{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T13:58:21Z","timestamp":1790517501631,"version":"4.1.0"},"reference-count":46,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2017,7,8]],"date-time":"2017-07-08T00:00:00Z","timestamp":1499472000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100008321","name":"Toshiba Medical Systems","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100008321","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Ultrasound Medicine"],"published-print":{"date-parts":[[2018,1]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>To compare the diagnostic performance of strain and shear wave elastography of breast masses for quantitative assessment in differentiating benign and malignant lesions and to evaluate the diagnostic accuracy of combined strain and shear wave elastography.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Between January and February 2016, 37 women with 45 breast masses underwent both strain and shear wave ultrasound (US) elastographic examinations. The American College of Radiology Breast Imaging Reporting and Data System (BI\u2010RADS) final assessment on B\u2010mode US imaging was assessed. We calculated strain ratios for strain elastography and the mean elasticity value and elasticity ratio of the lesion to fat for shear wave elastography. Diagnostic performances were compared by using the area under the receiver operating characteristic curve (AUC).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The 37 women had a mean age of 47.4 years (range, 20\u201379 years). Of the 45 lesions, 20 were malignant, and 25 were benign. The AUCs for elasticity values on strain and shear wave elastography showed no significant differences (strain ratio, 0.929; mean elasticity, 0.898; and elasticity ratio, 0.868; <jats:italic>P<\/jats:italic>\u2009&gt;\u2009.05). After selectively downgrading BI\u2010RADS category 4a lesions based on strain and shear wave elastographic cutoffs, the AUCs for the combined sets of B\u2010mode US and elastography were improved (B\u2010mode\u2009+\u2009strain, 0.940; B\u2010mode\u2009+\u2009shear wave; 0.964; and B\u2010mode, 0.724; <jats:italic>P<\/jats:italic>\u2009&lt;\u2009.001). Combined strain and shear wave elastography showed significantly higher diagnostic accuracy than each individual elastographic modality (<jats:italic>P<\/jats:italic>\u2009=\u2009.031).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>These preliminary results showed that strain and shear wave elastography had similar diagnostic performance. The addition of strain and shear wave elastography to B\u2010mode US improved diagnostic performance. The combination of strain and shear wave elastography results in a higher diagnostic yield than each individual elastographic modality.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jum.14309","type":"journal-article","created":{"date-parts":[[2017,7,8]],"date-time":"2017-07-08T06:52:43Z","timestamp":1499496763000},"page":"99-109","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":55,"title":["Comparison and Combination of Strain and Shear Wave Elastography of Breast Masses for Differentiation of Benign and Malignant Lesions by Quantitative Assessment: Preliminary Study"],"prefix":"10.1002","volume":"37","author":[{"given":"Mirinae","family":"Seo","sequence":"first","affiliation":[{"name":"Department of Radiology Kyung Hee University Hospital, College of Medicine, Kyung Hee University Seoul Korea"},{"name":"Department of Radiology Chung\u2010Ang University Hospital, College of Medicine Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7260-7467","authenticated-orcid":false,"given":"Hye Shin","family":"Ahn","sequence":"additional","affiliation":[{"name":"Department of Radiology Chung\u2010Ang University Hospital, College of Medicine Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sung Hee","family":"Park","sequence":"additional","affiliation":[{"name":"Department of Radiology Chung\u2010Ang University Hospital, College of Medicine Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jong Beum","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Radiology Chung\u2010Ang University Hospital, College of Medicine Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Byung Ihn","family":"Choi","sequence":"additional","affiliation":[{"name":"Department of Radiology Chung\u2010Ang University Hospital, College of Medicine Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2238-0724","authenticated-orcid":false,"given":"Yu\u2010Mee","family":"Sohn","sequence":"additional","affiliation":[{"name":"Department of Radiology Kyung Hee University Hospital, College of Medicine, Kyung Hee University Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"So Youn","family":"Shin","sequence":"additional","affiliation":[{"name":"Department of Radiology Kyung Hee University Hospital, College of Medicine, Kyung Hee University Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,7,8]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.7863\/jum.2012.31.5.773"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2559.2011.03916.x"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0029-1245335"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2559.2010.03620.x"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0301-5629(02)00733-0"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/RUQ.0b013e3181dc7ce4"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ultrasmedbio.2015.03.009"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.202.1.8988195"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1109\/TMI.2012.2201497"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1148\/radiol.10090385"},{"key":"e_1_2_6_12_1","volume-title":"Breast Imaging Reporting and Data System","author":"D'Orsi C","year":"2013"},{"key":"e_1_2_6_13_1","first-page":"1","article-title":"A pulsed Doppler ultrasonic system for making noninvasive measurements of the mechanical properties of soft tissue","volume":"24","author":"Krouskop TA","year":"1987","journal-title":"J Rehabil Res Dev"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/0301-5629(90)90002-T"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/0301-5629(94)00146-5"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/016173469101300201"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1243\/0954411991534933"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ultrasmedbio.2013.02.017"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1088\/0031-9155\/53\/17\/022"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ultrasmedbio.2010.07.008"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1177\/0161734612465520"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.1088\/0031-9155\/56\/1\/R01"},{"key":"e_1_2_6_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/0301-5629(90)90003-U"},{"key":"e_1_2_6_24_1","doi-asserted-by":"publisher","DOI":"10.1177\/016173460402600201"},{"key":"e_1_2_6_25_1","doi-asserted-by":"publisher","DOI":"10.1109\/TUFFC.2004.1295425"},{"key":"e_1_2_6_26_1","doi-asserted-by":"publisher","DOI":"10.1148\/radiol.11110640"},{"key":"e_1_2_6_27_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10549-011-1857-8"},{"key":"e_1_2_6_28_1","doi-asserted-by":"publisher","DOI":"10.1038\/bjc.2012.253"},{"key":"e_1_2_6_29_1","doi-asserted-by":"publisher","DOI":"10.2214\/AJR.12.10416"},{"key":"e_1_2_6_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ultrasmedbio.2014.05.020"},{"key":"e_1_2_6_31_1","doi-asserted-by":"publisher","DOI":"10.1148\/radiol.14132404"},{"key":"e_1_2_6_32_1","doi-asserted-by":"publisher","DOI":"10.7863\/jum.2012.31.2.281"},{"key":"e_1_2_6_33_1","doi-asserted-by":"publisher","DOI":"10.1055\/b-003-121482"},{"key":"e_1_2_6_34_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10552-010-9585-7"},{"key":"e_1_2_6_35_1","doi-asserted-by":"publisher","DOI":"10.2307\/2531595"},{"key":"e_1_2_6_36_1","doi-asserted-by":"publisher","DOI":"10.7863\/jum.2012.31.2.289"},{"key":"e_1_2_6_37_1","first-page":"266","article-title":"Discordant elastography images of breast lesions: how various factors lead to discordant findings","volume":"34","author":"Yoon JH","year":"2013","journal-title":"Ultraschall Med"},{"key":"e_1_2_6_38_1","doi-asserted-by":"publisher","DOI":"10.1177\/0284185114551400"},{"key":"e_1_2_6_39_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00330-013-3079-4"},{"key":"e_1_2_6_40_1","doi-asserted-by":"publisher","DOI":"10.7863\/jum.2012.31.6.895"},{"key":"e_1_2_6_41_1","doi-asserted-by":"publisher","DOI":"10.3109\/02841850903273966"},{"key":"e_1_2_6_42_1","doi-asserted-by":"publisher","DOI":"10.3348\/kjr.2008.9.2.111"},{"key":"e_1_2_6_43_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ultrasmedbio.2015.03.008"},{"key":"e_1_2_6_44_1","doi-asserted-by":"crossref","first-page":"141","DOI":"10.5152\/tjbh.2014.2024","article-title":"The role of ultrasonographic elastography in the differential diagnosis of breast masses and its contribution to classical ultrasonographic evaluation","volume":"10","author":"Yagtu M","year":"2014","journal-title":"J Breast Health"},{"key":"e_1_2_6_45_1","doi-asserted-by":"publisher","DOI":"10.7863\/jum.2010.29.1.1"},{"key":"e_1_2_6_46_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.acra.2010.07.014"},{"key":"e_1_2_6_47_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.acra.2009.12.006"}],"container-title":["Journal of Ultrasound in Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fjum.14309","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jum.14309","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,30]],"date-time":"2023-09-30T00:12:34Z","timestamp":1696032754000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/jum.14309"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,7,8]]},"references-count":46,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2018,1]]}},"alternative-id":["10.1002\/jum.14309"],"URL":"https:\/\/doi.org\/10.1002\/jum.14309","archive":["Portico"],"relation":{},"ISSN":["0278-4297","1550-9613"],"issn-type":[{"value":"0278-4297","type":"print"},{"value":"1550-9613","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,7,8]]},"assertion":[{"value":"2017-01-03","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2017-03-22","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2017-07-08","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}