Breast ultrasounds may be used with or without a mammogram. Breast ultrasound is the use of medical ultrasonography to perform imaging of the breast. It can be used as either a diagnostic or a screening procedure. [38] It may be used either with or without a mammogram. [39]
Breast ultrasound is also used to perform fine-needle aspiration biopsy and ultrasound-guided fine-needle aspiration of breast abscesses. [8] Women may prefer breast ultrasound over mammography because it is a painless procedure and does not involve the discomfort of breast compression present in mammograms.
With automated whole-breast ultrasound, the ultrasound transducer is guided over the breast in an automatic manner. The position and speed of the transducer is regulated automatically, whereas the angle of incidence and the amount of pressure applied is set by the human operator.
BI-RADS 5 indicates highly suggestive of malignancy. BI-RADS 6 is for biopsy-proven breast cancer. [54] BI-RADS 3, 4 and 5 assessments on screening mammograms require further investigation with a second "diagnostic" study. The latter is a more detailed mammogram that allows dedicated attention to the abnormal finding with additional maneuvers ...
This results in a beam of sound waves emitted at an angle (θ) to the array. By changing the pulse delays, the computer can scan the beam of ultrasound in a raster pattern across the tissue. By changing the pulse delays, the computer can scan the beam of ultrasound in a raster pattern across the tissue.
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Real-time 3D ultrasound allows muscles, nerves and vessels to be clearly identified while a needle or catheter is advanced under the skin. This type of ultrasound is capable of imaging the needle regardless of the plane of the image, which is a substantial improvement over 2D ultrasound.
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