Differentiate benign from malignant
Malignant lesions are stiffer than benign ones – elastography provides a quantitative measure, improving the accuracy of diagnosis and reducing false positives.
Breast elastography is an advanced ultrasound technique that measures the stiffness or elasticity of breast tissue. Malignant tumours are typically harder (stiffer) than surrounding healthy tissue or benign lesions like cysts or fibroadenomas. Elastography provides a colour-coded map of tissue stiffness, helping radiologists differentiate between benign and malignant lesions with greater confidence – often reducing the need for unnecessary biopsies.
Elastography is performed alongside standard breast ultrasound, adding functional information to the anatomical images. It is particularly useful for evaluating indeterminate lesions seen on mammography or ultrasound, and for characterising masses in dense breast tissue. The test is painless, radiation‑free, and takes only a few extra minutes during your routine breast ultrasound.
At Amytri, we use state‑of‑the‑art ultrasound systems with built‑in elastography capabilities. Our experienced radiologists are trained in interpreting elastography findings, applying strain or shear‑wave elastography techniques to provide a comprehensive assessment. The results are integrated with BI‑RADS reporting to guide clinical decision‑making – improving diagnostic accuracy and patient outcomes.
Elastography provides functional information that complements standard imaging – increasing diagnostic confidence, reducing unnecessary biopsies, and improving patient outcomes.
Malignant lesions are stiffer than benign ones – elastography provides a quantitative measure, improving the accuracy of diagnosis and reducing false positives.
When elastography confirms a lesion is soft (benign), biopsy can often be avoided – saving you from invasive procedures and anxiety.
Serial elastography can monitor lesions – an increase in stiffness may indicate malignancy, prompting earlier intervention.
We provide comprehensive elastography services – using both strain and shear‑wave techniques – integrated with standard breast ultrasound for a complete evaluation.
Uses slight compression to assess tissue deformation – provides a colour map of relative stiffness. Simple, quick, and widely available.
Uses acoustic radiation force to generate shear waves – measures tissue stiffness quantitatively in kilopascals (kPa). More objective and reproducible.
We apply standardised scoring systems (e.g., Tsukuba score, 5‑point scale) to classify lesions based on stiffness – from benign to highly suspicious.
Elastography findings are integrated with standard BI‑RADS categories – providing a more robust assessment and guiding biopsy decisions.
Elastography is particularly valuable in dense breast tissue, where mammography may be less sensitive – improving cancer detection.
If elastography suggests malignancy, we can guide targeted biopsy to the stiffest area – increasing diagnostic yield.
No special preparation is needed. Wear a two‑piece outfit. You will be asked to undress from the waist up and wear a gown. The test is performed during your breast ultrasound.
First, standard breast ultrasound is performed. Then, the radiologist applies slight pressure (strain) or uses shear‑wave technology to measure tissue stiffness – displayed as a colour map over the ultrasound image. The process takes a few extra minutes.
The radiologist analyses the elastography images, assigning a stiffness score or quantitative value (kPa). This is correlated with B‑mode findings and BI‑RADS category.
A comprehensive report is prepared, integrating elastography findings. You receive the report via WhatsApp/email within 24–48 hours, along with clear guidance on next steps – whether routine follow‑up, biopsy, or specialist referral.
It is particularly useful when standard imaging leaves uncertainty about a breast lesion.
If mammography or standard ultrasound shows a lesion that is not clearly benign or malignant, elastography can provide additional information to guide management.
Elastography is especially helpful in dense breasts, where mammography may miss lesions – adding functional information to improve detection.
If a lump is felt but ultrasound findings are equivocal, elastography can help determine if it is benign (soft) or suspicious (stiff).
If you have a known benign lesion, elastography can monitor for any increase in stiffness – a sign that may warrant biopsy.
If a lesion was biopsied as benign but remains or grows, elastography can help decide if re‑biopsy or surveillance is appropriate.
If you are anxious about undergoing a biopsy, elastography can provide additional reassurance when findings suggest a benign lesion.
Dr. Abhishek has extensive training in breast elastography, including both strain and shear‑wave techniques. He is skilled at integrating elastography with conventional imaging to provide a comprehensive assessment. His expertise helps reduce unnecessary biopsies and ensures that suspicious lesions are detected early – giving you the best possible care.
Breast elastography can be an anxious experience – having your partner with you provides support and shared understanding.
We welcome partners during the consultation and report discussion. They can ask questions, help remember the doctor's advice, and support you through any follow‑up if needed.
Breast elastography is an advanced ultrasound technique that measures tissue stiffness. Malignant tumours are typically stiffer than benign lesions – providing valuable information for diagnosis without biopsy in many cases.
Standard ultrasound shows the structure of the breast (anatomy). Elastography adds functional information – measuring how stiff the tissue is – which helps differentiate benign from malignant lesions with higher accuracy.
No, elastography is painless. It is performed during the same session as your breast ultrasound and adds only a few extra minutes of scanning time.
Elastography can significantly reduce the need for biopsy by confirming benign lesions. However, if elastography raises suspicion for malignancy, biopsy is still recommended for definitive diagnosis.
No special preparation is required. You can eat and drink normally. Wear a two‑piece outfit as you may be asked to undress from the waist up.
Your elastography report is included with your breast ultrasound report – typically ready within 24–48 hours. We deliver it via WhatsApp or email.
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