In this expert insights session, Prof. Adrian Lim from Charing Cross Hospital discusses current practices and advancements in breast ultrasound. He highlights that about 95% of diagnoses are made using high-quality grayscale imaging and B-mode ultrasound.
He reviews the diagnostic approach for distinguishing benign from malignant breast lesions, noting the limited role of Doppler imaging in this setting. While multiparametric techniques similar to those used in liver imaging are available for the breast, their clinical benefits are less well established.
Prof. Lim also covers advanced methods such as elastography in breast ultrasound, which assesses tissue stiffness to support lesion characterization. A major focus is the application of artificial intelligence in breast imaging, particularly Samsung’s Live BreastAssist and S-Detect for Breast. These tools provide automated lesion detection, feature analysis, and BI-RADS categorization, helping radiologists improve accuracy and efficiency.
Case examples show how AI can assist in complex diagnostic situations, reduce unnecessary biopsies, and streamline workflow. Prof. Lim stresses the importance of ongoing validation studies to ensure the reliability of these technologies before widespread clinical adoption.
The session concludes with practical advice on integrating AI-assisted tools into everyday breast ultrasound practice, combining established imaging techniques with innovative technology to enhance diagnostic confidence and improve patient outcomes.
