Accuracy and Complication Rates of US-guided Vacuum-assisted Core Breast Biopsy: Initial Results

Simon, Jeremy R.; Kalbhen, Carl L.; Cooper, Richard A.; Flisak, Michael E.

doi:10.1148/radiology.215.3.r00jn37694

Cited by 150 publications

(101 citation statements)

References 8 publications

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“…The VABB procedure used in this study is in line with that described by other authors [6,10e12,24]; post-VABB hematomas occurred in 12/141(8.5%), an incidence rate similar to that reported by others [13].…”

Section: Discussionsupporting

confidence: 90%

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Ultrasound-guided vacuum-assisted breast biopsy: Use at the European Institute of Oncology in 2010

Abbate

Cassano

Menna

et al. 2011

Journal of Ultrasound

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KEYWORDSBreast; Histology biopsy; Ultrasonography; Mammotome; Surgical biopsy.Abstract Vacuum-assisted breast biopsy (VABB), which plays a fundamental role in the preoperative assessment of microcalcifications, can also be used (with ultrasound guidance) to obtain histology samples of breast lesions that are visible on ultrasonography. It is particularly useful when the lesion diameter is less than 1 cm. This technique has been used in our institute since 1998, and in this report we analyze our experience with it in 2010. This analysis shows that VABB is a safe, effective procedure that can markedly reduce the need for surgical biopsy.Sommario La biopsia vacuum assistita che riveste già un ruolo fondamentale nell'analisi preoperatoria delle microcalcificazioni, viene utilizzata con successo anche con guida ecografica per la valutazione microistologica di lesioni mammarie eco visibili, soprattutto se di piccole dimensioni, cioè al di sotto del centimetro. Nel nostro istituto viene utilizzata ormai dal 1998. Riportiamo i dati dell'anno precedentemente trascorso. Secondo la nostra esperienza risulta essere una procedura molto sicura ed efficace per ridurre drasticamente le biopsie chirurgiche diagnostiche. ª

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Section: Discussionsupporting

confidence: 90%

“…Other authors reported 95% sensitivity and 98% specificity, probably reflecting the fact that in this case the US-guided VABB was used as a first-line examination for sonographically visualized lesions [13].…”

Section: Discussionmentioning

confidence: 76%

Ultrasound-guided vacuum-assisted breast biopsy: Use at the European Institute of Oncology in 2010

Abbate

Cassano

Menna

et al. 2011

Journal of Ultrasound

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“…The VABB devices offer consistent quality tissue samples and subsequent reduced possibility of false-negatives as well as underestimation of the disease process [3].…”

Section: Introductionmentioning

confidence: 99%

New Wireless Handheld Ultrasound-Guided Vacuum-Assisted Breast Biopsy (VABB) Devices: An Important Innovation in Breast Diagnosis

Bagnera¹,

Patania²,

Milanesio³

et al. 2013

OJRad

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Vacuum-assisted breast biopsy (VABB) plays a fundamental role in the preoperative assessment of breast lesions providing large histology samples that are useful to define diagnoses and biological parameters to guide treatment planning. This technique has been used in our institute since 2000 and two new wireless handheld ultrasound-guided VABB devices have been introduced since May 2012. In this report we analyze our experience with these revolutionary devices which are able to provide the option of single-insertion contiguous tissue samples respectively with a 13/14-gauge aperture. Our initial experience on 75 lesions shows that these devices are safe, fast, procedurally advantageous for operators and well accepted by patients. Finally VABB procedures can markedly reduce the need for surgical biopsy.

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“…Biopsies in earlyphase trials are burdensome, and often have no value in terms of the clinical management of subjects (2)(3)(4)(5). Although research biopsies are generally considered safe (6), the procedures are associated with pain (7)(8)(9)(10)(11), bleeding (12), infection, or other complications (13,14). In at least one instance, a patient died as the result of a research biopsy (15).…”

Section: Introductionmentioning

confidence: 99%

Publication and Reporting Conduct for Pharmacodynamic Analyses of Tumor Tissue in Early-Phase Oncology Trials

Freeman

Kimmelman

2012

Clinical Cancer Research

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Purpose: In principle, nondiagnostic biopsies for pharmacodynamic (PD) studies are carried out to inform decision-making in drug development. Because such procedures have no therapeutic value, their ethical justification requires that results be published. We aimed to assess the frequency of nonpublication of PD data in early phase cancer trials and to identify factors that prevent full publication of data.Methods: We identified a sample of early-phase cancer trials containing invasive nondiagnostic tissue procurement for PD analysis from American Society of Clinical Oncologyand American Association for Cancer Research meeting abstracts published between 1995 and 2005. These trials were followed to publication to determine frequency of nonpublication of PD data. Corresponding authors on early-phase cancer trials using invasive nondiagnostic research procedures were also surveyed to identify factors preventing full publication of PD data.Results: In a sample of 90 trials, 22.2% (20 trials) resulted in no trial publication. Of published trials expected to contain PD reports, 16 (17.8%) did not include any PD data, and 21 (23.3%) reported incomplete PD data. We surveyed 92 authors; nonpublication was regarded as a frequent occurrence, and the most commonly cited barrier to full publication of PD data was strategic considerations in publication (58.8% of responding authors).Conclusions: Our results suggest ways that investigators, study planners, and reviewers can improve the burden/knowledge value balance in PD studies. Clin Cancer Res; 18(23); 6478-84. Ó2012 AACR.

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Accuracy and Complication Rates of US-guided Vacuum-assisted Core Breast Biopsy: Initial Results

Abstract: According to these data, US-guided vacuum-assisted core breast biopsy is accurate. There may be a slightly higher risk of bleeding, which may be related to the lack of breast compression during the procedure, when compared with biopsy performed with stereotactic guidance.

Cited by 150 publications

References 8 publications

Ultrasound-guided vacuum-assisted breast biopsy: Use at the European Institute of Oncology in 2010

Ultrasound-guided vacuum-assisted breast biopsy: Use at the European Institute of Oncology in 2010

New Wireless Handheld Ultrasound-Guided Vacuum-Assisted Breast Biopsy (VABB) Devices: An Important Innovation in Breast Diagnosis

Publication and Reporting Conduct for Pharmacodynamic Analyses of Tumor Tissue in Early-Phase Oncology Trials

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