Effects on short-term quality of life of vacuum-assisted breast biopsy: comparison between digital breast tomosynthesis and digital mammography

Tagliafico, Alberto; Gristina, Licia; Bignotti, Bianca; Valdora, Francesca; Tosto, Simona; Calabrese, Massimo

doi:10.1259/bjr.20150593

Cited by 7 publications

(5 citation statements)

References 12 publications

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“…In our study, we did not find a significant association between TMI scores and age, previous personal history or family history of breast cancer, and, in particular, we found no relationship between age and 'pain or discomfort during the test'. Our results differ from a previous study in which Tagliafico et al [10] found that age was a significant predictor of short-term quality of life related to breast biopsy.…”

Section: Discussioncontrasting

confidence: 99%

“…The first seven attributes (a-g) were directly related to the examination, while the remaining two (h and i) were only indirectly related (or not necessarily related) to the examination, as already hypothesised by Tagliafico et al [10] for the attribute (h).…”

Section: Data Collectionsupporting

confidence: 55%

“…TMI was obtained before giving the results to patients to avoid biases related to the results of the examinations. According to previous works [10][11][12], TMI is a validated instrument for the assessment of short-term life quality related to diagnostic testing. It was slightly modified for the purpose of our study.…”

Section: Data Collectionmentioning

confidence: 99%

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Breast ultrasound: automated or hand-held? Exploring patients’ experience and preference

et al. 2020

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Background: Our aim was to compare women's experience with automated breast ultrasound (ABUS) versus breast hand-held ultrasound (HHUS) and to evaluate their acceptance rate. Methods: After ethical approval, from October 2017 to March 2018, 79 consecutive patients were enrolled in this prospective study. On the same day, patients underwent HHUS followed by ABUS. Each patient's experience was assessed using the modified testing morbidities index (TMI) (the lower the score, the better is the experience). Nine items were assessed for both techniques: seven directly related to the examination technique (pain or discomfort immediately before (preparation), during and after testing, fear or anxiety immediately before (preparation) and during testing, physical and mental function after testing) and two indirectly related to the examination technique (embarrassment during testing and overall satisfaction). Finally, we asked patients to choose between the two techniques for a potential next breast examination. Wilcoxon signed ranks test was used. Results: The median TMI score for the seven items was found to be significantly better for HHUS (8, interquartile range [IQR] 7-11) compared to ABUS (9, IQR 8-12) (p = 0.003). The item 'pain/discomfort during the test' (p < 0.001) was significantly higher for ABUS compared to HHUS. Instead, the item 'fear/anxiety before the test' was higher for HHUS (p = 0.001). Overall, 40.5% of the patients chose HHUS, 29.1% chose ABUS, and 30.4% were unable to choose. Conclusions: ABUS and HHUS exams were well tolerated and accepted. However, HHUS was perceived to be less painful than ABUS.

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Section: Discussioncontrasting

confidence: 99%

Section: Data Collectionsupporting

confidence: 55%

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Breast ultrasound: automated or hand-held? Exploring patients’ experience and preference

et al. 2020

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“…As just stated, no B1 results were found at histology; thus, no procedure had to be repeated. This finding is actually a crucial strength of this technique because it has been demonstrated that VAB biopsies are linked to a decrease in the short-term quality of life (QoL) of women (21,22).…”

Section: Discussionmentioning

confidence: 95%

Freehand 3T MR-guided vacuum-assisted breast biopsy (VAB): a five-year experience

et al. 2017

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Background Magnetic resonance (MR) permits the detection of some malignant lesions that cannot be identified with mammography or ultrasonography. The characterization of these MR-only detectable lesions often requires a biopsy. Purpose To evaluate the technique, the feasibility and the accuracy of freehand 3T MR-guided VAB for the characterization of suspicious, MR-only detectable lesions and to compare VAB results with surgical pathology and follow-up imaging results. Material and Methods During 2010-2015, 118 women who were referred for MR-guided VAB were retrospectively reviewed. All BI-RADS MR 4 and 5 lesions and some BI-RADS MR 3 lesions (according to clinical context and patient anxiety) were scheduled to undergo biopsy. Results A total of 123 suspicious lesions were retrospectively selected. Technical failures occurred in only two cases (1.6%) due to the location of the lesions. Histopathological results revealed 59 benign lesions (48%), 27 high-risk lesions (22%), and 35 malignant lesions (28.4%). Surgical pathology results led to the reclassification of eight B3 lesions: one proved to be a ductal carcinoma in situ, while seven presented with invasive features. B3 underestimation also occurred in 29% of the cases. MR follow-up was achieved for all the benign lesions and no false-negative cases were observed. No complications, 3T-related artefacts, or difficulties were observed. Conclusion Freehand 3T MR-guided VAB was found to be a valid, safe, fast, and inexpensive alternative to surgical histology.

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“…VABBs were performed by 3 radiologists with 15, 12, and 11 years of experience in breast imaging field. The procedure was performed with a DBT-guided stereotaxic VABB system (Selenia Dimensions system's Genius TM 3D Mammography TM ; Hologic, Bedford, MA, USA), with the patient being in a sitting position although less comfortable than the supine position [ 16 ]. The entry approach was chosen to ensure the shortest possible distance between the skin and the target lesion.…”

Section: Methodsmentioning

confidence: 99%

Is 9-G DBT-Guided Vacuum-Assisted Breast Biopsy Sufficient to Completely Remove T1 Breast Cancers (below 20 mm)? Analysis of 146 Patients with Histology as Reference Standard

et al. 2022

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Objectives: Vacuum assisted breast biopsy is a safe procedure comparable to surgical biopsy for the characterization of distortions, microcalcifications and mass lesions. Vaacuum assisted excision of T1 breast tumors could be on potential management in alternative to surgery. The primary objective of this work is to assess therapeutic success of the Stereotaxic Vacuum Breast Biopsy in small breast cancer (T1N0M0) lesions excision. Methods: From our electronic database all the Vacuum Breast Biopsy performed from 1 January 2015 to 1 December 2019 have been retrospectively re-evaluated. N= 2200 cases were identified and n=145 ensured “mammographic complete removal” at the end of vacuum assisted excision treatment and were considered for analysis. Surgical gold standard was used. Results: N=143 procedures were successfully completed with complete removal of mammographic calcifications. The mean size of the lesions completely excised with VABB was 8,9 ± 3,6 mm (range, 3-23 mm). Lesions below 10 mm were n=118 and lesion with diameter >10 mm were n=28. N = 3/146 cases (4.4%), relapses were observed in follow-up (at 12-24 up to a maximum of 60 months): the mean size of relapsed lesions completely excised was 3.6 ± 2.1 mm (range, 2-6 mm). No relapse before 12 months were observed. The mean size of the lesions in these patients with relapse at the time of the first VABB procedures was 13 ± 6.5 mm (range, 7-12 mm). N=117/118 (99%) lesions excised using VABB without relapse after one year of follow-up had a diameter below 10 mm. Conclusions: Vacuum Breast Biopsy could safely remove small breast cancers (T1N0M0) with few relapses.

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Effects on short-term quality of life of vacuum-assisted breast biopsy: comparison between digital breast tomosynthesis and digital mammography

Cited by 7 publications

References 12 publications

Breast ultrasound: automated or hand-held? Exploring patients’ experience and preference

Breast ultrasound: automated or hand-held? Exploring patients’ experience and preference

Freehand 3T MR-guided vacuum-assisted breast biopsy (VAB): a five-year experience

Is 9-G DBT-Guided Vacuum-Assisted Breast Biopsy Sufficient to Completely Remove T1 Breast Cancers (below 20 mm)? Analysis of 146 Patients with Histology as Reference Standard

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