A breast ultrasound is an imaging test that uses inaudible sound waves to look inside your breasts. This volume is a complete and definitive guide to performing and interpreting breast ultrasound examinations. To promote this mission, the aium is pleased to publish, in collaboration with the american society of breast surgeons asbs, this updated aium practice guideline for the performance of a breast ultrasound examination. For sonographers, radiologic techs, and registry candidates very helpful studying for the ardms abdomen and obgyn specialty exams.
In the past, ultrasound was only considered useful for the diagnosis of cysts. Ultrasound imaging is extremely safe and does not use radiation. If there is an area of concern seen on the mammogram, scan the area of interest in a radial and antiradial plane. Ultrasound imaging, also called ultrasound scanning or sonography, involves exposing part of the body to highfrequency sound waves to produce pictures of the inside of the body. The definitive text in sonographic scanning covering abdominal, vascular obstetrics, gynecology, thyroid, other small parts, and more has been completely updated and revised in this excellent 2nd edition. Barkeji et al 8 identified that out of 142 male patients imaged over a twelve month period, 44% had a biopsy performed and 5 were found to have a malignancy.
Many products that you buy can be obtained using instruction manuals. This handy and portable spiralbound set of aiumcompliant protocols take the guesswork out of image documentation. The best ultrasound apps for obstetrics and gynecology. This protocol was designed and developed by the american college of radiology imaging network acrin. A breast ultrasound is an imaging technique commonly used to screen for tumors and other breast abnormalities. Focal breast pain in patient under 30 years of age, call radiologist after directed breast ultrasound. Ultrasound is not a standalone screening test for breast cancer but is used as a complementary tool by breasthealth uk. Womens imaging refers to the use of imaging modalities xray, ultrasound, ct. Experienced editor and contributing team with current experience in clinical practice and educational delivery. Optimal ultrasound techniques patient anxiety patient positioning.
Ultrasound does not provide enough information to refer patients to complete axillary dissection. Fetal anomaly scan guidelines dr mary moran national. How ultrasound is used to detect breast cancer breasthealth uk. A lack of ultrasound also has detrimental effects on maternal health. The protocol information is provided only as a resource for technologists. To completment mammographic examinations, to characterise mammographic or palpable lesions, to evaluation palpable lesions in the younger or lactating patient, to evaluatite suspected inflammatory change in particular for the detection of focal inflammatory collections such as abscesses, to assess prosthetic breast implants for integrity, to evaluatte ductal anatomy in suspected. The handbook of mri techniqueis split into two parts. Quadrant ultrasound scanning technique of the breast. Aium practice guideline for the performance of a breast. The information contained in this website is for educational purposes only.
These user guides are clearlybuilt to give stepbystep information about how you ought to go ahead. Currently, it is the primary imaging modality to guide interventional breast procedures. Section 3 image protocol for the sonographic study of the breast breast. Fetal anomaly scan guidelines promoting ultrasound for. The most common scanning technique is to initially scan using the grid scanning pattern, followed by a radial clock face technique for. Contrast media agents are hospital specific based on brand preference. Funding from the avon foundation made this work possible. The first section provides an overview of the equip ment used in breast ultrasound, the technique. Pocket protocols for ultrasound scanning, 2nd edition by betty bates tempkin ba rtr rdms and a great selection of related books, art and collectibles available now at. It is helpful when constructing your own protocols to see what others have done. Commonly referred to as the sonography bible by many of its past and current users, betty tempkins sonography scanning, 4th edition is the goto guide for producing diagnostic sonograms for physicians. Meanwhile, it improves the differential diagnosis of benign and malignant lesions, local preoperative staging and guided interventional diagnosis. Automated breast scanner lobar analysis radial technique dense. Featuring an updated twocolor design, this new edition covers the latest ultrasound scanning principles along with stepbystep instructions for scanning and documenting images.
Breast imaging network screening mammography images. Minimum training requirements for the practice of medical ultrasound in europe appendix 7. Links to pubmed are also available for selected references. Abbreviated screening breast mri asbmri threedimensional 3d mammography. If pathology is identified, rotate the probe 90degrees in the antiradial plane.
What are a common list of indications for breast ultrasound. Through text and diagrams the fundamental skills and techniques for acquisit. Scanning technique the most common scanning technique is to initially scan using the grid scanning pattern, followed by a radial clock face technique for the hard copy imaging. Ultrasound scanning principles and protocols abebooks. Ultrasonography is an important part of an obstetriciangynecologists work.
Ultrasound exams do not use ionizing radiation as used in xrays. June 3, 2009 a preprogrammed protocol can significantly improve the efficiency of breast ultrasound survey scans compared to standard scanning routines, according to research from northwestern university feinberg school of medicine in chicago. We are indebted to the many volunteers who contributed their time, knowledge, and energy to bringing this document to completion. Screening breast ultrasound in highrisk women study chair wendie a. Other breast units opt for ultrasound assessment of the male breast. Describe the various diagnostic pathways that may lead to a sonographic breast examination, and explain how the ultrasound findings are correlated with other imaging. Ultrasound protocols pdf the table of contents is linked to the corresponding pages for quick access vascular protocols. A protocol is a written outline, checklist or worksheet that lists the images and measurements that should be acquired during a specified ultrasound examination. Protocols for the abdomen, scrotum, thyroid gland, breast, neonatal brain, vascular and. Ultrasound assessment of the female breast simtics.
We have been developing a new technique for breast imaging that is based on. Atlas of full breast ultrasonography aristida colangeorges. Women will continue to have unnecessary caesarean sections and other interventions for infants who cannot survive. There are no standard protocols for imaging the male breast with many institutions perform. Doppler ultrasound is a special ultrasound technique that evaluates movement of materials in. Applications though ultrasound is successfully used to aid assessment of abnormalities detected by mammography, it should not be used as a sole modality for screening as ultrasound does not always detect cancers that are visualised mammographically. This book is an ideal manual on the use of modern ultrasound in the diagnosis of. Blanchard, do department of nuclear medicine, cancer services, and good samaritan breast health center legacy good samaritan hospital, portland, oregon. Pocket protocols for ultrasound scanning davies publishing. Unlike targeted breast ultrasound where only a limited region of the breast is evaluated in order to assess an abnormal mammographic or clinical finding, screening breast ultrasound requires the entire or both breasts to be scanned in order to find suspicious lesions that are neither palpable nor visible on mammography. Wholebreast ultrasound for breast screening and archiving.
Breast ultrasound uses highfrequency sound waves to map the internal structures of the breast. Protocols for the abdomen, scrotum, thyroid gland, breast, neonatal brain, vascular and cardiac systems are also included. Breast ultrasound level 1 trainees should initially attend an appropriate theor etical course to acquire the core knowledge. Ultrasound breast scanning protocol boosts efficiency. The premammary zone skin and overlying breast fat the mammary zone fibroglandular tissue the retromammary zone predominantly fat and the muscles of the chest wall. If there is an abnormality seen take pictures with and with out measurements. I went thru the pages of the book and i give it a rate of 5 star. However, on reading the chapters, i appreciated that the level of detail provided in each area gave a really useful overview for anyone embarking on a sonography career or wishing to extend their areas of scanning expertise. Pocket protocols for ultrasound scanning, 2nd edition. In the second phase, correlative comparisons with mr breast imaging were. Depending on breast size, a second pass further from the nipple may be required.
Ultrasound is widely available, easytouse and less expensive than most other imaging methods. Correlation on mammogram to position size and shape and following general scan of the breast. The practice of breast ultrasound ultrasound in medicine. Jan 15, 2014 to compare available ultrasound apps for obstetrics and gynecology obgyn to evaluate the utility of five available ultrasound apps for obstetric and gynecologic use. This noninvasive test is often used as a followup test after an abnormal finding on a mammogram, breast mri, or clinical breast exam. The accuracy of ultrasound in the diagnosis of breast disease. Presents a visual, stepbystep method for scanning and image documentation to provide diagnostic sonograms for physicians. If scanning a palpable lump scan the lump in a radial plane 2. If an abnormality is seen on mammography, or felt by clinical examination, ultrasound is the best way to find out if the abnormality is solid such as a benign fibroadenoma, or breast cancer or fluidfilled such as a benign cyst. Ultrasound breast scanning protocol boosts efficiency by erik l. Automated breast ultrasound abus is an option that uses a much larger transducer to take hundreds of images that cover nearly the entire breast.
Get a printable copy pdf file of the complete article 789k, or click on a page image below to browse page by page. Full text full text is available as a scanned copy of the original print version. For most women over the age of 35, a mammogram will be used together with breast ultrasound to investigate breast symptoms. Cc and mlo in both routine and implant displaced views asymptomatic patients including patients who have had a benign biopsy after initial. This text offers a comprehensive compilation of stepbystep sonography protocols using. My inital thought was that the book had perhaps tried to be too ambitious in covering such a large number of topics. Pdf breast ultrasound past, present, and future researchgate. We offer breast ultrasound in addition to other imaging techniques to provide the most accurate diagnostic service possible. Breast ultrasound 9780443100765 us elsevier health bookshop. Screening breast ultrasound can detect additional small breast cancers not seen on mammography. The title of my book is pocket protocols for ultrasound scanning by betty bates tempkin 2nd edition. Breast ultrasound showing how to scan, normal, breast, implants, leak, breast cancer, cysts, lactating, fibroadenoma, papilloma and carcinomas.
Describe and demonstrate the protocol for sonographic scanning of the breast, including the clock and quadrant methods, and targeted examinations based on mammographic findings. Us shop sonography superficial structures and small parts ultrasound assessment of the female breast. Diagnosis of breast cancer has been widely improved since the development of highresolution ultrasound equipment. Kuzmiak, do director of breast imaging associate professor of radiology university of north carolina ncus 33rd annual medical ultrasound symposium april 2014 objectives discuss us techniques available for image optimization. From the experience acquired on the six automatic breast ultrasound. The text includes criteria for professionalism and clinical skills, plus requisites for handling ultrasound equipment, image labeling. Stepbystep guide to performing, interpreting and reporting breast ultrasound examinations. A protocol for imaging axillary lymph nodes in patients. Care should be taken that all scans overlap to ensure scanning of the entire breast. Extensive coverage of underlying principles and practice of breast ultrasound. Apr 14, 2009 european federation of societies for ultrasound in medicine and biology building a european ultrasound community minimum training requirements for the practice of medical ultrasound in europe appendix 7. Stepbystep guide to performing, interpreting and reporting breast ultrasound. Equipment for breast ultrasound heather venables breast anatomy and normal ultrasound appearances mike stocksley and annemarie dixon ultrasound examination technique annemarie dixon ultrasound image interpretation, recording and reporting annemarie dixon benign breast disease david s.
Begin at 12 oclock in a sagittal plane with the toe of the probe at the nipple. Breast ultrasound is an important modality in breast imaging. This book introduces an exciting new method for breast ultrasound diagnostics automated wholebreast volume scanning 3d abvs. A protocol for imaging axillary lymph nodes in patients undergoing breastspeci. National multiple pregnancy guideline key recommendation 1. Ultrasound provides realtime imaging, making it a good tool for guiding minimally.
Ultrasound is an optional and supplemental, secondary screening tool in women with dense breast tissue with or without elevated personal breast cancer risk and should not be used to replace the screening mammogram. Full discussion of each scanning protocol consistently addresses patient preparation, type of transducer, breathing techniques. The coverage encompasses examination technique, diagnostic criteria, the imaging features of a wide variety of lesions, and. This atlas describes and illustrates a novel approach, referred to as full breast. Ultrasound us elastography is an imaging technique that can visualize tissue elasticity stiffness in vivo. The book explains every aspect of the examination in detailfrom equipment selection and examining techniques, to correlations between sonographic and mammographic findings, to precise characterization of sonographic abnormalities. The protocol chapters provide detailed scanning protocols for the major blood vessels and organs of the abdomen, the male and female pelvic regions and obstetrics. Part 1 summarizes the main aspects of theory that relate to scanning and also includes practical tips on gating and equipment use, patient care and. Hence, 2d ultrasound imaging remains the most popular scanning tool for breast ultrasound examinations. A log book of 50 cases should be kept which should record details of the indications for the. Scan up and down the breast in rows, making sure you overlap each row slightly to ensure no breast tissue is overlooked. As in the first edition, the book is divided into three sec tions. Ultrasound alone has modest accuracy in detecting axillary metastasis, not being reliable, on its own, to make a decision in surgical treatment of the axilla.
Breast ultrasound 9780443100765 us elsevier health. Bought this book for school, i wish i had only rented it as i no longer use it. Ultrasound breast what is ultrasound imaging of the breast. It is the usual initial breast imaging modality in those under 30 years of age in many countries ref in assessing for malignancy, it is important to remember that one must use the most suspicious feature of three modalities pathology, ultrasound and mammography to guide management. Protocols follow guidelines provided by the american institute of ultrasound in medicine aium, the organization that sets sonography policies, practice standards, safety procedures, and performance guidelines.
When abus is done, a second handheld ultrasound is often needed to get more pictures of suspicious areas. Ultrasound scanning gives a clear picture of soft tissues that do not show up well on xray images. Despite these advantages, abus is relatively new and comparatively more expensive than conventional cancer screening systems, thus restricting its widespread adoption. The breast is divided into four quadrants as shown and then each quadrant is scanned both vertically and horizontally. Describe and demonstrate the protocol for sonographic scanning of the breast, including the clock. Fbu involves anatomic ultrasound scanning based on the ductal echography technique proposed. Ultrasound scanning gives a clear picture of soft tissues that do not show up well on x. Mr protocols breast imaging i clinical and technical. Practice guideline for the performance of breast ultrasound. Review previous mammos and ultrasound examinations, correlated 2 view mammo, estimate quadrant.
Jun 03, 2009 ultrasound breast scanning protocol boosts efficiency by erik l. Scanning principles and specific instructions are provided to improve the quality of sonographic studies and establish standardization. The ultrasound uses highfrequency sound waves to produce detailed images of the. Unlike targeted breast ultrasound where only a limited region of the breast is evaluated in order to assess an abnormal mammographic or clinical finding, screening breast ultrasound requires the entire or both breasts to be scanned in order to find suspicious lesions.