A novel qualitative pattern of shear wave elastography for differentiating suspicious metastatic axillary lymph nodes on B-mode ultrasound: a multi-center retrospective study

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Authors: Chuang Cao, Zheng-Jun Wang, Yu-Long Tang, Mi Zhou, Fuli Chen, Si Yang, Yu-Yuan Chen, Aijiao Yi, Bin Wang
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Abstract

Background: Accurate preoperative assessment of axillary lymph node (ALN) status is crucial for breast cancer staging and subsequent clinical decision-making. Consequently, identifying a reliable noninvasive method for evaluating ALN status before surgery remains a key clinical priority. This study aimed to evaluate the value of the new proposed qualitative shear wave elastography (SWE) patterns in the differentiation of suspicious ALNs observed on B-mode ultrasound (BMUS). Methods: A retrospective multicenter study was performed on patients with breast cancer with suspicious axillary nodes on BMUS from May 2022 to June 2025. BMUS characteristics [cortical thickness, absence of fatty hilum, and longitudinal-to-transverse ratio (L/T)

Fields of Study & Subjects

Ultrasound Imaging and Elastography Breast Lesions and Carcinomas MRI in cancer diagnosis

Publication details

Journal / source
Quantitative Imaging in Medicine and Surgery
Volume
16
Issue
3
Pages
242–242
Publication date
13 February 2026
Language
EN