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Breast
Lesion Imaging Characteristics
Ultrasound Lesion Characteristics
Echogenic Rim (US)
Echogenic Rim (US)
Wendie A. Berg, MD, PhD, FACR, FSBI
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Diagnostic Checklist

            TERMINOLOGY

            • Definitions

              • Echogenic transition zone between mass and surrounding normal parenchyma (historically "halo")

            IMAGING

            • General Features

              • Mammographic Findings

                • Ultrasonographic Findings

                  • MR Findings

                    • Imaging Recommendations

                      DIFFERENTIAL DIAGNOSIS

                        PATHOLOGY

                        • General Features

                          • Microscopic Features

                            CLINICAL ISSUES

                            • Natural History & Prognosis

                              DIAGNOSTIC CHECKLIST

                              • Image Interpretation Pearls

                                Selected References

                                1. Journo G et al: Hyperechoic breast images: all that glitters is not gold! Insights Imaging. 9(2):199-209, 2018
                                2. Elverici E et al: Nonpalpable BI-RADS 4 breast lesions: sonographic findings and pathology correlation. Diagn Interv Radiol. 21(3):189-94, 2015
                                3. Durmus T et al: The hyperechoic zone around breast lesions - an indirect parameter of malignancy. Ultraschall Med. 35(6):547-53, 2014
                                4. Mendelson EB et al: Breast Imaging Reporting and Data System, BI-RADS: Ultrasound. 2nd ed. Reston: American College of Radiology, 2013
                                5. Cho N et al: Distinguishing benign from malignant masses at breast US: combined US elastography and color doppler US--influence on radiologist accuracy. Radiology. 262(1):80-90, 2012
                                6. Meier-Meitinger M et al: Assessment of breast cancer tumour size using six different methods. Eur Radiol. 21(6):1180-7, 2011
                                7. Hong AS et al: BI-RADS for sonography: positive and negative predictive values of sonographic features. AJR Am J Roentgenol. 184(4):1260-5, 2005
                                8. Hashimoto H et al: Quantitative ultrasound as a predictor of node metastases and prognosis in patients with breast cancer. Breast Cancer. 7(3):241-6, 2000
                                9. Stavros AT et al: Solid breast nodules: use of sonography to distinguish between benign and malignant lesions. Radiology. 196(1):123-34, 1995
                                10. Fornage BD et al: Sonographic appearance and ultrasound-guided fine-needle aspiration biopsy of breast carcinomas smaller than 1 cm3. J Ultrasound Med. 9(10):559-68, 1990
                                11. Cole-Beuglet C et al: Ultrasound analysis of 104 primary breast carcinomas classified according to histopathologic type. Radiology. 147(1):191-6, 1983
                                12. Barsky SH et al: Increased content of Type V Collagen in desmoplasia of human breast carcinoma. Am J Pathol. 108(3):276-83, 1982
                                Related Anatomy
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                                Related Differential Diagnoses
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                                References
                                Tables

                                Tables

                                KEY FACTS

                                • Terminology

                                  • Imaging

                                    • Top Differential Diagnoses

                                      • Pathology

                                        • Diagnostic Checklist

                                          TERMINOLOGY

                                          • Definitions

                                            • Echogenic transition zone between mass and surrounding normal parenchyma (historically "halo")

                                          IMAGING

                                          • General Features

                                            • Mammographic Findings

                                              • Ultrasonographic Findings

                                                • MR Findings

                                                  • Imaging Recommendations

                                                    DIFFERENTIAL DIAGNOSIS

                                                      PATHOLOGY

                                                      • General Features

                                                        • Microscopic Features

                                                          CLINICAL ISSUES

                                                          • Natural History & Prognosis

                                                            DIAGNOSTIC CHECKLIST

                                                            • Image Interpretation Pearls

                                                              Selected References

                                                              1. Journo G et al: Hyperechoic breast images: all that glitters is not gold! Insights Imaging. 9(2):199-209, 2018
                                                              2. Elverici E et al: Nonpalpable BI-RADS 4 breast lesions: sonographic findings and pathology correlation. Diagn Interv Radiol. 21(3):189-94, 2015
                                                              3. Durmus T et al: The hyperechoic zone around breast lesions - an indirect parameter of malignancy. Ultraschall Med. 35(6):547-53, 2014
                                                              4. Mendelson EB et al: Breast Imaging Reporting and Data System, BI-RADS: Ultrasound. 2nd ed. Reston: American College of Radiology, 2013
                                                              5. Cho N et al: Distinguishing benign from malignant masses at breast US: combined US elastography and color doppler US--influence on radiologist accuracy. Radiology. 262(1):80-90, 2012
                                                              6. Meier-Meitinger M et al: Assessment of breast cancer tumour size using six different methods. Eur Radiol. 21(6):1180-7, 2011
                                                              7. Hong AS et al: BI-RADS for sonography: positive and negative predictive values of sonographic features. AJR Am J Roentgenol. 184(4):1260-5, 2005
                                                              8. Hashimoto H et al: Quantitative ultrasound as a predictor of node metastases and prognosis in patients with breast cancer. Breast Cancer. 7(3):241-6, 2000
                                                              9. Stavros AT et al: Solid breast nodules: use of sonography to distinguish between benign and malignant lesions. Radiology. 196(1):123-34, 1995
                                                              10. Fornage BD et al: Sonographic appearance and ultrasound-guided fine-needle aspiration biopsy of breast carcinomas smaller than 1 cm3. J Ultrasound Med. 9(10):559-68, 1990
                                                              11. Cole-Beuglet C et al: Ultrasound analysis of 104 primary breast carcinomas classified according to histopathologic type. Radiology. 147(1):191-6, 1983
                                                              12. Barsky SH et al: Increased content of Type V Collagen in desmoplasia of human breast carcinoma. Am J Pathol. 108(3):276-83, 1982