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J Korean Soc Ultrasound Med. 2010 Mar;29(1):1-5. Korean. Original Article.
Kim HS , Kang BJ , Lee JH , Yim HW , Jung SE , Choi BG , Kim HS , Cha ES , Kim SH , Jung NY , Park CS , Whang IY .
Department of Radiology, College of Medicine, The Catholic University of Korea, Korea. lionmain@catholic.ac.kr
Human Medical Imaging & Intervention Center, Korea.
Department of Preventive Medicine, College of Medicine, The Catholic University of Korea, Korea.
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.

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