The use of broad band transducers determined a great increase in spati
al, contrast and vascular resolution of ultrasound probes dedicated to
breast studies. Providing better definition of normal as well as path
ologic features, high resolution sonography improves the specificity o
f the diagnosis For the majority of malignant nodules and allows a bet
ter definition of both local and regional staging. The most impressive
results have been achieved in the evaluation of multifocal and multic
entric carcinomas, in determining the size of the tumor, its degree of
invasion of the surrounding tissues and of the ducts. Color and power
Doppler offer further characterization that may be particularly usefu
l in evaluating tumor vascularity during therapies that are planned be
fore surgery. These new staging possibilities must push the radiologis
ts to adequate their instruments and their methods to provide up-to-da
te and more accurate informations to the surgeon. Copyright (C) 1997 E
lsevier Science Ireland Ltd.