{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T17:29:04Z","timestamp":1786123744931,"version":"build-2736575974"},"reference-count":27,"publisher":"Springer Science and Business Media LLC","license":[{"start":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T00:00:00Z","timestamp":1782432000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T00:00:00Z","timestamp":1782432000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Med Ultrasonics"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To determine whether a dynamic ultrasound approach, termed anatomical scanning and interpretation, improves diagnostic performance in differentiating benign from malignant breast lesions compared with conventional static-image BI-RADS assessment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This prospective study evaluated 102 breast lesions (33 masses, 41 non-masses, and 28 distortions) classified as BI-RADS 3, 4a, or 4b. Fourteen ultrasound technologists underwent dedicated training in dynamic anatomical scanning and interpretation. Each lesion was evaluated using real-time video clips and independently categorized as requiring follow-up or biopsy. A subsequent physician\u2013technologist consensus was performed. With histopathology as the reference standard, performance was assessed using ROC analysis, with AUC comparisons performed using the DeLong test.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Among 102 lesions (58 benign, 44 malignant), individual technologist interpretation with dynamic imaging significantly improved diagnostic performance (AUC\u2009=\u20090.748,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.0191) over static BI-RADS assessment (AUC\u2009=\u20090.619). Physician\u2013technologist consensus showed further significant improvement (AUC\u2009=\u20090.865,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.0001). In subgroup analysis, dynamic interpretation outperformed static assessment for masses (AUC\u2009=\u20090.849,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.0036), but not for non-mass lesions (AUC\u2009=\u20090.794) or distortions (AUC\u2009=\u20090.618). In contrast, physician\u2013technologist consensus interpretation demonstrated superior performance compared with static assessment across all lesion types: masses (AUC\u2009=\u20090.879,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.0001), non-mass lesions (AUC\u2009=\u20090.910,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.0005), and distortions (AUC\u2009=\u20090.838,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.0432).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Dynamic anatomical scanning and interpretation significantly improve diagnostic performance over conventional static BI-RADS assessment. For non-mass lesions and architectural distortions, anatomical interpretation based on consensus between the physician and the technologist is considered essential to achieve optimal diagnostic accuracy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s10396-026-01657-1","type":"journal-article","created":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T12:15:29Z","timestamp":1782476129000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Dynamic anatomical ultrasound assessment for breast lesions: a prospective study of diagnostic performance"],"prefix":"10.1007","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9216-4162","authenticated-orcid":false,"given":"Ayumi","family":"Izumori","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yumi","family":"Kokubu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takehiko","family":"Sakai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Futoshi","family":"Akiyama","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takuji","family":"Iwase","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Woo Kyung","family":"Moon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takayuki","family":"Ueno","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,6,26]]},"reference":[{"key":"1657_CR1","unstructured":"Leung JWT, Baker JA, Hooley R, et al. 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