Characterization of breast lumps locations using high-frequency ultrasound: Correlation between Doppler vascularity and BI-RADS

Background: A breast lump is a major concern, and it is critical for every clinician to diagnose and manage patients with breast lumps. High-frequency ultrasound (U/S) is the first imaging technique for evaluating a breast lump and classifying it as benign or malignant based on many ultrasound criteria; Breast imaging-reporting and data system (BI-RADS) and Doppler vascularity also contribute important information for identification. The main aim of the current study was to characterize breast lesions using high-frequency ultrasound with grayscale and Doppler as well as correlate Doppler vascularity and BI-RADS features. Materials and methods: A retrospective study was conducted in Madinah-Saudi Arabia at Al-Madinah General Hospital from November 2021 to March 2022. The sampling included 124 females' breast ultrasound reports and was analyzed (by radiologist) to demonstrate the features of breast masses shown through ultrasound.Results: Most study samples were aged 18-38 years (66.1%). The most common complaints were lump and pain (31.45% and 9.68%, respectively). About (31.3%) and most of lumps located in upper outer quadrant UOQ, (42.2%), hypoechoic and anechoic (71.1%, 34.9%, respectively), well-defined (45.2%), oval (68.6%) and a vascular (85.5%). Most lumps had a BIRADS feature of 0-3, and there was no significant correlation between female age and complaints (p-value> 0.05).Conclusion: The study concluded among the study sample most breast lesions were scattered and located in UOQ, and most of them were hypoechoic and anechoic, well-defined, and a vascular, most of them have BI-RADs characteristics 0-3, there is a significant correlation between breast lumps' BI-RADS features and Doppler vascularity.