Blood flow on ultrasound imaging is a predictor of lump margin status in breast-conserving patients: a retrospective matching study
Purpose This study investigated the relationship between breast ultrasound features and lump margin status in breast-conserving patients. Methods A single-institution database and medical records system were searched to identify patients who had undergone breast-conserving surgery between 2015 and 2...
Saved in:
Published in | European journal of medical research Vol. 28; no. 1; pp. 1 - 357 |
---|---|
Main Authors | , , |
Format | Journal Article |
Language | English |
Published |
London
BioMed Central Ltd
20.09.2023
BioMed Central BMC |
Subjects | |
Online Access | Get full text |
Cover
Loading…
Summary: | Purpose This study investigated the relationship between breast ultrasound features and lump margin status in breast-conserving patients. Methods A single-institution database and medical records system were searched to identify patients who had undergone breast-conserving surgery between 2015 and 2022. Patients were divided into case and control groups based on their postoperative margin status, and different matching methods [case-control matching (CCM) and propensity score matching (PSM)] were used to match the cases and controls at a ratio of 1:1. Results Before matching, patients with positive margins were more likely to have a tumor with increased blood flow (OR = 2.90, 95% CI 1.83-4.61, p < 0.001) and microcalcifications (OR = 2.22, 95% CI 1.44-3.42, p < 0.001). Among the 83 pairs of CCM subjects, patients with positive margins were prone to increased blood flow (p = 0.007) and crab sign (p = 0.040). In addition, there was a significant difference in blood flow (p = 0.030) among PSM subjects. After adjusting for the unbalanced factors, the same results were obtained. Conclusions Ultrasound blood flow significantly predicts the status of breast-conserving margins, but further studies are required to verify our findings. Keywords: Breast cancer, Blood flow, Breast-conserving surgery, Predict, Ultrasonography |
---|---|
Bibliography: | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 |
ISSN: | 2047-783X 0949-2321 2047-783X |
DOI: | 10.1186/s40001-023-01356-4 |