BREAST ELASTOGRAPHY ULTRASOUND SCAN
Also Known As
Lab Test
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About The Test
What Makes This Scan Unique at Cadabams Diagnostics
- Zero radiation—ideal for pregnant or lactating women
- 15-minute exam time—fits your lunch break
- Same-day report—within two hours of your scan
- AI-enhanced imaging—reduces false-positive callbacks
- Dedicated female radiographers—for added comfort
What is Breast Elastography Ultrasound Scan?
Definition of Elastography
Elastography is a specialised ultrasound technique that measures how “stiff” or “soft” breast tissue is. Cancerous tissue is usually firmer than benign tissue; elastography detects this difference in real time.
How It Differs From Standard Ultrasound
- Standard ultrasound shows shape and size
- Elastography adds a colour-coded map of stiffness, increasing diagnostic accuracy without extra radiation or dyes
Types of Breast Elastography Ultrasound Scan
Strain Elastography (Manual Compression)
Gentle manual pressure creates internal tissue displacement; the probe tracks how each area responds.
Shear-Wave Elastography (Automated Acoustic Push)
High-frequency sound waves “push” the tissue automatically, producing precise kPa and m/s values without manual compression.
List of Parameters
| Parameter | What It Measures | Normal Range |
|---|---|---|
| Tsukuba Elasticity Score | Tissue stiffness on a 1–5 scale | ≤3: likely benign |
| Shear-Wave Velocity | Speed of wave propagation in m/s | <3.6 m/s: soft |
| Stiffness in kPa | Absolute stiffness value | <50 kPa: low cancer probability |
| Size & Shape Match | Correlation with B-mode image | Smooth, oval: benign |
Why This Test
- Avoid unnecessary biopsies when tissue is clearly soft
- Monitor fibroadenomas without repeat invasive tests
- Detect early changes in high-risk patients
When to Take Test
- Women with dense breast tissue detected on mammogram
- Anyone with a palpable lump felt during self-exam
- Follow-up of biopsy-proven benign lesions to check stability over time
Benefits
Benefits of Taking the Breast Elastography Ultrasound Scan
- Non-invasive & painless—just gel and gentle pressure
- Zero radiation—safe for any age or stage of pregnancy
- Higher specificity—reduces false-positive findings by up to 29 %
- Immediate results—walk out with your report in hand
Illnesses Diagnosed with Breast Elastography Ultrasound Scan
- Fibroadenomas—soft, benign lumps
- Invasive ductal carcinoma—stiff, malignant masses
- Fat necrosis—post-surgery changes that mimic cancer
- Cysts vs solid tumours—clear differentiation
Preparing for test
- Wear a two-piece outfit for easy access
- No fasting required
- Inform our technician of prior breast surgeries or implants
Pre-requisites
Bring along any:
- Recent mammogram or ultrasound films or reports (within last 6 months)
- Doctor referral—preferred, but walk-in packages available
Best Time to Take the Scan
- Premenopausal women: Days 7–10 of menstrual cycle (tenderness is lowest)
- Postmenopausal women: Any day is suitable
Eligibility
- Minimum age: 18 years
- Safe for pregnant & lactating women
Procedure Step-by-Step
- Positioning: Lie back with the arm on the scanned side raised above your head.
- Gel application: Warm ultrasound gel is spread over the breast.
- B-mode scan: Initial grayscale images locate the area of interest.
- Elastography pass:
- Strain: Mild manual compression cycles (3–4 seconds each)
- Shear-wave: Automated acoustic pulses capture stiffness map
- Review & repeat: Different angles may be scanned for accuracy.
- Cleanup & report: Wipe off gel, receive preliminary findings within minutes.
Caution Before Taking the Test
- Avoid caffeine 4 hours prior to reduce breast tenderness
- List current medications—especially hormone therapy—that may affect tissue density
Test Results
Results and Interpretations
| Finding / Observation | Description | General Interpretation / Significance |
|---|---|---|
| Elasticity Score 1–2 | Uniform soft, green on colour map | Benign, routine follow-up |
| Elasticity Score 3 | Intermediate stiffness | Likely benign, clinical correlation advised |
| Elasticity Score 4–5 | Marked stiffness, dark blue/black | Increased cancer risk, biopsy recommended |
| Shear-Wave Velocity <3.6 m/s | Soft tissue | Low malignancy probability |
| Shear-Wave Velocity ≥4.5 m/s | Very stiff | High suspicion, further tests required |
| Smooth oval shape | Regular borders | Fibroadenoma or cyst |
| Irregular spiculated | Jagged margins | Possible invasive carcinoma |
Risks & Limitations
Risks:
- None—no radiation, no contrast, no needles
Limitations: - Silicone implants can distort readings
- Extensive scar tissue from previous surgeries may mask stiffness changes
FAQs
Is the scan painful?
No. It feels exactly like a regular ultrasound—gentle pressure only.
How long does it take?
About 15–20 minutes from check-in to completion.
Do I need a doctor’s referral?
Preferred, but walk-in packages are available for self-referred patients.
Can it replace a biopsy?
Not entirely. It guides whether a biopsy is truly necessary.
Is it covered by insurance?
Most insurers recognise it under diagnostic imaging; our front desk can confirm in minutes.
When will I get the report?
Same day, usually within two hours at Cadabams Diagnostics.