Comparison of Upright Digital Breast Tomosynthesis–guided versus Prone Stereotactic Vacuum-assisted Breast Biopsy

Bahl, Manisha; Maunglay, Mary; D’Alessandro, Helen Anne; Lehman, Constance

doi:10.1148/radiol.2018181788

Cited by 47 publications

(38 citation statements)

References 21 publications

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“…In the last few years, mammography guidance can also be performed using digital tomosynthesis, a technique that provides images of thin slices of the breast [8,62,63]. These systems allow for precise localisation of the target with reduced time and radiation exposure compared to conventional stereotactic biopsy under mammographic guidance [64,65]. The duration of a tomosynthesis-guided biopsy is about 10-15 min.…”

Section: Mammographic Guidancementioning

confidence: 99%

Image-guided breast biopsy and localisation: recommendations for information to women and referring physicians by the European Society of Breast Imaging

et al. 2020

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We summarise here the information to be provided to women and referring physicians about percutaneous breast biopsy and lesion localisation under imaging guidance. After explaining why a preoperative diagnosis with a percutaneous biopsy is preferred to surgical biopsy, we illustrate the criteria used by radiologists for choosing the most appropriate combination of device type for sampling and imaging technique for guidance. Then, we describe the commonly used devices, from fine-needle sampling to tissue biopsy with larger needles, namely core needle biopsy and vacuum-assisted biopsy, and how mammography, digital breast tomosynthesis, ultrasound, or magnetic resonance imaging work for targeting the lesion for sampling or localisation. The differences among the techniques available for localisation (carbon marking, metallic wire, radiotracer injection, radioactive seed, and magnetic seed localisation) are illustrated. Type and rate of possible complications are described and the issue of concomitant antiplatelet or anticoagulant therapy is also addressed. The importance of pathological-radiological correlation is highlighted: when evaluating the results of any needle sampling, the radiologist must check the concordance between the cytology/pathology report of the sample and the radiological appearance of the biopsied lesion. We recommend that special attention is paid to a proper and tactful approach when communicating to the woman the need for tissue sampling as well as the possibility of cancer diagnosis, repeat tissue sampling, and or even surgery when tissue sampling shows a lesion with uncertain malignant potential (also referred to as "high-risk" or B3 lesions). Finally, seven frequently asked questions are answered.

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Section: Mammographic Guidancementioning

confidence: 99%

Image-guided breast biopsy and localisation: recommendations for information to women and referring physicians by the European Society of Breast Imaging

et al. 2020

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“…32,33,35 Iako je doza zračenja pri tomosintezi neznatno viša u odnosu prema 2D mamografiji, zbog znatno manjeg broja ekspozicija (neki autori navode smanjenje broja ekspozicija na četvrtinu) prosječna je doza zračenja kod biopsije vođene tomosintezom niža od one pri ste reotaksijskoj biopsiji. [37][38][39][40] Zahvat se izvodi u sjedećem ili ležećem, lijevom od nosno desnome bočnom položaju pacijentice, s pomo ću mamografskog stolca opremljenog naslonjačem koji se lako pretvara u ležaj. Izbor položaja ovisi ponaj prije o odabranom pristupu na promjenu.…”

Section: Biopsija Dojke Vođena Tomosintezomunclassified

“…Prema do stupnoj literaturi, stopa uspješnosti uzimanja uzoraka pod kontrolom tomosinteze bila je 99 do 100%, dok se stopa uspješnosti kod stereotaksijske biopsije kretala u rasponu od 87 do 98%. 32,33,35,39,[41][42][43] Kao glavni uzrok tehničke neuspješnosti postupka navodi se neadekvat na vizualizacija promjene na stereotaksijskim snimka ma. [41][42][43] Neovisno o slikovnoj metodi kojom se biopsija vodi, za uzimanje uzoraka mogu se rabiti igle različite širine, u rasponu od 7 do 18 G. Kod biopsije širokom iglom najčešće se rabe igle od 14 G te se dobivaju uzor ci s prosječno 30 mg tkiva.…”

Section: A 1b 1cunclassified

“…Postupak je prosječno trajao 15 minuta (vrijeme u kojem je dojka bila pod kompresijom), što je slično po datcima iz drugih studija, gdje se navodi prosječno tra janje biopsije pod kontrolom tomosinteze od 12 do 15 minuta. 32,33,35,39 Od komplikacija imali smo jedan veći hematom, koji je saniran konzervativno. Infekcija, va zovagalnih reakcija ili alergijskih reakcija nismo imali.…”

Section: Rezultati Opće Bolnice Karlovacunclassified

“…U literaturi se navodi porast udjela nekalcificiranih pro mjena kod biopsije vođene tomosintezom, jer se one lakše ciljaju ovom metodom nego stereotaksijskom biopsijom. 32,39 Viala i suradnici imali su udio promjena bez kalcifikata od čak 48%. 37 Mi smo većinu ovih pro mjena ipak bioptirali pod ultrazvučnim vođenjem.…”

Section: Raspravaunclassified

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Comparison of Upright Digital Breast Tomosynthesis–guided versus Prone Stereotactic Vacuum-assisted Breast Biopsy

Cited by 47 publications

References 21 publications

Image-guided breast biopsy and localisation: recommendations for information to women and referring physicians by the European Society of Breast Imaging

Image-guided breast biopsy and localisation: recommendations for information to women and referring physicians by the European Society of Breast Imaging

Tomosynthesis guided core biopsy of breast lesions – method review and our results

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