J Korean Soc Ultrasound Med.  2010 Mar;29(1):1-5.

Sensitivity and Specificity of Screening Mammographies and Ultrasonographies Performed in Women at Seven Health Promotion Centers for One year

• Kim HS
• Kang BJ
• Lee JH
• Yim HW
• Jung SE
• Choi BG
• Kim HS
• Cha ES
• Kim SH
• Jung NY
• Park CS
• Whang IY

Abstract

PURPOSE
We wanted to evaluate the sensitivity and specificity of screening mammography and ultrasonography for breast examinations and we assessed the clinical usefulness of breast ultrasound for cancer screening.
MATERIALS AND METHODS
Of all the women who visited the health promotion center of seven medical institutions from Mar 2004 to Feb 2005, we compared the sensitivity and specificity between a single use of mammography and mammography with ultrasonography for the patients who underwent both mammography and ultrasonography. Here, the reference criteria were the follow-up and the histopathology, which were performed after one year.
RESULTS
A total of 1123 patients underwent both mammography and ultrasonography and they could be followed up for a year. For the 1123 patients who underwent both mammography and ultrasonography, the sensitivity and specificity of a single use of mammography were 14.3% and 86.9%, respectively. The sensitivity and specificity of mammography with ultrasonography were 85.7% and 85.9%, respectively. These results showed that the sensitivity was significantly increased when mammography was combined with ultrasonography (< 0.05).
CONCLUSION
The sensitivity was improved for the cases that underwent both mammography and ultrasonography.

Keyword

Breast; Screening mammography; Screening breast ultrasonography

MeSH Terms

Breast
Early Detection of Cancer
Female
Follow-Up Studies
Health Promotion
Humans
Mammography
Mass Screening
Sensitivity and Specificity*