WFUMB guidelines and recommendations for clinical use of ultrasound elastography: Part 2: Breast

Richard G. Barr, Kazutaka Nakashima, Dominique Amy, David Cosgrove, Andre Farrokh, Fritz Schafer, Jeffrey C. Bamber, Laurent Castera, Byung Ihn Choi, Yi Hong Chou, Christoph F. Dietrich, Hong Ding, Giovanna Ferraioli, Carlo Filice, Mireen Friedrich-Rust, Timothy J. Hall, Kathryn R. Nightingale, Mark L. Palmeri, Tsuyoshi Shiina, Shinichi SuzukiIoan Sporea, Stephanie Wilson, Masatoshi Kudo

Research output: Contribution to journalArticlepeer-review

380 Citations (Scopus)


The breast section of these Guidelines and Recommendations for Elastography produced under the auspices of the World Federation of Ultrasound in Medicine and Biology (WFUMB) assesses the clinically used applications of all forms of elastography used in breast imaging. The literature on various breast elastography techniques is reviewed, and recommendations are made on evidence-based results. Practical advice is given on how to perform and interpret breast elastography for optimal results, with emphasis placed on avoiding pitfalls. Artifacts are reviewed, and the clinical utility of some artifacts is discussed. Both strain and shear wave techniques have been shown to be highly accurate in characterizing breast lesions as benign or malignant. The relationship between the various techniques is discussed, and recommended interpretation based on a BI-RADS-like malignancy probability scale is provided. This document is intended to be used as a reference and to guide clinical users in a practical way.

Original languageEnglish
Pages (from-to)1148-1160
Number of pages13
JournalUltrasound in Medicine and Biology
Issue number5
Publication statusPublished - 2015 May 1
Externally publishedYes


  • Artifacts
  • Breast
  • Breast cancer
  • Elastography
  • Guidelines
  • Shear wave
  • Strain

ASJC Scopus subject areas

  • Radiological and Ultrasound Technology
  • Biophysics
  • Acoustics and Ultrasonics


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