MR-guided percutaneous vacuum biopsy of breast lesions: experiences with 100 cases

Heywang‐Köbrunner, Sylvia H.; Schaumlöffel-Schulze, U.; Beck, Roberto Teodoro; Lampe, Dieter; Buchmann, J

doi:10.1016/s0959-8049(99)81656-6

Cited by 5 publications

(5 citation statements)

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“…Both of these limitations could be overcome with an MR imaging-guided core biopsy system. The results of a preliminary investigation (35) with such systems, including a vacuum-assisted device, have been promising.…”

Section: Mr Imaging-guided Biopsymentioning

confidence: 99%

MR Imaging of the Breast for the Detection, Diagnosis, and Staging of Breast Cancer

Orel

Schnall²

2001

Radiology

691

422

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With the introduction of contrast agents, advances in surface coil technology, and development of new imaging protocols, contrast agent-enhanced magnetic resonance (MR) imaging has emerged as a promising modality for detection, diagnosis, and staging of breast cancer. The reported sensitivity of MR imaging for the visualization of invasive cancer has approached 100%. There are many examples in the literature of MR imaging--demonstrated mammographically, sonographically, and clinically occult breast cancer. Often, breast cancer detected on MR images has resulted in a change in patient care. Despite these results, there are many unresolved issues, including no defined standard technique for contrast-enhanced breast MR imaging, no standard interpretation criteria for evaluating such studies, no consensus on what constitutes clinically important enhancement, and no clearly defined clinical indications for the use of MR imaging. Furthermore, this technology remains costly, and issues of cost-effectiveness and cost competition from percutaneous biopsy have yet to be fully addressed. These factors along with the lack of commercially available MR imaging--guided localization and biopsy systems have slowed the transfer of this imaging technology from research centers to clinical breast imaging practices. Technical requirements, potential clinical applications, and potential pitfalls and limitations of contrast-enhanced MR imaging as a method to help detect, diagnose, and stage breast cancer will be described.

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Section: Mr Imaging-guided Biopsymentioning

confidence: 99%

MR Imaging of the Breast for the Detection, Diagnosis, and Staging of Breast Cancer

Orel

Schnall²

2001

Radiology

691

422

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“…Further work is necessary to refine the indications for the use of breast MR imaging in cancer detection and to develop techniques for performing MR imaging-guided breast biopsy. To date, most studies of MR imaging-guided biopsy used prototype equipment and either needle localization or fine-needle aspiration biopsy; published experience with core biopsy is limited [18][19][20][21][22][23][24][25][26][27]. The largest series to date is that of Heywang-Koebrunner et al [27], who reported successful MR imaging-guided directional vacuum-assisted biopsy in 99 (99%) of 100 MR imaging-detected lesions, of which 25 were found to be carcinoma.…”

Section: Mr Imagingmentioning

confidence: 99%

“…Percutaneous imagingguided biopsy is most often performed under stereotactic [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15] or sonographic guidance [14][15][16][17] (Fig. 1); some investigators report preliminary experience with percutaneous biopsy guided by MR imaging [18][19][20][21][22][23][24][25][26][27]. Early work with percutaneous breast biopsy primarily involved fine-needle aspiration, but large-core biopsy is now preferred at most centers in this country because of its better characterization of benign and malignant lesions and lower frequency of insufficient samples [28,29].…”

mentioning

confidence: 99%

Percutaneous Imaging-Guided Core Breast Biopsy

Liberman

2000

American Journal of Roentgenology

232

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“…The low specificity of MRM requires the ability to perform MRI-guided biopsies, which require an additional specialised MRI biopsy coil and MRI-compatible wires and needles for localisation and core biopsies [65][66][67]. Centres that cannot perform MRI-guided localisation and biopsy lack the ability to manage lesions visible only with MRI and are at a clear disadvantage.…”

Section: Image-guided Breast Biopsymentioning

confidence: 99%

Breast Imaging and Translation into Targeted Oncoplastic Breast Surgery

Friedrich¹,

Kraemer²

2018

Breast Imaging

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Preoperative staging of breast cancer based on breast imaging is mandatory. Breast imaging encompasses mammography, breast sonography and MR-mammography. Earlier diagnosis of breast cancer results in a favourable oncological outcome. Limitations and influences on operative procedures of MR-mammography in diagnosis and staging of breast cancer have to be discussed. Different interventional procedures have been developed. The histological results of interventional procedures guided by ultrasound, stereotactic mammography or magnetic resonance have to be integrated in planning surgical resection margins in oncoplastic breast-conserving surgery. Image-guided wire markings are an important tool for planning these surgical resection margins. This chapter summarises the results of breast imaging, interventional procedures and wire markings for the breastconserving therapy of breast cancer. Breast imaging and interventional procedures are the basis for a concept of targeted oncoplastic breast surgery.

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MR-guided percutaneous vacuum biopsy of breast lesions: experiences with 100 cases

Cited by 5 publications

References 0 publications

MR Imaging of the Breast for the Detection, Diagnosis, and Staging of Breast Cancer

MR Imaging of the Breast for the Detection, Diagnosis, and Staging of Breast Cancer

Percutaneous Imaging-Guided Core Breast Biopsy

Breast Imaging and Translation into Targeted Oncoplastic Breast Surgery

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