1998
DOI: 10.1259/bjr.71.850.10211058
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Stereotactic excisional breast biopsy performed by interventional radiologists using the advanced breast biopsy instrumentation system.

Abstract: The Advanced Breast Biopsy Instrumentation (ABBI) system, which uses surgical cannulas up to 20 mm in diameter, is an alternative to conventional surgical biopsy for the diagnosis of non-palpable breast lesions. Since the need for radiological skill outweighs the surgical content of the technique, we evaluated the feasibility of complete management of the procedure by interventional radiologists. 35 of the 111 patients originally scheduled for the procedure were excluded, three because the lesion could not be … Show more

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Cited by 26 publications
(15 citation statements)
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“…In this context it is important to determine the role of the ABBI system in the management of non-palpable breast lesions. The literature reviewed shows the current status of controversy: except for Damascelli et al [16], the remainder of the radiologists are sceptical or clearly adverse to the procedure [2,3,4,5,6]. Surgeons are divided: some of them are enthusiastic about the procedure [17,18,19,20,21,22,23,24,25,26,27,28,29], but others not [7,8,9].…”
Section: Discussionmentioning
confidence: 99%
“…In this context it is important to determine the role of the ABBI system in the management of non-palpable breast lesions. The literature reviewed shows the current status of controversy: except for Damascelli et al [16], the remainder of the radiologists are sceptical or clearly adverse to the procedure [2,3,4,5,6]. Surgeons are divided: some of them are enthusiastic about the procedure [17,18,19,20,21,22,23,24,25,26,27,28,29], but others not [7,8,9].…”
Section: Discussionmentioning
confidence: 99%
“…Consequently, the majority of lesions operated on in the United States are found to be benign [1,2,3]. In our department, according to a previously published algorithm which includes multiple image-guided needle biopsies [4], 50 % of surgically excised NPBL are found to be benign.…”
Section: Discussionmentioning
confidence: 99%
“…High accuracy is reassuring when a benign lesion is completely excised, especially in the presence of suspicious microcalcifications or in the case of radial scar [7,9]. Theoretically, in selected cases of malignancy it can be therapeutic, but the few reported rates of adequate excision with systematic surgical re-excision of the biopsy site are poor (28±44 %) [1,8,9,10]. Although the acquisition of a large, unfragmented specimen may be advantageous for diagnosis, the ABBI system has significant limitations when compared to large-core needle biopsy [2,3,16].…”
Section: Discussionmentioning
confidence: 99%
“…Macrobiopsies in the range between 14 and 8 gauge give tissue samples with the same diagnostic accuracy as open surgery and have the advantages of stereotactic precision for localization of the lesion and outpatient application at decreased costs (Damascelli et al, 1998). Tissue samples can be obtained for complete diagnosis from one single sample or a few samples provided the samples come indeed from the suspected lesion.…”
Section: Vacuum-assisted Biopsiesmentioning
confidence: 99%