Three-dimensional ultrasound-guided core needle breast biopsy

Smith, Wendy; Surry, Kathleen; Mills, Gregory R.; Downey, Dónal B.; Fenster, Aaron

doi:10.1016/s0301-5629(01)00396-9

Cited by 63 publications

(39 citation statements)

References 20 publications

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“…The additional orthogonal plane, however, yields the multi-planar visualisation of the 3D ultrasound, proves the proper placement of the LCNB needle, and can be documented. This information cannot easily be replaced by only turning the probe by 901 (Weismann et al, 2000;Smith DN et al, 2001;Smith WL et al, 2001).…”

Section: Discussionmentioning

confidence: 99%

“…In this diagnostic concept, a percutaneous image-guided large-core needle biopsy (LCNB) has become an alternative to the open surgical biopsy to remove tissue for histological assessment (Smith DN et al, 2001;Smith WL et al, 2001;Crowe et al, 2003a;Pijnappel et al, 2004). Large-core needle biopsy can be performed either under mammographic or sonographic guidance.…”

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confidence: 99%

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Ultrasound-guided large-core needle biopsies of breast lesions: analysis of 962 cases to determine the number of samples for reliable tumour classification

et al. 2004

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The objective of this one-institutional study was to determine the number of large-core needle biopsies (LCNB), under threedimensional ultrasound (3D-US) validation, that are sufficient to obtain a reliable histological diagnosis of a sonographically detectable breast lesion. Over an 28-month period, 962 sonographically guided LCNB were performed under 3D-US validation to assess 962 breast lesions. All biopsies were carried out with an automated core biopsy device fitted with 14-gauge (22 mm excursion) needles. Data of 962 biopsied breast lesions were gathered. Surgical follow-up was available for 659 lesions. Breast malignancies were diagnosed by ultrasound-guided LCNB with a sensitivity of 98.2% by performing three cores per lesion. In few cases, the open surgical specimen revealed the presence of invasive carcinomas in contrast to initial LNCB-based classification as ductal carcinomas in situ (DCIS, 11 lesions), lobular carcinoma in situ (one lesion), and atypical ductal hyperpasia (one lesion). Owing to disagreement between classification based on breast-imaging and histological findings, eight of these tumours were subsequently excised. Of the lesions that were removed at the patients' requests despite benign LCNB diagnosis, two were infiltrating carcinoma and one a DCIS. We demonstrate that three 3D-US-guided percutaneous core specimens are sufficient to achieve tissue for a reliable histological assessment of sonographically detectable breast lesions and allow the detection of malignancies with high sensitivity and low rate of false-negative diagnoses.

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Section: Discussionmentioning

confidence: 99%

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confidence: 99%

Ultrasound-guided large-core needle biopsies of breast lesions: analysis of 962 cases to determine the number of samples for reliable tumour classification

et al. 2004

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“…[8][9][10] This system has been used in both 3D ultrasound guided cryosurgery and brachytherapy, as well as in the development of our 3D ultrasound guided breast biopsy system. [5,11] The scanning mechanism consists of a mounting device to hold a transducer in place, and a motor system to rotate a side-firing transrectal transducer in contact with the test phantoms used in our experiments. [12,13] The ultrasound machine used in our experiments was an ATL HDI system (Advanced Technology Laboratories, Bothell, Washington) with a side-firing array transrectal transducer.…”

Section: D Us Image Acquisitionmentioning

confidence: 99%

Projection-Based Needle Segmentation in 3D Ultrasound Images

Ding

Fenster

2003

Lecture Notes in Computer Science

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Abstract. Our method is composed of three steps: The 3D image is projected along an initial direction, and the needle is segmented in the projected image. Using the projection direction and detected 2D needle direction, a plane containing the needle, called the needle plane, is determined. Secondly, the 3D image is projected in the direction perpendicular to the normal of the needle plane and Step 1 is repeated. If the needle direction in the projected image is horizontal, the needle plane is correct, otherwise Steps 1 & 2 are repeated until a correct needle plane has been found. Thirdly, the 3D image is projected along the normal direction of the needle plane. In this projected image, we determine the endpoints of the needle in the projection coordinates. Then, using the relationship between the projection coordinates and the 3D image coordinates, we determine the end points of the needle in the 3D US image. Experiments with agar and turkey phantom 3D US images demonstrated that our method can segment the needle from 3D US images accurately and robustly with a speed of 13 fps on a 1.8GHz PC computer.

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“…In both cases, issues of reliability limit the use of such methods. Such a system has been investigated for diagnostic, biopsy and surgical applications [2][3][4]. 2-D arrays have several advantages over mechanically scanned 1-D arrays.…”

Section: Introductionmentioning

confidence: 99%

2-D array for 3-D ultrasound imaging using synthetic aperture techniques

Daher

Yen

2006

IEEE Trans. Ultrason., Ferroelect., Freq. Contr.

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A 2-D array of 256 × 256 = 65,536 elements, with total area 4 × 4 = 16 cm 2 , serves as a flexible platform for developing acquisition schemes for 3-D rectilinear ultrasound imaging at 10 MHz using synthetic aperture techniques. This innovative system combines a simplified interconnect scheme and synthetic aperture techniques with a 2-D array for 3-D imaging. A row-column addressing scheme is used to access different elements for different transmit events. This addressing scheme is achieved through a simple interconnect, consisting of one top, one bottom single layer flex circuits, which, compared to multi-layer flex circuits, are simpler to design, cheaper to manufacture and thinner so their effect on the acoustic response is minimized. We present three designs that prioritize different design objectives: volume acquisiton time, resolution, and sensitivity, while maintaining acceptable figures for the other design objectives. For example, one design overlooks time acquisition requirements, assumes good noise conditions, and optimizes for resolution, achieving −6 dB and −20 dB beamwidths of less than 0.2 and 0.5 millimeters, respectively, for an F/2 aperture. Another design can acquire an entire volume in 256 transmit events, with −6dB and −20 dB beamwidths in the order of 0.4 and 0.8 millimeters, respectively.

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Three-dimensional ultrasound-guided core needle breast biopsy

Cited by 63 publications

References 20 publications

Ultrasound-guided large-core needle biopsies of breast lesions: analysis of 962 cases to determine the number of samples for reliable tumour classification

Ultrasound-guided large-core needle biopsies of breast lesions: analysis of 962 cases to determine the number of samples for reliable tumour classification

Projection-Based Needle Segmentation in 3D Ultrasound Images

2-D array for 3-D ultrasound imaging using synthetic aperture techniques

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