Kosteneinsparungspotenzial der Nadelbiopsie im Vergleich zur offenen Biopsie bei der Diagnose suspekter, nichtpalpabler Brustläsionen: Metaanalyse der Literatur und Vergleich mit Daten aus dem deutschen Sprachraum

Gruber, Reinhard; Bernt, Reinhard; Th, Helbich

doi:10.1055/s-2007-963621

Cited by 18 publications

(3 citation statements)

References 15 publications

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“…US-guided needle biopsy has become an accepted technique for diagnosis of breast abnormalities, and it may help patients avoid the higher morbidity and cost of surgical excision. The results indicated that the tissue number of biopsies acquired from CNB affected the histopathological results and biomarker status ( 11 , 20 ). The earlier study reported that it was more frequent for CNB to miss the components of invasive carcinoma because of the insufficient tissue ribbons, causing diagnosis underestimation.…”

Section: Discussionmentioning

confidence: 99%

A retrospective comparative study on the diagnostic efficacy and the complications: between CassiII rotational core biopsy and core needle biopsy

Xie,

Ju,

Zhang

et al. 2023

Front. Oncol.

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Accurate pathologic diagnosis and molecular classification of breast mass biopsy tissue is important for determining individualized therapy for (neo)adjuvant systemic therapies for invasive breast cancer. The CassiII rotational core biopsy system is a novel biopsy technique with a guide needle and a “stick-freeze” technology. The comprehensive assessments including the concordance rates of diagnosis and biomarker status between CassiII and core needle biopsy were evaluated in this study. Estrogen receptor (ER), progesterone receptor (PgR), human epidermal growth factor receptor 2 (HER2), and Ki67 were analyzed through immunohistochemistry. In total, 655 patients with breast cancer who underwent surgery after biopsy at Sir Run Run Shaw Hospital between January 2019 to December 2021 were evaluated. The concordance rates (CRs) of malignant surgical specimens with CassiII needle biopsy was significantly high compared with core needle biopsy. Moreover, CassiII needle biopsy had about 20% improvement in sensitivity and about 5% improvement in positive predictive value compared to Core needle biopsy. The characteristics including age and tumor size were identified the risk factors for pathological inconsistencies with core needle biopsies. However, CassiII needle biopsy was associated with tumor diameter only. The CRs of ER, PgR, HER2, and Ki67 using Cassi needle were 98.08% (kappa, 0.941; p<.001), 90.77% (kappa, 0.812; p<.001), 69.62% (kappa, 0.482; p<.001), and 86.92% (kappa, 0.552; p<.001), respectively. Post-biopsy complications with CassiII needle biopsy were also collected. The complications of CassiII needle biopsy including chest stuffiness, pain and subcutaneous ecchymosis are not rare. The underlying mechanism of subcutaneous congestion or hematoma after CassiII needle biopsy might be the larger needle diameter and the effect of temperature on coagulation function. In summary, CassiII needle biopsy is age-independent and has a better accuracy than CNB for distinguishing carcinoma in situ and invasive carcinoma.

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Section: Discussionmentioning

confidence: 99%

A retrospective comparative study on the diagnostic efficacy and the complications: between CassiII rotational core biopsy and core needle biopsy

Xie,

Ju,

Zhang

et al. 2023

Front. Oncol.

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“…Lastly, node-negative and estrogen receptor positive breast cancer patients will be eligible for genetic profiling to determine their 21-gene recurrence score (OncotypeDx), and this information may also guide decisions regarding adjuvant chemotherapy in addition to endocrine therapy. 4-6 …”

Section: Discussionmentioning

confidence: 99%

Implementation of a Percutaneous Core Needle Biopsy Training Program: Results from the University of Michigan–Komfo Anokye Teaching Hospital Breast Cancer Research Partnership

et al. 2010

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Purpose To describe a training program in percutaneous core needle biopsies implemented in conjunction with a breast cancer research collaboration between the University of Michigan (UM) and the Komfo Anokye Teaching Hospital (KATH) in Kumasi, Ghana. Methods In July 2008 a Ghana-based training program for the performance of core needle biopsies was jointly coordinated by the UM and KATH principal investigators (LAN and BA). This course required less than one week for implementation. Results Following the training course (July 2008 through to August 2009), 82 core needle biopsies of breast masses were performed at KATH. Of these, 56 had tissue specimens available for review at UM for comparison with KATH primary pathology reports. Forty-six of the 56 UM-reviewed cases (82%) had a KATH diagnosis of breast cancer; UM pathology review was in agreement with the cancer diagnosis in all 46 cases (100%). Ten of the 56 UM-reviewed cases (18%) had a KATH diagnosis of benign fibroadenoma/fibrocystic breast tissue; UM review was concordant in all ten cases (100% concordance for benign lesions). For the remaining 26 procedures we were unable to retrieve either the KATH pathology report or tissue blocks for UM review. Discussion The design and implementation of appropriate diagnostic biopsy programs is important for the delivery of quality, efficient breast cancer care in developing nations. This study demonstrates a successful one-week training program in percutaneous core needle biopsy for a multidisciplinary group of physicians. Further work is needed for similar programs to accurately identify and classify breast cancer internationally.

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“…Darum müssen diese Zahlen bei weiteren Adaptationen der OPS-Codes zu den DRG vor allem bei intensivpflichtigen Patienten berücksichtigt werden, zumal der Intensivtransport nicht als OPS-Leistung definiert ist, sondern lediglich als Mobilisierung eines intensivpflichtigen Patienten betrachtet wird. Detaillierte Kostenanalysen einzelner radiologischer Untersuchungen liegen in der uns bekannten Literatur nur vereinzelt vor[8,9]. Eine Studie der technischen Kosten der wichtigsten radiologischen Modalitäten (Konventionelles Röntgen, Sonografie, CT, MRT, Szintigrafie, Interventionelle Radiologie) aus dem Jahre 2000 analysiert die technischen Kosten für die jeweilige Modalität[1] durch Analyse der "Arbeitskosten" ("labor": Management, MTRA, Patientenbegleitdienst etc.)…”

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Kostenanalyse einer kontrastgestützten MRT des Schädels an einem Universitätsklinikum

Schreyer

Friedrich²,

Mrosek³

et al. 2010

Fortschr Röntgenstr

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In this study we evaluated for the first time different radiological scenarios of a c-ceMRI at a university hospital. Considering the present reimbursement situation, all outpatients covered by statutory health insurance resulted in a deficit for the hospital. Particularly high costs for patients in intensive care units as well as for children under anesthesia have to be taken into account and are currently not adequately covered by care providers.

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Kosteneinsparungspotenzial der Nadelbiopsie im Vergleich zur offenen Biopsie bei der Diagnose suspekter, nichtpalpabler Brustläsionen: Metaanalyse der Literatur und Vergleich mit Daten aus dem deutschen Sprachraum

Cited by 18 publications

References 15 publications

A retrospective comparative study on the diagnostic efficacy and the complications: between CassiII rotational core biopsy and core needle biopsy

A retrospective comparative study on the diagnostic efficacy and the complications: between CassiII rotational core biopsy and core needle biopsy

Implementation of a Percutaneous Core Needle Biopsy Training Program: Results from the University of Michigan–Komfo Anokye Teaching Hospital Breast Cancer Research Partnership

Kostenanalyse einer kontrastgestützten MRT des Schädels an einem Universitätsklinikum

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