Objective:To assess the diagnostic value of automated breast volume scanning (ABVS) versus hand-held ultrasound(HHUS) in benign and malignant breast tumor by meta-analysis. Methods: The Cochrane Library,Web of Science,the PubMed,EMBASE,VIP,CBM,CNKI and Wanfang databases (From date of creating database to 2015/03/07) were searched for studies on the diagnosis of breast cancer with ABVS and HHUS according to inclusion criteria,and then STATA12.0 software was performed to analyze the selected documents. Results: A total of 17 studies were included after screening. The pooled diagnostic odds ratio, specificity and sensitivity of ABVS and HHUS were 95.21 (53.85-168.36)and 28.88 (16.15-51.66), 0.90 (0.86-0.93) and 0.84(0.78-0.89), 0.91(0.88-0.93)and 0.84(0.79-0.88), respectively. Conclusion:The results of meta-analysis suggest that ABVS has higher value than HHUS in the diagnosis of benign and malignant breast tumor.