{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,13]],"date-time":"2026-03-13T15:43:13Z","timestamp":1773416593540,"version":"3.50.1"},"reference-count":30,"publisher":"Elsevier BV","issue":"3","license":[{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["clinical-breast-cancer.com","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Clinical Breast Cancer"],"published-print":{"date-parts":[[2026,3]]},"DOI":"10.1016\/j.clbc.2026.01.008","type":"journal-article","created":{"date-parts":[[2026,1,18]],"date-time":"2026-01-18T22:50:27Z","timestamp":1768776627000},"page":"74-83","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Noninvasive Prediction of Axillary Sentinel Lymph Node Metastasis via Contrast-Enhanced Ultrasound to Guide Omission of SLNB in Breast Cancer"],"prefix":"10.1016","volume":"26","author":[{"given":"Zhijian","family":"He","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiaoyang","family":"Li","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jun","family":"He","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peizhen","family":"Huang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rizeng","family":"Li","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-8243-6646","authenticated-orcid":false,"given":"Jian","family":"Yu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"key":"10.1016\/j.clbc.2026.01.008_bib0001","first-page":"229","article-title":"Global cancer statistics 2022: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries","volume":"74","author":"Bray","year":"2024","journal-title":"CA Cancer J Clin"},{"key":"10.1016\/j.clbc.2026.01.008_bib0002","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1002\/cncr.21568","article-title":"Lymphatic mapping and sentinel lymph node biopsy in early-stage breast carcinoma: a meta-analysis","volume":"106","author":"Kim","year":"2006","journal-title":"Cancer"},{"key":"10.1016\/j.clbc.2026.01.008_bib0003","doi-asserted-by":"crossref","first-page":"881","DOI":"10.1016\/S1470-2045(07)70278-4","article-title":"Technical outcomes of sentinel-lymph-node resection and conventional axillary-lymph-node dissection in patients with clinically node-negative breast cancer: results from the NSABP B-32 randomised phase III trial","volume":"8","author":"Krag","year":"2007","journal-title":"Lancet Oncol"},{"key":"10.1016\/j.clbc.2026.01.008_bib0004","doi-asserted-by":"crossref","first-page":"918","DOI":"10.1001\/jama.2017.11470","article-title":"Effect of axillary dissection vs no axillary dissection on 10-year overall survival among women with invasive breast cancer and sentinel node metastasis: the ACOSOG Z0011 (alliance) randomized clinical trial","volume":"318","author":"Giuliano","year":"2017","journal-title":"JAMA"},{"key":"10.1016\/j.clbc.2026.01.008_bib0005","doi-asserted-by":"crossref","first-page":"1557","DOI":"10.1001\/jamaoncol.2023.3759","article-title":"Sentinel lymph node biopsy vs no axillary surgery in patients with small breast cancer and negative results on ultrasonography of axillary lymph nodes: the SOUND randomized clinical trial","volume":"9","author":"Gentilini","year":"2023","journal-title":"JAMA Oncol"},{"key":"10.1016\/j.clbc.2026.01.008_bib0006","doi-asserted-by":"crossref","first-page":"1051","DOI":"10.1056\/NEJMoa2412063","article-title":"Axillary surgery in breast cancer - primary results of the INSEMA Trial","volume":"392","author":"Reimer","year":"2025","journal-title":"N Engl J Med"},{"key":"10.1016\/j.clbc.2026.01.008_bib0007","doi-asserted-by":"crossref","first-page":"1720","DOI":"10.1200\/JCO-25-00099","article-title":"Sentinel lymph node biopsy in early-stage breast cancer: ASCO guideline update","volume":"43","author":"Park","year":"2025","journal-title":"J Clin Oncol"},{"key":"10.1016\/j.clbc.2026.01.008_bib0008","doi-asserted-by":"crossref","first-page":"1155","DOI":"10.1186\/s12885-022-10240-z","article-title":"Ultrasonography and clinicopathological features of breast cancer in predicting axillary lymph node metastases","volume":"22","author":"Xiong","year":"2022","journal-title":"BMC Cancer"},{"key":"10.1016\/j.clbc.2026.01.008_bib0009","doi-asserted-by":"crossref","first-page":"112","DOI":"10.1186\/s12885-024-11853-2","article-title":"Diagnostic value of applying preoperative breast ultrasound and clinicopathologic features to predict axillary lymph node burden in early invasive breast cancer: a study of 1247 patients","volume":"24","author":"Shao","year":"2024","journal-title":"BMC Cancer"},{"key":"10.1016\/j.clbc.2026.01.008_bib0010","doi-asserted-by":"crossref","first-page":"35311","DOI":"10.18632\/oncotarget.13330","article-title":"A nomogram to predict the probability of axillary lymph node metastasis in female patients with breast cancer in China: a nationwide, multicenter, 10-year epidemiological study","volume":"8","author":"Zhang","year":"2017","journal-title":"Oncotarget"},{"key":"10.1016\/j.clbc.2026.01.008_bib0011","doi-asserted-by":"crossref","first-page":"6121","DOI":"10.1007\/s00330-024-10638-2","article-title":"Multi-modality radiomics model predicts axillary lymph node metastasis of breast cancer using MRI and mammography","volume":"34","author":"Wang","year":"2024","journal-title":"Eur Radiol"},{"key":"10.1016\/j.clbc.2026.01.008_bib0012","article-title":"Machine learning-driven ultrasound radiomics for assessing axillary lymph node burden in breast cancer","volume":"16","author":"Wang","year":"2025","journal-title":"Front Endocrinol (Lausanne)"},{"key":"10.1016\/j.clbc.2026.01.008_bib0013","doi-asserted-by":"crossref","first-page":"112","DOI":"10.1186\/s12957-020-01890-z","article-title":"Accuracy of CEUS-guided sentinel lymph node biopsy in early-stage breast cancer: a study review and meta-analysis","volume":"18","author":"Cui","year":"2020","journal-title":"World J Surg Oncol"},{"key":"10.1016\/j.clbc.2026.01.008_bib0014","doi-asserted-by":"crossref","first-page":"1865","DOI":"10.1016\/j.ultrasmedbio.2019.04.006","article-title":"How pre-operative sentinel lymph node contrast-enhanced ultrasound helps intra-operative sentinel lymph node biopsy in breast cancer: initial experience","volume":"45","author":"Li","year":"2019","journal-title":"Ultrasound Med Biol"},{"key":"10.1016\/j.clbc.2026.01.008_bib0015","doi-asserted-by":"crossref","first-page":"455","DOI":"10.1186\/s12885-022-09551-y","article-title":"The value of preoperative sentinel lymph node contrast-enhanced ultrasound for breast cancer: a large, multicenter trial","volume":"22","author":"Li","year":"2022","journal-title":"BMC Cancer"},{"key":"10.1016\/j.clbc.2026.01.008_bib0016","article-title":"Percutaneous contrast-enhanced ultrasound for localization and diagnosis of sentinel lymph node in early breast cancer","volume":"9","author":"Liu","year":"2019","journal-title":"Sci Rep"},{"key":"10.1016\/j.clbc.2026.01.008_bib0017","doi-asserted-by":"crossref","first-page":"1593","DOI":"10.1007\/s00330-022-09139-x","article-title":"Contrast-enhanced lymphatic US can improve the preoperative diagnostic performance for sentinel lymph nodes in early breast cancer","volume":"33","author":"Niu","year":"2023","journal-title":"Eur Radiol"},{"key":"10.1016\/j.clbc.2026.01.008_bib0018","doi-asserted-by":"crossref","first-page":"1654","DOI":"10.1007\/s00330-017-5089-0","article-title":"The value of contrast-enhanced ultrasound for sentinel lymph node identification and characterisation in pre-operative breast cancer patients: a prospective study","volume":"28","author":"Zhao","year":"2018","journal-title":"Eur Radiol"},{"key":"10.1016\/j.clbc.2026.01.008_bib0019","doi-asserted-by":"crossref","first-page":"7703","DOI":"10.1200\/JCO.2005.08.001","article-title":"American Society of Clinical Oncology guideline recommendations for sentinel lymph node biopsy in early-stage breast cancer","volume":"23","author":"Lyman","year":"2005","journal-title":"J Clin Oncol"},{"key":"10.1016\/j.clbc.2026.01.008_bib0020","doi-asserted-by":"crossref","first-page":"528","DOI":"10.1593\/neo.04730","article-title":"Tumor vessel compression hinders perfusion of ultrasonographic contrast agents","volume":"7","author":"Galie","year":"2005","journal-title":"Neoplasia"},{"key":"10.1016\/j.clbc.2026.01.008_bib0021","doi-asserted-by":"crossref","first-page":"H305","DOI":"10.1152\/ajpheart.00004.2008","article-title":"Modeling flow in collecting lymphatic vessels: one-dimensional flow through a series of contractile elements","volume":"295","author":"Macdonald","year":"2008","journal-title":"Am J Physiol Heart Circ Physiol"},{"key":"10.1016\/j.clbc.2026.01.008_bib0022","doi-asserted-by":"crossref","first-page":"1915","DOI":"10.1002\/cam4.1142","article-title":"Identification of sentinel lymph nodes by contrast-enhanced ultrasonography with Sonazoid in patients with breast cancer: a feasibility study in three hospitals","volume":"6","author":"Shimazu","year":"2017","journal-title":"Cancer Med"},{"key":"10.1016\/j.clbc.2026.01.008_bib0023","doi-asserted-by":"crossref","first-page":"319","DOI":"10.1186\/s12957-015-0736-x","article-title":"Intradermal microbubbles and contrast-enhanced ultrasound (CEUS) is a feasible approach for sentinel lymph node identification in early-stage breast cancer","volume":"13","author":"Xie","year":"2015","journal-title":"World J Surg Oncol"},{"key":"10.1016\/j.clbc.2026.01.008_bib0024","article-title":"The value of percutaneous contrast-enhanced ultrasound in sentinel lymph node identification, metastatic status and burden diagnosis in early breast cancer","author":"Pang","year":"2023","journal-title":"J Ultrasound Med"},{"key":"10.1016\/j.clbc.2026.01.008_bib0025","doi-asserted-by":"crossref","first-page":"2727","DOI":"10.1002\/jum.15957","article-title":"Study on sentinel lymph node and its lymphatic drainage pattern of breast cancer by contrast-enhanced ultrasound","volume":"41","author":"Luo","year":"2022","journal-title":"J Ultrasound Med"},{"key":"10.1016\/j.clbc.2026.01.008_bib0026","doi-asserted-by":"crossref","first-page":"1371","DOI":"10.1016\/j.ultrasmedbio.2018.03.005","article-title":"Contrast-enhanced ultrasound-guided fine-needle aspiration for sentinel lymph node biopsy in early-stage breast cancer","volume":"44","author":"Zhong","year":"2018","journal-title":"Ultrasound Med Biol"},{"key":"10.1016\/j.clbc.2026.01.008_bib0027","doi-asserted-by":"crossref","first-page":"6183","DOI":"10.21873\/anticanres.13826","article-title":"Hookwire-guided sentinel lymph node biopsy using contrast-enhanced ultrasonography followed by a one-step nucleic acid amplification (OSNA) assay for breast cancer","volume":"39","author":"Miyake","year":"2019","journal-title":"Anticancer Res"},{"key":"10.1016\/j.clbc.2026.01.008_bib0028","doi-asserted-by":"crossref","first-page":"675","DOI":"10.1136\/jcp.2003.010777","article-title":"Prognostic value of proliferation in invasive breast cancer: a review","volume":"57","author":"van Diest","year":"2004","journal-title":"J Clin Pathol"},{"key":"10.1016\/j.clbc.2026.01.008_bib0029","doi-asserted-by":"crossref","first-page":"3670","DOI":"10.1200\/JCO.2006.08.8013","article-title":"Doctor, what are my chances of having a positive sentinel node? A validated nomogram for risk estimation","volume":"25","author":"Bevilacqua","year":"2007","journal-title":"J Clin Oncol"},{"key":"10.1016\/j.clbc.2026.01.008_bib0030","doi-asserted-by":"crossref","first-page":"492","DOI":"10.1002\/cncr.20809","article-title":"Predicting the status of axillary sentinel lymph nodes in 4351 patients with invasive breast carcinoma treated in a single institution","volume":"103","author":"Viale","year":"2005","journal-title":"Cancer"}],"container-title":["Clinical Breast Cancer"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S152682092600008X?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S152682092600008X?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,3,13]],"date-time":"2026-03-13T12:37:24Z","timestamp":1773405444000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S152682092600008X"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3]]},"references-count":30,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,3]]}},"alternative-id":["S152682092600008X"],"URL":"https:\/\/doi.org\/10.1016\/j.clbc.2026.01.008","relation":{},"ISSN":["1526-8209"],"issn-type":[{"value":"1526-8209","type":"print"}],"subject":[],"published":{"date-parts":[[2026,3]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Noninvasive Prediction of Axillary Sentinel Lymph Node Metastasis via Contrast-Enhanced Ultrasound to Guide Omission of SLNB in Breast Cancer","name":"articletitle","label":"Article Title"},{"value":"Clinical Breast Cancer","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.clbc.2026.01.008","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}