Automated breast ultrasound (ABUS) meets artificial intelligence: a new accurate classification tool for…

AI / informaticsJournal of ultrasound· Aug 2026

Automated breast ultrasound (ABUS) meets artificial intelligence: a new accurate classification tool for BIRADS 3-4 breast lesions.

Marco Moschetta, Alessia Spitaleri, Federico Cofone … Michele Telegrafo

Breast ImagingAI / informaticsDiagnosisQ2IF 2.1

AI-based computer-aided diagnostic applied to automated breast ultrasound accurately classifies BIRADS 3-4 lesions.

Automated breast ultrasound (ABUS) meets artificial intelligence: a new accurate classification tool for BIRADS 3-4 breast lesions.

Marco Moschetta … Michele Telegrafo

Journal of ultrasound · Aug 2026 · Q2 in Radiology

Purpose

The aim of this study is to evaluate the diagnostic accuracy of a computer-aided diagnostic applied to automated breast ultrasound system images for BIRADS 3-4 lesions.

Methods

Fifty-four patients underwent automated breast ultrasound system, performed with three scans per side, reconstructing images in the axial, coronal, and sagittal planes.

n = 4 lesions

Results

AI correctly classified lesions in most cases, matching biopsy results

95%

Sensitivity

79%

Specificity

88%

Accuracy

86%

PPV

More results

Histology identified 40 positive lesions and 28 negative lesions.

The computer-aided diagnostic classified 38 suspicious lesions, with 6 false positives, 22 true negatives, and 2 false negatives.

“

Conclusion

The proposed computer-aided diagnostic system is accurate in characterizing BIRADS 3-4 breast lesions diagnosed by automated breast ultrasound system and, therefore, could be applied in the clinical practice in order to assist radiologists in evaluating ultrasound images and reducing the number of the required CNBs.

Automated breast ultrasound (ABUS) meets artificial intelligence: a new accurate classification tool for BIRADS 3-4 breast lesions.

Automated breast ultrasound (ABUS) meets artificial intelligence: a new accurate classification tool for BIRADS 3-4 breast lesions.

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