Déplacement de clip post-macrobiopsie sous guidage stéréotaxique et repérage préopératoire : trucs et astuces

Chaveron, C.; Bachelle, F.; Fauquet, I.; Rocourt, N.; Faivre-Pierret, M.; Ceugnart, L.

doi:10.1016/s0221-0363(09)70075-7

Cited by 15 publications

(5 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The plane in which the localising device was separated from the lesion (or clip) was not specifically evaluated in this study, however, previous studies of marker clip displacement have shown that this occurs predominantly in the plane of insertion. Displacement in other planes can also occur (due to factors including the presence of a haematoma and surrounding low‐density fatty tissue), but is much less common 26‐29 . It should also be noted that any clip/localiser placed at a separate time from the biopsy is likely to have a lower chance of migration – no biopsy tract and no haematoma.…”

Section: Discussionmentioning

confidence: 99%

“…Displacement in other planes can also occur (due to factors including the presence of a haematoma and surrounding low‐density fatty tissue), but is much less common. 26 , 27 , 28 , 29 It should also be noted that any clip/localiser placed at a separate time from the biopsy is likely to have a lower chance of migration – no biopsy tract and no haematoma.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Localisation accuracy with iodine‐125 seed versus wire guidance for breast cancer surgery

Ratnagobal

Taylor

Bourke

et al. 2023

J of Medical Radiation Sci

View full text Add to dashboard Cite

IntroductionImpalpable breast lesions generally require image‐guided localisation for breast‐conserving surgery. A standard technique is to place a hook wire (HW) within the lesion. Radioguided occult lesion localisation using iodine seeds (ROLLIS) involves inserting a 4.5 mm iodine‐125 seed (seed) into the lesion. We hypothesised that a seed could be more precisely positioned in relation to the lesion than a HW and that this may be associated with a lower re‐excision rate.MethodsRetrospective review of consecutive participant data from three ROLLIS RCT (ACTRN12613000655741) sites. Participants underwent preoperative lesion localisation (PLL) with seed or HW between September 2013 and December 2017. Lesion and procedural characteristics were recorded. Distances between (1) any part of the seed or thickened segment of the HW (‘TSHW’) and the lesion/clip (‘distance to device’ DTD) and (2) centre of the TSHW/seed and centre of the lesion/clip (device centre to target centre ‘DCTC’) were measured on immediate postinsertion mammograms. Pathological margin involvement and re‐excision rates were compared.ResultsA total of 390 lesions (190 ROLLIS and 200 HWL) were analysed. Lesion characteristics and guidance modality used were similar between groups. Ultrasound‐guided DTD and DCTC for seed were smaller than for HW (77.1% and 60.6%, respectively, P‐value < 0.001). Stereotactic‐guided DCTC for seeds was 41.6% smaller than for HW (P‐value = 0.001). No statistically significant difference in the re‐excision rates was found.ConclusionIodine‐125 seeds can be more precisely positioned for preoperative lesion localisation than HW, however, no statistically significant difference in re‐excision rates was detected.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Localisation accuracy with iodine‐125 seed versus wire guidance for breast cancer surgery

Ratnagobal

Taylor

Bourke

et al. 2023

J of Medical Radiation Sci

View full text Add to dashboard Cite

show abstract

“…Dans la série de Penco portant sur 4 086 prélèvements (de taille variable), dans 40 % des cas il n'y avait plus de microcalcifications résiduelles visibles en mammographie [19]. Deux clichés mammographiques standards sont effectués (après compression du site de prélèvements) et la situation du clip précisée (un déplacement est possible lors de la décompres-sion) [20]. Des diffi cultés techniques amoindrissent la fi abilité du geste dues au type d'image mal repérée, à la mobilité de la lésion, à son siège, à un volume mammaire insuffi sant (moins de 20 mm), à la survenue de saignements, et à la fragmentation des spécimens.…”

Section: La Macrobiopsie Sur Table Dédiée Sous Stéréotaxie Avec Aspiunclassified

Diagnostic et décisions dans le cancer du sein précoce Facteurs de décision en radiologie

Boisserie-Lacroix

Asad-Syed

Hurtevent-Labrot

et al. 2012

Diagnostic Et Décision Dans Le Cancer Du Sein À Un Stade Précoce

View full text Add to dashboard Cite

show abstract

“…Several studies have shown that clip migration after stereotactic vacuum-assisted biopsy (SVAB), de ned as > 10mm displacement away from the biopsy cavity, is not rare [3][4][5][6][7][8][9][10]. Most cases of tissue marker displacement are believed to be caused by the "accordion effect", which is movement of the marker along the needle track immediately after the breast is decompressed [1,[11][12][13]. Signi cant migration may confound pre-surgical localization, especially in cases associated with complete removal of the lesion during biopsy.…”

Section: Introductionmentioning

confidence: 99%

Unveiling Tissue Marker Migration in MRI-Guided Vacuum-Assisted Biopsies: Frequency, Factors, and Implications

Golan,

Lazar,

Menes

et al. 2023

Preprint

View full text Add to dashboard Cite

Purpose To evaluate the frequency and factors associated with clip migration in MRI-guided breast biopsies. Methods and materials We retrospectively evaluated all MRI-guided biopsies performed between January 2013 and December 2020 in our institution for clip migration. Only patients with follow-up breast MRI showing the clip were included in the study. Migration was defined as > 1 cm movement from the target lesion. Migration frequency and directions were recorded. Different factors associated with clip migration were analyzed using statistical tests as appropriate. Results A total of 291 biopsies in 268 women were included in the study with 31 migration events recorded (11%, 95%CI 7–15). All migrations occurred along the biopsy tract, 30 of them distal from the tip of the needle (97%). More than 50% regional fat (around the target lesion) was the strongest factor associated with migration, seen in 21/140 (15%), compared to 10/150 (7%) with less than 50% local fat (P = 0.023). Global fatty breast was more loosely associated with migration, showing borderline significance (P = 0.06). Other factors did not correlate with clip migration, including lesion size, depth or location, pathology result, breast thickness or biopsy approach. Conclusion Although clip migration following breast MRI-guided biopsy is an uncommon event, it occurs more often when the target lesion is surrounded by fat, with the clip usually displaced away from the biopsy needle. This information could be valuable for pre-surgical localization and surgical planning.

show abstract

Déplacement de clip post-macrobiopsie sous guidage stéréotaxique et repérage préopératoire : trucs et astuces

Cited by 15 publications

References 16 publications

Localisation accuracy with iodine‐125 seed versus wire guidance for breast cancer surgery

Localisation accuracy with iodine‐125 seed versus wire guidance for breast cancer surgery

Diagnostic et décisions dans le cancer du sein précoce Facteurs de décision en radiologie

Unveiling Tissue Marker Migration in MRI-Guided Vacuum-Assisted Biopsies: Frequency, Factors, and Implications

Contact Info

Product

Resources

About