Abstract
The diagnostic performance of sonoelastography compared to conventional sonomammography in 136 patients with palpable breast lesions at L.G. Hospital, Ahmedabad is of interest. Hence, patients underwent B-mode ultrasound, mammography, and real-time elastography, with histopathology as the reference standard. Sonoelastography demonstrated higher specificity (90% vs. 60%), PPV (87% vs. 64%), and overall diagnostic accuracy (82%) compared with sonomammography, while maintaining comparable sensitivity (93.3%). The addition of elastography reclassified 30% of benign lesions correctly, reducing unnecessary biopsies and preserving 100% sensitivity in high-risk BIRADS categories. Thus, we show that sonoelastography is a valuable complementary tool to sonomammography in breast lesion characterization.