Implementation of Upright Digital Breast Tomosynthesis-guided Stereotactic Biopsy

Omofoye, Toma S.; Martaindale, Sarah; Teichgraeber, Davis C.; Parikh, Jay R.

doi:10.1016/j.acra.2017.05.010

Cited by 10 publications

(5 citation statements)

References 14 publications

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“…In the past twenty years of breast surgery, one of the most important advances has been the ability to diagnose cancer outside the operating room, using percutaneous biopsy techniques under stereotaxic guidance versus excisional biopsy. The latter often requires repetition of the surgery [12][13][14] . Cancer diagnosis before surgery can allow for correct pre-operative planning with a reduction in the repetition of operations.…”

Section: Discussionmentioning

confidence: 99%

“…Many studies have shown that tomosynthesis-guided breast biopsies are more technically successful than mammography-guided stereotaxic biopsies 11 . Tissue sampling with mammography guidance has largely replaced surgical excision for histological veri cation 12 . Tomosynthesis-guided biopsies can be performed with the patient in an upright position or with the patient prone.…”

Section: Introductionmentioning

confidence: 99%

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Safety and efficacy of tomosynthesis-guided breast biopsies in the prone position: monocentric study and review of the literature

Catelli¹,

Santoro

Antignani³

et al. 2021

J Cancer Res Clin Oncol

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Purpose: The purpose of this study is to describe the safety and e cacy of 9G needle biopsy under tomosynthesis guidance with the patient in the prone position.Materials and methods: This is a retrospective observational study conducted on patients with nonpalpable breast mass exclusively detectable through tomosynthesis, performed from the 1st January 2018 to the 1st August 2020. The procedures were performed by taking 12 tissue samples from each mass. The evaluated technical success was considered as a conclusive sample for histological diagnosis. We performed a comparison between the procedural data of interventions in patients who have a lesion 10mm and between high contrast and low contrast masses. The histological data of the samples were analyzed.Results: 500 biopsies of the total 1500 performed from the 1st January 2018 to the 1st August 2020 were included in the study; repetitions for inadequate withdrawal occurred 0.4% (3/500). No major complications have ever been observed. Two cases (0.2%) of minor bleeding were observed with selflimited bleeding from the skin breach at 90 minutes without clinical sequelae in an asymptomatic patient.The biopsy samples showed carcinoma in 55.2% (276/500). Conclusion:Our study suggests that the 9G needle sampling biopsy procedure through tomosynthesis guide with prone patient is a safe and effective procedure for the characterization of indeterminate breast mass.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Safety and efficacy of tomosynthesis-guided breast biopsies in the prone position: monocentric study and review of the literature

Catelli¹,

Santoro

Antignani³

et al. 2021

J Cancer Res Clin Oncol

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“…DBT has also been shown to be superior to twodimensional digital mammography in detecting architectural distortion and other abnormalities, irrespective of breast density [2]. In recent years, the use of DBT technology has expanded beyond screening and diagnostic mammography to also include use in needle localization and tomosynthesis-guided biopsy procedures [3].…”

Section: Introductionmentioning

confidence: 99%

The utility of digital breast tomosynthesis in axillary lymph node post clip mammography

Omofoye¹,

Parikh²,

Kalambo³

2018

Imaging-Medicine

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“…The use of a smaller needle, with smaller aperture, minimizes the risk of posterior skin and/or support plate compromise. Other methods to address this problem include reducing breast compression, building up breast tissue by using towels or gauze against the posterior imaging plate, compression by generating anterior bulging effect, or creating a breast sling by pulling the breast tissue upward and taping the underside when the biopsy is performed in the lateral approach, and finally, the use of lidocaine to develop a wheel at the biopsy entry site [25,31,32].…”

mentioning

confidence: 99%

“…When the skin is exposed to the groove, the vacuum may pull the skin, resulting in a much larger skin slit and an increased risk of infection [25]. Some steps that can be taken to avoid this problem include choosing a small needle with a smaller sulcus, using a skin hook to pull the skin over the exposed sulcus, and advancing the needle into the breast so that the target is positioned toward the proximal end of the sulcus instead of in the center [25,31,32].…”

mentioning

confidence: 99%

Practical Challenges of DBT-Guided VABB: Harms and Benefits, from Literature to Clinical Experience

Tari,

De Lucia,

Santarsiere

et al. 2023

Cancers

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Vacuum-assisted breast biopsy (VABB) guided by digital breast tomosynthesis (DBT) represents one of the best instruments to obtain a histological diagnosis of suspicious lesions with no ultrasound correlation or those which are visible only on DBT. After a review of the literature, we retrospectively analyzed the DBT-guided VABBs performed from 2019 to 2022 at our department. Descriptive statistics, Pearson’s correlation and χ2 test were used to compare distributions of age, breast density (BD) and early performance measures including histopathology. We used kappa statistics to evaluate the agreement between histological assessment and diagnosis. Finally, we compared our experience to the literature to provide indications for clinical practice. We included 85 women aged 41–84 years old. We identified 37 breast cancers (BC), 26 stage 0 and 11 stage IA. 67.5% of BC was diagnosed in women with high BD. The agreement between VABB and surgery was 0.92 (k value, 95% CI: 0.76–1.08). We found a statistically significant inverse correlation between age and BD. The post-procedural clip was correctly positioned in 88.2%. The post-procedural hematoma rate was 14.1%. No infection or hemorrhage were recorded. When executed correctly, DBT-guided VABB represents a safe and minimally invasive technique with high histopathological concordance, for detecting nonpalpable lesions without ultrasound correlation.

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Implementation of Upright Digital Breast Tomosynthesis-guided Stereotactic Biopsy

Cited by 10 publications

References 14 publications

Safety and efficacy of tomosynthesis-guided breast biopsies in the prone position: monocentric study and review of the literature

Safety and efficacy of tomosynthesis-guided breast biopsies in the prone position: monocentric study and review of the literature

The utility of digital breast tomosynthesis in axillary lymph node post clip mammography

Practical Challenges of DBT-Guided VABB: Harms and Benefits, from Literature to Clinical Experience

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