AI Helpful in Triaging Breast Masses in Low-Resource Areas (IMAGE)
Caption
Images in a 60-year-old woman show two palpable masses in the outer right breast. (A) Orthogonal portable US images of mass in right breast at 8 o’clock axis, 4 cm from the nipple, assessed as suspicious by artificial intelligence (AI). (B) Orthogonal standard-of-care (SOC) US images of the same 19-mm mass show circumscribed margins and posterior enhancement. SOC images of the mass were assessed as probably benign by AI and Breast Imaging Reporting and Data System (BI-RADS) 4A, low suspicion, by the radiologist. (C) Color Doppler US image shows strong internal vascularity. Doppler images are not currently evaluated by AI. (D) Orthogonal US images of second palpable mass in right breast at 8 o’clock axis, 6 cm from the nipple, show an irregular 17-mm hypoechoic spiculated mass with posterior shadowing, assessed as probably malignant by AI and BI-RADS 5 by the radiologist. Histopathologic examination of both masses showed grade 3 invasive ductal carcinoma that was estrogen and progesterone receptor positive and human epidermal growth factor receptor 2 negative.
Credit
Radiological Society of North America
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