Stereotactic breast biopsy: A review & applicability in the Indian context

Abstract

Stereotactic biopsy is used for sampling of suspicious non-palpable lesions identified on mammography or digital breast tomosynthesis which are not visible on ultrasound. Stereotactic biopsy is preferable to surgical excision biopsy and helps avoid surgery for benign lesions. Providing tissue diagnosis in patients with early breast cancer may help in formulating a management strategy. Stereotactic biopsy can be carried out using either a dedicated prone table with the patient lying prone or an upright mammographic add-on system with the patient in a sitting or lateral decubitus position. This review focuses on the advantages and disadvantages of both these systems, the indications, contraindications and the complications inherent with this technique. The important pitfalls and their management as well as ways to ensure quality assurance have also been elaborated upon. Data regarding uptake of stereotactic biopsy in other parts of the world have been discussed using evidence from existing registries and databases and attempts made to quantify the need of the technique in the Indian set-up. In the absence of a national breast screening programme and limited resources in India, a hub and spoke model has been proposed as a viable model for healthcare providers for providing stereotactic biopsy.

Targeting intra‐tumoral heterogeneity of human brain tumors with in vivo imaging: A roadmap for imaging genomics from multiparametric MR signals

“…Different needles and pressures have been investigated and the preferences of the surgeon should be considered and accounted for when designing a core needle experiment 95 . Localization error for stereotactic core biopsy is impacted by many procedural variables including parallax shift and entrance angle, but is greatest in the z‐direction 96 and is estimated to be <5 mm 97 …”

“…95 Localization error for stereotactic core biopsy is impacted by many procedural variables including parallax shift and entrance angle, but is greatest in the z-direction 96 and is estimated to be <5 mm. 97…”

Mammography-Guided Interventional Procedure

“…특히 유방촬영술이나 디지털 유방 토모신테시스(digital breast tomosynthesis; 이하 DBT)에서만 보이는 의심스러운 석회화, 구조 왜곡이 이에 해당한다. 입체정위생검(stereotactic biopsy)은 유방촬영술 또는 DBT에서 확인되고 초음파에서는 보이지 않는 의심스러운 비촉지 병변의 진단에 사용된다( 2 3 4 5 ). 이러한 병변은 추후 수술이 필요할 시, 유방촬영술 유도하 위치 표시를 하게 되며 표본방사선촬영을 하여 석회화 유무를 확인할 수 있다.…”

Imaging Recommendations for Diagnosis, Staging, and Management of Breast Cancer

“…MRI-guided vacuum-assisted breast biopsy (VABB) is performed for MRI-only lesions, whereas stereotactic VABB is performed for abnormalities seen on mammography only. 26 VABB uses a suction system, which allows a larger tissue sample to be obtained from a single insertion. Certain imaging modalities demonstrate certain abnormalities better.…”