Stereotactic Breast Biopsy

Welle, G J; Clark, Margaret; Loos, Stephen; Pauls, David L.; Warden, David R.; Sheffield, Michael; Parsells, Cathy

doi:10.2214/ajr.175.1.1750059

Cited by 31 publications

(10 citation statements)

References 7 publications

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“…Another shortcoming is that prone devices require sufficient space to position the prone table and perform the procedure. Considering the small number of patients requiring stereotactic biopsy, it is often not feasible to use prone devices, and upright devices are therefore more common (17). However, it has been reported that when a prone device is used, the breast is better supported, and the patient feels more comfortable than when she is sitting on a chair during the procedure (3).…”

Section: Discussionmentioning

confidence: 99%

“…This difference was statistically significant ( p < 0.0001); thus, we found that the lateral approach could be performed on thinner breast tissues. Recent studies have also reported that the lateral approach could be performed on thinner breasts than the vertical approach (5, 7, 17). In one such study, the minimal breast thickness for which the lateral approach could be performed was 1 cm (5).…”

Section: Discussionmentioning

confidence: 99%

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The Clinical Utility of a Adding Lateral Approach to Conventional Vertical Approach for Prone Stereotactic Vacuum-Assisted Breast Biopsy

et al. 2013

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ObjectiveThe purpose of this study is to evaluate the clinical utility of adding lateral approach to conventional vertical approach for prone stereotactic vacuum-assisted breast biopsies.Materials and MethodsFrom April 2010 to May 2012, 130 vacuum-assisted stereotactic biopsies were attempted in 127 patients. While a vertical approach was preferred, a lateral approach was used if the vertical approach failed. The success rate of biopsies utilizing only a vertical approach was compared with that using both vertical and lateral approaches and the breast thickness for both procedures was measured and compared with that for vertical approach. In addition, pathology results were evaluated and the causes of the failed biopsies were analyzed.ResultsOf the 130 cases, 127 biopsies were performed and 3 biopsies failed. The success rate of the vertical approach was 83.8% (109/130); however, when the lateral approach was also used, the success rate increased to 97.7% (127/130) (p = 0.0004). The mean breast thickness was 2.7 ± 1 cm for the lateral approach and 4 ± 1.2 cm for the vertical approach (p < 0.0001). The histopathologic results in 76 (59.8%) of the biopsies were benign, 23 (18.1%) were high-risk lesions, and 28 (22.0%) were malignant. The causes of biopsy failure were thin breasts (n = 2) and undetected difficult lesion location (n = 1).ConclusionThe addition of lateral approach to conventional vertical approach in prone stereotactic vacuum-assisted breast biopsy improved the success rate of stereotactic biopsy, especially in patients with thin breasts.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

The Clinical Utility of a Adding Lateral Approach to Conventional Vertical Approach for Prone Stereotactic Vacuum-Assisted Breast Biopsy

et al. 2013

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“…The addition of digital add-on mammography and the vacuum-assisted needles to stereotactic breast biopsy equipment have immensely helped in decreasing procedure duration and the tissue sampling errors. It also offers the advantage of lower cost [7] and requires less space than a dedicated prone unit. Moreover, the setup can be utilised to do routine mammography when biopsy procedures are not being done.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Clustered Microcalcifications, Initially Graded as Likely Malignant on Baseline Mammography, With Stereotactic Biopsy: A Rad-Path Correlation

Babar

Rehman

Babar

et al. 2019

J Cancer Allied Spec

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Background: Stereotactic-guided breast biopsy is an invincible tool to sample abnormalities visible only on mammography with subtle or occult ultrasound findings. Common mammographic abnormalities which require stereotactic core biopsy include calcifications, architectural distortion and satellite lesions. With advancement in techniques for adequate localisation of lesions, the use of stereotactic needle breast biopsy is exponentially increasing. A study was performed to look for frequency of benignancy or malignancy of microcalcifications and architectural distortions in patients initially falling in malignant category of Breast Imaging-Reporting and Data System of American College of Radiology (BI-RADS®) Assessment Categories.Materials and Methods: Patient presenting in outpatient (OPD) clinic who underwent stereotactic biopsies for labelled malignant on mammograms from May 2015 to May 2018 was included in retrospective study. Age, technique used, baseline mammogram and histopathology were reviewed.Results: A total of 91 patients underwent stereotactic biopsy. Age range varied between 28 and 81 years. Stereotacticguided biopsies were taken using a standard 14-gauge core needle with long throw of 22 mm excursion. None of the biopsy was inconclusive. In comparison with baseline mammograms and histopathology, 40% of the clusters of microcalcification which were initially labelled as malignant turned out to be malignant on histopathology as well, whereas 60% were reported as benign breast parenchyma.Conclusion: Agreement between the diagnostic accuracy of microcalcifications on mammogram and histopathology of same lesions after stereotactic biopsy was comparable to international figures with probability of being benign surpassing malignant on routine screening.Key words: Breast cancer, mammography, microcalcifications, stereotactic biopsy

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“…To compensate for the disadvantages of the prone or upright-positioning for stereotactic VAB, a one-side decubitus position was used, which is more comfortable and stable for the patients, even if it has not been generally used [7]. An expensive prone table is unnecessary for lateral positioning during stereotactic VAB and it causes neither a vasovagal reaction nor neck, or back pain.…”

Section: Discussionmentioning

confidence: 99%

“…Additionally, there are some limitations to upright stereotactic VAB, such as inconvenience or a vasovagal reaction of patients [2,5,6]. Although the lateral decubitus position is an alternative position for stereotactic VAB, the breast lesion often moves in the lateral decubitus position, as identified in cranio-caudal (CC) or mediolateral-oblique (MLO) mammography views [7]. Therefore, a true lateral mammography view is needed to overcome this problem, which is nearly identical to stereotactic mammography in a lateral decubitus position.…”

Section: Introductionmentioning

confidence: 99%

Lateral Decubitus Positioning Stereotactic Vacuum-Assisted Breast Biopsy with True Lateral Mammography

et al. 2011

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Stereotactic vacuum-assisted breast biopsy (VAB) has been used to evaluate microcalcifications or non-palpable breast lesions on mammography. Although stereotactic VAB is usually performed in a prone or upright position, an expensive prone table is necessary and vasovagal reactions often occur during the procedure. For these reasons, the lateral decubitus position can be applied for stereotactic VAB, and true lateral mammography can be used to detect the lesion. We report on 15 cases of lateral decubitus positioning for stereotactic VAB with true lateral mammography for non-palpable breast lesions or microcalcifications. The mean procedure time was approximately 30.1 minutes, and no complications occurred during the procedures. Fourteen cases had benign breast lesions and one case had a ductal carcinoma in situ. The lateral decubitus stereotactic VAB with true lateral mammography can be applied for microcalcifications or non-palpable breast lesions and helps to minimize anxiety and vasovagal reactions in patients.

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Stereotactic Breast Biopsy

Abstract: Stereotactic core biopsy can be performed effectively and accurately using standard add-on equipment when it is performed with the patient in the decubitus position. This approach obviates the use of dedicated prone stereotactic equipment.

Cited by 31 publications

References 7 publications

The Clinical Utility of a Adding Lateral Approach to Conventional Vertical Approach for Prone Stereotactic Vacuum-Assisted Breast Biopsy

The Clinical Utility of a Adding Lateral Approach to Conventional Vertical Approach for Prone Stereotactic Vacuum-Assisted Breast Biopsy

Evaluation of Clustered Microcalcifications, Initially Graded as Likely Malignant on Baseline Mammography, With Stereotactic Biopsy: A Rad-Path Correlation

Lateral Decubitus Positioning Stereotactic Vacuum-Assisted Breast Biopsy with True Lateral Mammography

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