Skip to content

Diagnostic Value of Contrast-Enhanced Ultrasound in Refining BI-RADS Category 3–4 Breast Lesions: A Multicenter Prospective Observational Study

Diagnostic Value of Contrast-Enhanced Ultrasound in Refining BI-RADS Category 3–4 Breast Lesions: A Multicenter Prospective Observational Study

Status
Active, not recruiting
Phases
Unknown
Study type
Observational
Source
ChiCTR
Registry ID
ChiCTR2500112245
Enrollment
Unknown
Registered
2025-11-11
Start date
2025-12-01
Completion date
Unknown
Last updated
2025-11-17

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Breast lesions

Interventions

Malignant group:None

Sponsors

Shanghai Chest Hospital
Lead Sponsor

Eligibility

Sex/Gender
Female

Inclusion criteria

Inclusion criteria: 1. The conventional ultrasound diagnosis is BI-RADS category 4, with the maximum diameter of the breast mass <=2cm, or the maximum diameter of the non-mass lesion of the breast <=5cm (ACR BI-RADS guidelines); 2. Patients underwent contrast-enhanced ultrasound examination before the operation or puncture, with no contraindications to contrast-enhanced ultrasound, and all patients provided written informed consent before contrast-enhanced ultrasound examination. 3. The patient did not undergo puncture biopsy or neoadjuvant therapy before ultrasound and contrast-enhanced ultrasound examinations. 4. The patient has pathological results of puncture biopsy or surgical resection within one month after contrast-enhanced ultrasound examination. 5. For patients with contrast-enhanced ultrasound downgraded to BI-RADS class 3, if there is no pathological result of puncture biopsy or surgical resection to confirm it, BI-RADS class 3 on DCE-MRI shall be used as the basis for diagnosis, or the inclusion of benign lesions shall be based on the fact that the size of the lesion does not change in imaging examinations such as ultrasound one year later.

Exclusion criteria

Exclusion criteria: 1.Patients who have undergone puncture biopsy or neoadjuvant chemotherapy before ultrasound examination; 2. Cases where ultrasound images were not collected in a standardized manner; 3. Patients downgraded to BI-RADS category 3 were lost to follow-up without a confirmed pathological or MRI examination. 4. Patients with malignant diagnosis grades have no final surgical or puncture results; 5. Patients who have contraindications to contrast-enhanced ultrasound examination or are unwilling to sign the informed consent form for contrast-enhanced ultrasound examination; 6. Patients whose lesions are not visible on ultrasound; 7. Patients with uncertain contrast-enhanced ultrasound examination results; 8. Patients with uncertain pathological results.

Design outcomes

Primary

MeasureTime frame
The downgrade rate of biopsy;

Secondary

MeasureTime frame
Diagnostic sensitivity;Diagnostic specificity;Accuracy;Predictive performance;

Countries

China

Contacts

Public ContactFan Li

Shanghai Chest Hospital

medicineli@163.com+86 21 2220 0000

Outcome results

None listed

Source: ChiCTR (via WHO ICTRP) · Data processed: Feb 4, 2026