Preoperative computed tomography-guided percutaneous hookwire localization of metallic marker clips in the breast with a radial approach: initial experience

Uematsu, Takayoshi; Kasami, Masako; Uchida, Yoshihiro; Sanuki, Jun-ichi; Kimura, Kiyomi; Tanaka, Kumiko; Takahashi, Kaoru

doi:10.1080/02841850701280841

Cited by 6 publications

(4 citation statements)

References 6 publications

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“…Under CT guidance, the wire was successfully deployed close to the index clip within a few millimeters in all cases, which was also demonstrated on previous studies of CT‐guided wire localization in breast lesions . The procedure time of around 30 minutes is somewhat longer than that of 10–20 minutes in a previous study for CT‐guided wire localization of clips in the breast . However, all of our patients tolerated the procedure well, suggesting that our procedure seemed acceptable for the patients.…”

Section: Discussionsupporting

confidence: 83%

“…There have been many studies of CT‐guided wire localization for pulmonary lesions , and several studies for breast lesions . Uematsu et al have reported that they successfully adopted CT‐guided wire localization of clip markers after stereotactic directional vacuum‐assisted breast biopsy . However, there have been limited reports on CT‐guided wire localization for axillary lymph nodes , and no reports on CT‐guided wire localization applied for residual iALNs or markers after NAC to our knowledge.…”

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confidence: 99%

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CT-Guided Wire Localization for Involved Axillary Lymph Nodes After Neo-adjuvant Chemotherapy in Patients With Initially Node-Positive Breast Cancer

et al. 2016

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Resection of biopsy-proven involved axillary lymph nodes (iALNs) is important to reduce the false-negative rates of sentinel lymph node (SLN) biopsy after neo-adjuvant chemotherapy (NAC) in patients with initially node-positive breast cancer. Preoperative wire localization for iALNs marked with clips placed during biopsy is a technique that may help the removal of iALNs after NAC. However, ultrasound (US)-guided localization is often difficult because the clips cannot always be reliably visible on US. Computed tomography (CT)-guided wire localization can be used; however, to date there have been no reports on CT-guided wire localization for iALNs. The aim of this study was to describe a series of patients who received CT-guided wire localization for iALN removal after NAC and to evaluate the feasibility of this technique. We retrospectively analyzed five women with initially node-positive breast cancer (age, 41-52 years) who were scheduled for SLN biopsy after NAC and received preoperative CT-guided wire localization for iALNs. CT visualized all the clips that were not identified on post-NAC US. The wire tip was deployed beyond or at the target, with the shortest distance between the wire and the index clip ranging from 0 to 2.5 mm. The total procedure time was 21-38 minutes with good patient tolerance and no complications. In four of five cases, CT wire localization aided in identification and resection of iALNs that were not identified with lymphatic mapping. Residual nodal disease was confirmed in two cases: both had residual disease in wire-localized lymph nodes in addition to SLNs. Although further studies with more cases are required, our results suggest that CT-guided wire localization for iALNs is a feasible technique that facilitates identification and removal of the iALNs as part of SLN biopsy after NAC in situations where US localization is unsuccessful.

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Section: Discussionsupporting

confidence: 83%

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confidence: 99%

CT-Guided Wire Localization for Involved Axillary Lymph Nodes After Neo-adjuvant Chemotherapy in Patients With Initially Node-Positive Breast Cancer

et al. 2016

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“…It is important to identify the precise biopsy site using the clip in the follow-up period. Moreover, our institution has adopted a new technique of needle localization of a clip using computed tomography for surgical excision [18]. Therefore, we tended to place a clip at the biopsy site for calcification after vacuum-assisted stereotactic biopsy.…”

Section: Discussionmentioning

confidence: 99%

Clip placement after an 11-gauge vacuum-assisted stereotactic breast biopsy: correlation between breast thickness and clip movement

et al. 2011

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“…Uematsu et al [23] demonstrated that the feasibility of CT-guided preoperative hookwire localization with a radial approach for marker clips deployed after SVAB. Clips are particularly helpful when dealing with multiple biopsy sites.…”

Section: Helping the Surgeonmentioning

confidence: 98%

A plea for the biopsy marker: how, why and why not clipping after breast biopsy?

Thomassin‐Naggara

Lalonde

David

et al. 2011

Breast Cancer Res Treat

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In the last decade, percutaneous breast biopsies have become a standard for the management of breast diseases. Biopsy clips allow for precise lesion localization, thus minimizing the volume of breast to be resected at the time of surgery. With the development of many imaging techniques (including mammography, sonography, and breast magnetic resonance imaging), one of the challenges of the multidisciplinary became to synthesize all informations obtained from the various imaging procedures. The use of biopsy markers after percutaneous biopsy is one of the keys for optimal patient management, helping the radiologist to deal with multiple lesions, to insure correlation across different imaging modalities and to follow-up benign lesions, helping the oncologist by marking a tumor prior to neoadjuvant chemotherapy, helping the surgeon by facilitating preoperative needle localization, to precisely mark the margins of extensive disease and to guide intraoperative tumor resection, and helping the pathologist to insure the lesion of interest has been removed and to identify the region of interest in a mastectomy specimen. We believe biopsy clip markers should be deployed after all percutaneous interventions and present in this review the arguments to support this statement. Minimal indications for clip deployment will also be detailed.

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Preoperative computed tomography-guided percutaneous hookwire localization of metallic marker clips in the breast with a radial approach: initial experience

Abstract: CT-guided preoperative hookwire localization with a radial approach for marker clips after SVAB is technically feasible.

Cited by 6 publications

References 6 publications

CT-Guided Wire Localization for Involved Axillary Lymph Nodes After Neo-adjuvant Chemotherapy in Patients With Initially Node-Positive Breast Cancer

CT-Guided Wire Localization for Involved Axillary Lymph Nodes After Neo-adjuvant Chemotherapy in Patients With Initially Node-Positive Breast Cancer

Clip placement after an 11-gauge vacuum-assisted stereotactic breast biopsy: correlation between breast thickness and clip movement

A plea for the biopsy marker: how, why and why not clipping after breast biopsy?

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