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Ultrasonography. 2014 Jan;33(1):3-10. doi: 10.14366/usg.13012. Epub 2013 Nov 26.

Practice guideline for the performance of breast ultrasound elastography.

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  • 1Department of Radiology, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea.
  • 2Department of Radiology, Seoul National University Hospital Healthcare System Gangnam Center, Seoul, Korea.
  • 3Department of Radiology, Seoul Metropolitan Government-Seoul National University Boramae Medical Center, Seoul, Korea.
  • 4Department of Radiology, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.
  • 5Department of Radiology, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea.
  • 6Department of Radiology, Ewha Womans University Mokdong Hospital, Ewha Womans University School of Medicine, Seoul, Korea.
  • 7Department of Radiology, Hanyang University Hospital, Hanyang University College of Medicine, Seoul, Korea.
  • 8Department of Radiology, Bundang CHA Hospital, CHA University College of Medicine, Seongnam, Korea.
  • 9Department of Radiology, Gyeongsang National University Hospital, Jinju, Korea.
  • 10Department of Radiology, Dongnam Instute of Radiological and Medical Science, Busan, Korea.


Ultrasound (US) elastography is a valuable imaging technique for tissue characterization. Two main types of elastography, strain and shear-wave, are commonly used to image breast tissue. The use of elastography is expected to increase, particularly with the increased use of US for breast screening. Recently, the US elastographic features of breast masses have been incorporated into the 2nd edition of the Breast Imaging Reporting and Data System (BI-RADS) US lexicon as associated findings. This review suggests practical guidelines for breast US elastography in consensus with the Korean Breast Elastography Study Group, which was formed in August 2013 to perform a multicenter prospective study on the use of elastography for US breast screening. This article is focused on the role of elastography in combination with B-mode US for the evaluation of breast masses. Practical tips for adequate data acquisition and the interpretation of elastography results are also presented.


Breast, neoplasms; Elasticity imaging techniques; Ultrasonography

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