Stereotactic 11-gauge Vacuum-assisted Breast Biopsy: Influence of Number of Specimens on Diagnostic Accuracy

Lomoschitz, Friedrich; Helbich, Thomas H.; Rudas, M.; Pfarl, Georg; Linnau, Ken F.; Stadler, Alfred; Jackman, Roger J.

doi:10.1148/radiol.2323031224

Cited by 105 publications

(58 citation statements)

References 41 publications

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“…It is not uncommon that all or nearly all of the targeted lesion is removed. Several studies have shown that underestimation is less frequent in such cases (19)(20)(21)(22). Liberman et al (23) showed a trend toward a lower incidence of DCIS underestimation in cases when the mammographic target had been completely excised using 11-gauge SVAB.…”

Section: Discussionmentioning

confidence: 99%

Predictive factors for invasive cancer in surgical specimens following an initial diagnosis of ductal carcinoma in situ after stereotactic vacuum-assisted breast biopsy in microcalcification-only lesions

Gümüş

Mills²,

Fish³

et al. 2015

Diagn Interv Radiol

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Section: Discussionmentioning

confidence: 99%

Predictive factors for invasive cancer in surgical specimens following an initial diagnosis of ductal carcinoma in situ after stereotactic vacuum-assisted breast biopsy in microcalcification-only lesions

Gümüş

Mills²,

Fish³

et al. 2015

Diagn Interv Radiol

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“…Moreover, optimal diagnostic performance with the Mammotome technique seems to require more than 12 fragments, although obtaining a large number of fragments does not eliminate the risk of misdiagnosis [18]. Jackman et al reported a false-negative rate of more than 11% in patients with a personal history of a benign or malignant breast tumour, fewer than 11 biopsy fragments, an abnormality measuring more than 10 mm, or incomplete excision of the abnormality [19].…”

Section: Importance Of the Accuracy Of The Percutaneous Radiological mentioning

confidence: 99%

“…Lobular neoplasia, which is revealed by microcalcification in at least one-third of cases, is less frequent than ADH in biopsy and surgical series [15][16][17][18][19][20][21][22][23][24][25]. The behaviour of lobular neoplasia (LN) is less well documented than that of ADH.…”

mentioning

confidence: 99%

Histology after lumpectomy in women with epithelial atypia on stereotactic vacuum-assisted breast biopsy

Graesslin

Antoine

Chopier

et al. 2010

European Journal of Surgical Oncology (EJSO)

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“…This technology may improve the technical options for and accuracy of percutaneous CT-guided liver targeting through 3D imaging, computerized trajectory planning in arbitrarily oriented tracks, and navigated or stereotactic aiming device-guided needle placement [2][3]. Previous studies have confirmed high targeting accuracy with such systems in phantoms and animal experiments [6]; however, stereotactic image guided biopsy has so far only been reported for diagnosis of brain or breast tumors [7,8]. The aim of the present work was to clinically assess the targeting accuracy, diagnostic yield, and complications of CT-guided stereotactic liver biopsy.…”

Section: Introductionmentioning

confidence: 99%

Accuracy and diagnostic yield of CT-guided stereotactic liver biopsy of primary and secondary liver tumors

Schullian

Widmann

Lang

et al. 2011

Computer Aided Surgery

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Objective: CT-guided biopsy still plays a decisive role in the management of liver tumors, especially if the lesions are not visible or accessible by ultrasound. As CT-guided stereotaxy appears to be a very accurate targeting technique, the aim of this study was to evaluate the targeting accuracy, diagnostic yield, and complications of CT-guided stereotactic liver biopsy of primary and secondary liver tumors. Methods and Materials: Prior to stereotactic liver biopsy, patients under general anesthesia were immobilized using a vacuum cushion. Respiratory motion was controlled by temporary disconnections of the endotracheal tube. An opticalbased navigation system was used for 3D trajectory planning and placement of a 15-G coaxial needle via a stereotactic aiming device. The histological samples were obtained using a 16-G Tru-Cut TM biopsy needle system. For evaluation of targeting accuracy the control CT image with the needles in place was fused with the planning CT image. The lateral error at the tip and skin entry point and the angular error were calculated. In addition, the skin-to-liver-surface (SL) distance, the needle-to-liver-surface (NL) angle, and the presence of liver cirrhosis were evaluated. The diagnostic yield was evaluated by histological reports from the institutional pathologists. Results: The median lateral error was 2.5 mm (range: 0-6.5 mm) at the needle entry point and 3.2 mm (range: 0.01-9.4 mm) at the needle tip. The median angular error was 1.06(range: 0-6.64 ). Liver cirrhosis, NL angle and SL distance showed no significant impact on the targeting accuracy. Forty-five of the 46 liver biopsies (97.8%) were diagnostic according to the histological reports. No puncture-related complications such as bleeding or perforation of intestinal organs or lung tissue were recorded.

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Stereotactic 11-gauge Vacuum-assisted Breast Biopsy: Influence of Number of Specimens on Diagnostic Accuracy

Abstract: At 11-gauge vacuum-assisted biopsy, highest diagnostic yield was achieved with 12 specimens per lesion, independent of mammographic appearance of the lesion. Even with standardized retrieval of 20 specimens per lesion, underestimation of disease still occurs.

Cited by 105 publications

References 41 publications

Predictive factors for invasive cancer in surgical specimens following an initial diagnosis of ductal carcinoma in situ after stereotactic vacuum-assisted breast biopsy in microcalcification-only lesions

Predictive factors for invasive cancer in surgical specimens following an initial diagnosis of ductal carcinoma in situ after stereotactic vacuum-assisted breast biopsy in microcalcification-only lesions

Histology after lumpectomy in women with epithelial atypia on stereotactic vacuum-assisted breast biopsy

Accuracy and diagnostic yield of CT-guided stereotactic liver biopsy of primary and secondary liver tumors

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