Retrospective Comparison of the Lateral-Arm and Vertical Needle Approaches for Prone Tomosynthesis-Guided Breast Biopsy

Evaluate if using standardized template reporting for preoperative assessment of potential living renal transplant donors can improve the quality and comprehensiveness of CT reports, provide urologists with the necessary information to assess the feasibility of renal transplants, and reduce surgical complications. MethodologyFive Ontario-based hospitals with adult renal transplant programs participated in this study. A standardized reporting template for evaluating potential renal donors was created and ratified. CT scan reports of up to 100 consecutive adult donors per centre were collected and analyzed. Differences in outcome variable reporting pre-and post-implementation of the standardized template were tested using Z-tests. Compliance post-template implementation was measured. ResultsAt baseline, the reliability of reporting outcome variables was poor among the intervention groups. Following the implementation of a standardized reporting template, there was a significant improvement in the reliability of reporting all 13 outcome variables at each intervention centre. Compliance with utilizing the standardized template was also excellent.

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“…Retrospective Comparison of the Lateral-Arm and Vertical Needle Approaches for Prone Tomosynthesis-Guided Breast Biopsy 5…”

Section: Insightsmentioning

confidence: 99%

Editor’s Corner: November 2023

Chow

Patlas

2023

Can Assoc Radiol J

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Lateral Thinking: The Lateral Arm Approach for Stereotactic-Guided Breast Biopsies. What We’ve Learned So Far

Najmi,

Rashid,

Fardanesh

et al. 2024

Curr Radiol Rep

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Purpose of Review The purpose of this paper is to review a novel technique for stereotactic-guided breast biopsies utilizing the lateral arm approach. Recent Findings Successful stereotactic-guided biopsies require careful consideration of lesion location and patient anatomy. Cases that cannot be safely performed are often referred for surgical biopsy, which can increase patient anxiety and delay diagnosis. The lateral arm approach provides an alternative needle approach for biopsy that can mitigate some of the most common exclusion criteria for standard techniques. Although there are many benefits to the lateral arm approach, it has not yet been widely adopted. This article reviews the lateral arm approach, including patient selection, procedural technique, advantages, and disadvantages. Case examples utilizing the technique will also be discussed to illustrate our institutional experience (including procedural tips) and how the lateral arm approach can be integrated into breast imaging practice. Summary The lateral arm approach can expand the patient population that can undergo stereotactic-guided breast biopsy, which may obviate the need for surgical biopsy or short-term follow-up. The technique also allows for a creative approach to biopsy in challenging cases. Proficiency with the lateral arm approach can expand a breast imager’s interventional skills, improve patient care, and allow for more expedient diagnosis of suspicious breast findings.

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Retrospective Comparison of the Lateral-Arm and Vertical Needle Approaches for Prone Tomosynthesis-Guided Breast Biopsy

Cited by 2 publications

References 6 publications

Editor’s Corner: November 2023

Editor’s Corner: November 2023

Lateral Thinking: The Lateral Arm Approach for Stereotactic-Guided Breast Biopsies. What We’ve Learned So Far

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