E. Ueno, T. Shiina, M. Kubota, K. Sawai (Eds.) Research and Development in Breast Ultrasound E. Ueno, T. Shiina M. Kubota, K. Sawai (Eds.) Research and Development in Breast Ultrasound With 150 Figures, Including 37 in Color 1 3 Ei Ueno, M.D., Ph.D. Associate Professor, Department of Breast-Thyroid-Endocrine Surgery Institute of Clinical Medicine, University of Tsukuba 1-1-1 Tennodai, Tsukuba, Ibaraki 304-8573, Japan Tsuyoshi Shiina, Ph.D. Professor, Institute of Information Sciences and Electronics, University of Tsukuba 1-1-1 Tennodai, Tsukuba, Ibaraki 304-8573, Japan Mitsuhiro Kubota, M.D. Director of Yamachika Memorial Hospital 3-19-14 Koyawata, Odawara, Kanagawa 256-0815, Japan Kiyoshi Sawai, M.D. Associate Professor, Department of Endocrine & Breast Surgery Kyoto Prefectural University of Medicine 465 Kajii-cho, Kawaramachi-Hirokoji, Kamigyo-ku, Kyoto 602-0841, Japan Cover Illustration: Madoka Momota Library of Congress Control Number: 2004116202 ISBN 4-431-40277-2 Springer-Verlag Tokyo Berlin Heidelberg New York This work is subject to copyright. 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Springer is a part of Springer Science+Business Media springeronline.com © Springer-Verlag Tokyo 2005 Printed in Japan Typesetting: SNP Best-set Typesetter Ltd., Hong Kong Printing and binding: Shinano, Inc., Japan Printed on acid-free paper Preface Ultrasonic examination of the breast has been a valuable diagnostic tool for more than half a century since J.J. Wild, T. Wagai, and others first used it in 1950. The first Inter- national Congress on the Ultrasonic Examination of the Breast (ICUEB) was convened in Philadelphia in 1979 by Goldberg (United States), Wells (United Kingdom), Wagai (Japan), Kobayashi (Japan), and Kossoff (Australia). Further congresses in the series have taken place every other year to discuss related theoretical and clinical discover- ies. These meetings led to the founding of the International Association for Breast Ultrasound (IABU) in 1991, and have contributed to improving ultrasonic examina- tion techniques and the associated medical benefits. The 13th ICUEB was held in Kyoto, Japan, in April 2003. International events at that time—the military operations in Iraq and the SARS outbreaks in several countries— threatened attendance; however, only one oral presentation and one poster presenta- tion had to be canceled, and an impressive 98% of our schedule proceeded as planned. Over the three days of the congress, participants made significant contributions through presentations and discussions, and we moved closer to a global mutual understanding. From the many oral presentations and posters we selected the best for publication in this volume, entitled Research and Development in Breast Ultrasound. The book covers a variety of engaging topics, including discovery of the piezoelectric phenom- enon, DCIS diagnosis, interventional ultrasound, screening by ultrasound, and diag- nostic criteria. It also includes an original paper by Dr. Kujiraoka,“Incident Angle of the Plunging Artery of Breast Tumors,”which won first prize at the poster session. We are sure the next ICUEB will build on these strong foundations. Finally, special heartfelt thanks go to Professor Ki Keun Oh from Korea, Dr. Yi-Hong Chou from Taiwan, and Dr. Jack Jellins from IBAS. Ei Ueno, M.D. Chairman, 13th ICUEB Chief Editor V Contributors The following organizations and individuals provided financial support for the 13th International Congress on the Ultrasonic Examination of the Breast (ICUEB). Public Organizations: Commemorative Organization for the Japan World Exposition ’70 Japan National Tourist Organization The Pharmaceutical Manufacturers Association of Tokyo Oosaka Pharmaceutical Manufacturers Association The Japan Labor Cultural Association Ibaraki Health Service Association Pharmaceutial Companies: Amgen Ltd. Kakenshoyaku Co., Ltd. Asahi Chemical Industry Co., Ltd. Kanebo, Ltd. AstraZeneca Kirin Brewery Co., Ltd. Aventis Pharma Ltd. Kissei Pharmaceutical Co., Ltd. Azwell Inc. Kowa Company, Ltd. Banyu Pharmaceutical Co., Ltd. Kyorin Pharmaceutical Co., Ltd. Bayer AG Kyowa Hakko Kogyo Co., Ltd. Bristol Myers K.K. Maruho Co., Ltd. Chugai Pharmaceutical Co., Ltd. Maruishi Pharmaceutical Co., Ltd. Daiichi Pharmaceutical Co., Ltd. Meiji Milk Products Co., Ltd. Dainippon Pharmaceutical Co., Ltd. Meiji Seika Kaisha Ltd. Eiken Chemical Co., Ltd. Merck Hoei Ltd. Eisai Co., Ltd. Mikasa Seiyaku Co., Ltd. Elmed Eisai Co., Ltd. Minophagen Pharmaceutical Co., Ltd. Fujisawa Pharmaceutical Co., Ltd. Mitsubishi Pharma Corporation Fuso Pharmaceutical Industries, Ltd. Mochida Pharmaceutical Co., Ltd. Graxo Smith Kline K.K. Morinaga Milk Industry Co., Ltd. Grelan Pharmaceutical Co., Ltd. Nihon Pharmaceutical Co., Ltd. Japan Tobacco Inc. Nihon Schering K.K. Kaken Pharmaceutical Co., Ltd. Nikken Chemicals Co., Ltd. VII VIII Contributors Nippon Boehringer Ingelheim Co., Ltd. SSP Co., Ltd. Nippon Chemiphar Co., Ltd. Sumitomo Pharmaceutical Co., Ltd. Nippon Kayaku Co., Ltd. Taiho Pharmaceutical Co., Ltd. Nippon Shinyaku Co., Ltd. Taisho Pharmaceutical Co., Ltd. Nippon Zoki Pharmaceutical Co., Ltd. Takeda Chemical Industries, Ltd. Nipro Pharma Corporation Tanabe Seiyaku Co., Ltd. Novartis Pharma K.K. Teijin Ltd. Ono Pharmaceutical Co., Ltd. Teikoku Hormone Mfg. Co., Ltd. Otsuka Pharmaceutical Co., Ltd. Terumo Corporation, Japan Pfizer Japan Inc. Toa Eiyo Ltd. Rohto Pharmaceutical Co., Ltd. Torii Pharmaceutical Co., Ltd. Sankyo Co., Ltd. Towa Pharmaceutical Co., Ltd. Santen Pharmaceutical Co., Ltd. Toyama Chemical Co., Ltd. Sanwa Kagaku Kenkyusho Co., Ltd. Tsumura & Co. Sato Pharmaceutical Co., Ltd. Wakamoto Pharmaceutical Co., Ltd. Sawai Pharmaceutical Co., Ltd. Wyeth Lederle Japan, Ltd. Schering-Plough K.K. Ya ku lt C o. , L td . Shionogi & Co., Ltd. Yamanouchi Pharmaceutical Co., Ltd. Snow Brand Milk Products Co., Ltd. Others: Mr. Hiroaki Aoki Miyamae Clinic Asazen Ms. Itsuko Ogura Breast Clinic Kodama Surgery Ohtashiro Clinic Chikatsu Clinic Dr. Noriko Ohtashiro Hayashi Clinic Ryuin-kai Ushio Hospital Ibarakiken Medical Center Saitoh Clinic Ide Clinic Suzuki ENT Clinic Mr. Seiji Inagawa Takezono Skin Clinic Mr. Mikio Kakinuma Ms. Utako Tayama Kogure Clinic Ms. Fumi Tsuritani Kokonomi-kai Shimazaki Clinic Ueno Surgical Clinic Ms. Tomiko Kuriyama Mr. Haruyuki Yamada Medison Co., Ltd. Zensen-kai Contents Preface . V Contributors . VII Discovery of the Piezoelectric Phenomenon: Curie and Langevin D. Amy . 1 A Review of Theoretical and Experimental Aspects of Imaging the Elastic Attributes of Tissue In Vivo J. Ophir . 3 In Vivo Breast Examination by Real-Time Freehand Elasticity Imaging System T. Shiina and E. Ueno . 7 Usefulness of Ultrasonic Strain Measurement-Based Mechanical Properties Imaging Technique: Toward Realization of Short-Time Diagnosis/Treatment C. Sumi,M.Kubota,G.Wakabayashi, and M. Tanabe . 16 Mass Detection Using a Texture Feature Coding Method P.-S. Liao, S.-M. Guo, Y.-C. Liao, S.-C. Yang, C.-W. Yang, H.-M. Chen, P.-C. Chung, S.K. Lee, and C.-I. Chang . 44 Breast Tissue Assessments Based on High Order Mechanical Properties N. Nitta and T. Shiina . 50 Forms of Tumors T. Watanabe,E.Ueno,T.Endo,M.Kubota,Y.Konishi,H.Sakuma, K. Shimamoto,H.Tsunoda-Shimizu,H.Hashimoto,N.Masuda, M. Mizutani,I.Morishima, and H. Yasuda . 55 Usefulness of Depth to Width Ratio in Differentiation of Regular Invasive Ductal Carcinoma from Fibroadenoma H. Tsunoda-Shimizu,Y.Kato,E.Ueno,T.Endo,M.Shirouzu, R. Watanabe,H.Hashimoto,Y.Ogawa,T.Takashima,Y.Fujimoto, H. Shirai,M.Nagae,N.Unuma,N.Masuda,N.Obane,I.Morishima, Y. Kujiraoka,K.Omoto, and N. Taniguchi . 57 IX X Contents Margin, Border, and Boundary Zone of Breast Tumor Ultrasonography H. Yasuda,E.Ueno,T.Endo,M.Kubota,Y.Konishi,H.Sakuma, K. Shimamoto,H.Tsunoda-Shimizu,I.Morishima, and T. Watanabe . 62 Revised Diagnostic Criteria for the Breast (Draft): Internal Echoes M. Kubota,Y.Konishi,K.Shimamoto,K.Tanaka,H.Tsunoda-Shimizu, H. Hashimoto,N.Masuda,M.Mizutani,I.Morishima,H.Yasuda, T. Watanabe,E.Ueno, and T. Endo . 66 Incident Angle of the Plunging Artery of Breast Tumors Y. Kujiraoka,E.Ueno,E.Tohno,I.Morishima, and H. Tsunoda-Shimizu . 72 Draft JSUM Diagnostic Guidelines for Mass Image-Forming Lesions E. Ueno,T.Endo,M.Kubota,A.Kawauchi,Y.Kato,Y.Konishi, M. Mizutani,E.Tohno,H.Tsunoda-Shimizu,N.Taniguchi, H. Yasuda,T.Watanabe,K.Shimamoto,H.Hashimoto,N.Masuda, and I. Morishima . 76 Draft Diagnostic Guidelines for Non-Mass Image-Forming Lesions by the Japan Association of Breast and Thyroid Sonology (JABTS) and the Japan Society of Ultrasonics in Medicine T. Endo,M.Kubota,Y.Konishi,K.Shimamoto,K.Tanaka, H. Tsunoda-Shimizu,H.Hashimoto,N.Masuda,M.Mizutani, I. Morishima,H.Yasuda,T.Watanabe, and E. Ueno . 89 JABTS Breast Ultrasound Training Course: Program and Results E. Tohno,K.Sawai, and the Members of the Education Committee of JABTS . 101