Evidence map›Paper›PMID 41381280›Full record

ArticleUltrasound in medicine & biology2026

Analysis of Color Doppler Twinkling on Breast Biopsy Markers With Hydrostatic Overpressurization and Micro-CT Imaging.

Benjamin G Wood, Andrew Vercnocke, Jeffrey Marsh, Christine U Lee, Matthew W Urban

Abstract read
In one paragraph

Article in Ultrasound in medicine & biology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Benjamin G WoodBiomedical Engineering and Physiology, Mayo Clinic Graduate School of Biomedical Sciences, Rochester, MN, USA. Electronic address: wood.benjamin@mayo.edu.
Andrew VercnockeDepartment of Radiology, Mayo Clinic, Rochester, MN, USA.
Jeffrey MarshDepartment of Radiology, Mayo Clinic, Rochester, MN, USA.
Christine U LeeDepartment of Radiology, Mayo Clinic, Rochester, MN, USA.
Matthew W UrbanDepartment of Radiology, Mayo Clinic, Rochester, MN, USA.

Funding

Development of an ultrasound detectable, migration-resistant biopsy marker for improving care in patients with breast cancerR01EB033008 · NIBIB · MAYO CLINIC ROCHESTER · PI Christine U. Lee, Matthew William Urban · 2023 to 2026
$2.5M
NIBIB NIH HHS R01 EB033008
6 · The paper itself

Abstract

objectivePrevious development of a breast biopsy marker that can be readily detected using color Doppler twinkling has been reported, but the cause of twinkling remains unclear. The objective is to better understand the mechanism for twinkling by exploring the effects of microbubbles on the surfaces of markers that twinkle compared to those that do not.

methodsTwinkling metallic clinical markers and twinkling polymethyl methacrylate (PMMA) markers were evaluated in a pressure chamber. The hydrostatic pressure around the markers was increased from 0 to 1000 psi. To evaluate the effects of internal and external structures on twinkling, micro-CT scans were conducted to analyze the internal voids and surface roughness of the markers. A low-twinkling PMMA sample and a non-twinkling metal rod were also tested.

resultsTwinkling markers exhibited decreased twinkling as the hydrostatic pressure increased. PMMA markers mixed for approximately 75% of the time required to reach the hardening phase of the polymerization reaction exhibited the highest twinkling signals under increased pressure. Internal voids were found to have no correlation with twinkling. Samples with higher surface roughness values (S

conclusionThese results support oscillating microbubbles on surfaces as a cause of twinkling. Prior work connecting surface roughness to twinkling is, hence, corroborated by the microbubbles present on rougher surfaces.

Indexed as

BreastBreast NeoplasmsUltrasonography, Doppler, ColorUltrasonography, MammaryX-Ray MicrotomographyBiopsyFemaleHumansHydrostatic PressureMicrobubblesPolymethyl MethacrylatePolymethyl MethacrylateAxillary lymph node cancerColor Doppler twinklingColor Doppler ultrasoundMicrobubblesMicro-computed tomography

Identifiers

PMID41381280
PMCPMC12704818

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.