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Quality Assurance of Ultrasonic Diagnosis in Breast |
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Soo-Young Chung, M.D. Hong-Dae Kim, M.D. |
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Department of Radiology, Hallym University, Kangnam Sacred Heart Hospital |
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Sonography is a subjective diagnostic method which is highly dependent on the experience of the operator and
the equipment quality which requires real-time adjustments. Breast screening examination currently consists of
clinical examination and mammography. Breast sonography, either supplementary to mammography or independently,
is indicated for the dense breast, especially in younger women. Breast sonography is especially applicable
for Korean women because of the denser breast parenchyma and the approximately 10-year younger incidence rate
of breast cancer of Korean women compared to western women. To avoid unnecessary breast biopsy because of the
high rate of false positive lesions in breast parenchyma, which is different from other body organs such as the liver
or the kidney, a quality assurance program for breast sonography is essential. The quality assurance of breast ultrasound
involves quality assurance of the equipment, imaging display and acquisition of clinical images, personnel
qualifications and other aspects such as unification of lexicon, guideline of diagnostic examination and reporting
system; US BI-RAD reporting system, assessment items and organization, education program, medical audit, certification
issues, and medicolegal issues. A breast sonographic quality assurance system should be established before
a scheme to initiate governmental medical insurance for breast sonography. |
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Keyword : Breast Breast, US Breast neoplasms, US |
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pdf파일 : 055-60정수영.pdf
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