Journal of Korean Society of Ultrasound in Medicine 2010;29(1): 1-5.
Sensitivity and Specificity of Screening Mammographies and Ultrasonographies Performed in Women at Seven Health Promotion Centers for One year.
Hyun Sung Kim, Bong Joo Kang, Jae Hee Lee, Hyeon Woo Yim, Seung Eun Jung, Byung Gil Choi, Hyun Suk Kim, Eun Suk Cha, Sung Hun Kim, Na Young Jung, Chang Suk Park, In Young Whang
1Department of Radiology, College of Medicine, The Catholic University of Korea, Korea. lionmain@catholic.ac.kr
2Human Medical Imaging & Intervention Center, Korea.
3Department of Preventive Medicine, College of Medicine, The Catholic University of Korea, Korea.
  Published online: March 1, 2010.
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.
Keywords: Breast; Screening mammography; Screening breast ultrasonography
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