Ultraschall Med 2022; 43(06): 570-582
DOI: 10.1055/a-1634-5021
Guidelines & Recommendations

Best Practice Guideline – DEGUM Recommendations on Breast Ultrasound

Part I – Examination technique, DEGUM ultrasound criteria, and documentation Article in several languages: English | deutsch
Werner Bader
1   Zentrum für Frauenheilkunde, Brustzentrum, Universitätsklinikum OWL Bielefeld, Germany
,
Claudia Maria Vogel-Minea
2   Brustzentrum, Diagnostische und Interventionelle Senologie, Rottal-Inn-Kliniken Eggenfelden, Germany
,
Jens-Uwe Blohmer
3   Klinik für Gynäkologie mit Brustzentrum, Charité-Universitätsmedizin Berlin, Germany
,
Volker Duda
4   Senologische Diagnostik, Universitätsklinikum Gießen und Marburg, Germany
,
Christian Eichler
5   CIO Gebäude 70, Brustzentrum, Köln, Germany
,
Eva Fallenberg
6   Brustzentrum, Diagnostische und Interventionelle Senologie, LMU Klinikum der Universität München Medizinische Klinik und Poliklinik IV, München, Germany
,
André Farrokh
7   Klinik für Gynäkologie und Geburtshilfe, Universitätsklinikum Schleswig-Holstein Campus Kiel, Germany
,
8   Sektion Senologie, Universitäts-Frauenklinik Heidelberg, Germany
,
Ines Gruber
9   Department für Frauengesundheit, Universitätsfrauenklinikum Tübingen, Germany
,
Bernhard-Joachim Hackelöer
10   Pränatale-Gynäkologie-Mammasonografie Hamburg, Praxis, Hamburg, Germany
,
Jörg Heil
8   Sektion Senologie, Universitäts-Frauenklinik Heidelberg, Germany
,
Helmut Madjar
11   Gynäkologie und Senologie Wiesbaden, Praxis, Wiesbaden, Germany
,
Ellen Marzotko
12   Mammadiagnostik, Frauenheilkunde und Geburtshilfe, Praxis, Erfurt, Germany
,
Eberhard Merz
13   Ultraschall und Pränatalmedizin Frankfurt, Zentrum, Frankfurt/Main, Germany
,
Markus Müller-Schimpfle
14   DKG-Brustzentrum, Klinik für Radiologie, Neuroradiologie und Nuklearmedizin Frankfurt, Frankfurt am Main, Germany
,
Alexander Mundinger
15   Brustzentrum Osnabrück – Bildgebende und interventionelle Mamma Diagnostik, Franziskus Hospital Harderberg, Niels-Stensen-Kliniken, Georgsmarienhütte, Germany
,
Ralf Ohlinger
16   Interdisziplinäres Brustzentrum, Universitätsmedizin Greifswald, Klinik für Frauenheilkunde und Geburtshilfe, Greifswald, Germany
,
Uwe Peisker
17   BrustCentrum Aachen-Kreis Heinsberg, Hermann-Josef-Krankenhaus, Akademisches Lehrkrankenhaus der RWTH Aachen, Erkelenz, Germany
,
Fritz K. W. Schäfer
18   Bereich Mammadiagnostik und Interventionen, Universitätsklinikum Schleswig-Holstein Campus Kiel, Germany
,
Ruediger Schulz-Wendtland
19   Radiologisches Institut, Gynäkologische Radiologie, Universitätsklinikum Erlangen, Germany
,
Christine Solbach
20   Senologie, Klinik für Frauenheilkunde und Geburtshilfe, Universitätsklinikum Frankfurt, Germany
,
Mathias Warm
21   Brustzentrum, Krankenhaus Holweide, Kliniken der Stadt Köln, Köln, Germany
,
Dirk Watermann
22   Frauenklinik, Evangelisches Diakoniekrankenhaus, Freiburg, Germany
,
Sebastian Wojcinski
1   Zentrum für Frauenheilkunde, Brustzentrum, Universitätsklinikum OWL Bielefeld, Germany
,
Markus Hahn
9   Department für Frauengesundheit, Universitätsfrauenklinikum Tübingen, Germany
› Author Affiliations

Abstract

For many years, breast ultrasound has been used in addition to mammography as an important method for clarifying breast findings. However, differences in the interpretation of findings continue to be problematic [1] [2]. These differences decrease the diagnostic accuracy of ultrasound after detection of a finding and complicate interdisciplinary communication and the comparison of scientific studies [3]. In 1999, the American College of Radiology (ACR) created a working group (International Expert Working Group) that developed a classification system for ultrasound examinations based on the established BI-RADS classification of mammographic findings under consideration of literature data [4]. Due to differences in content, the German Society for Ultrasound in Medicine (DEGUM) published its own BI-RADS-analogue criteria catalog in 2006 [3]. In addition to the persistence of differences in content, there is also an issue with formal licensing with the current 5th edition of the ACR BI-RADS catalog, even though the content is recognized by the DEGUM as another system for describing and documenting findings. The goal of the Best Practice Guideline of the Breast Ultrasound Working Group of the DEGUM is to provide colleagues specialized in senology with a current catalog of ultrasound criteria and assessment categories as well as best practice recommendations for the various ultrasound modalities.



Publication History

Received: 07 April 2021

Accepted: 02 September 2021

Article published online:
17 December 2021

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