Tissue marker migration after MRI‐guided breast biopsy: Migration frequency and associated factors

Funaro, Kimberly; Prather, Andrew D.; Niell, Bethany L.; Weinfurtner, R. Jared

doi:10.1111/tbj.13486

Cited by 12 publications

(12 citation statements)

References 16 publications

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“…Clinically significant MCD was also seen more often with MRI than US‐guided biopsies. To some extent this may also be due to the accordion effect, as like stereo/tomo biopsies, MRI‐guided biopsies are also performed with the breast in compression 12 . However, a more likely aetiological factor is the almost uniform use of large gauge VAC for MRI‐guided procedures.…”

Section: Discussionmentioning

confidence: 99%

“…To some extent this may also be due to the accordion effect, as like stereo/tomo biopsies, MRI-guided biopsies are also performed with the breast in compression. 12 However, a more likely aetiological factor is the almost uniform use of large gauge VAC for MRI-guided procedures. These devices remove a much larger volume of tissue, leaving behind a biopsy cavity, 9 needle tract and possible haematoma, 13 all likely to facilitate marker movement.…”

Section: Following Needle Biopsy and Insertion Using Different Immentioning

confidence: 99%

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Are breast biopsy markers underused?

2020

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Introduction To evaluate current use of breast biopsy markers (BBM) amongst Australian and New Zealand radiologists. Methods Radiologists attending a national breast conference were invited to complete an online survey addressing demographics, BBM use following ultrasound, stereotactic, tomosynthesis and MRI‐guided biopsy, frequency of early BBM displacement, preoperative lesion localisation (PLL) and axillary BBM use. Results Overall response rate was 52% (60/115). The majority (n = 45) 75% practiced in Australia. 98% had BBMs available in their practice, 40% reported BBM costs weren’t covered by insurance. 27% would use BBMs more often if they were, with some utilising smaller gauge devices for lesion sampling to minimise need for BBM use and patient out‐of‐pocket costs. Ultrasound‐guided procedures were associated with lower rates of clinically significant BBM displacement (P = 0.001). Considering PLL, 44% were able to perform US‐guided PLL in <25% of cases. Poor sonographic visibility was the commonest reason why this wasn’t possible. In the axilla, BBMs were mainly used to mark positive nodes in pre‐neoadjuvant chemotherapy patients. Conclusion This survey is the first to provide data on BBM use amongst a sample of predominantly Australian and New Zealand radiologists, and provides compelling evidence of significantly lower incidence of BBM displacement with US‐guided procedures. Our results suggest some radiologists may hesitate to use BBMs due to cost, and this can influence their choice of biopsy technique. Provision of a Medicare item Number for BBMs may lead to increased adoption of best practice guidelines for preoperative diagnosis of breast lesions.

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Section: Discussionmentioning

confidence: 99%

Section: Following Needle Biopsy and Insertion Using Different Immentioning

confidence: 99%

Are breast biopsy markers underused?

2020

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“…삽입된 조직표지자는 약 14%에서 원래 삽입한 위치가 아닌 다른 위치로 이동(migration) 하는 경우가 있다( 23 ). 이렇게 이동하는 데에는 여러 가지 이유가 있을 수 있다.…”

Section: 자기공명영상 유도하 조직생검술(Mri-guided Biopsy)unclassified

“…이 외에도 생검을 시행한 위치가 지방 조직이 우세한 위치인 경우에도 치밀 유방에 비해 표지자의 이동이 더 빈번히 나타날 수 있다( 23 28 ). 생검을 시행한 병변의 크기가 1 cm 미만으로 작아도 조직표지자의 이동이 일어날 수 있다.…”

Section: 자기공명영상 유도하 조직생검술(Mri-guided Biopsy)unclassified

MRI-Guided Breast Intervention: Biopsy and Needle Localization

Park

Lee

Kang

et al. 2023

J Korean Soc Radiol

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국내에 자기공명영상의 보급의 증가와 함께 유방 자기공명영상의 건수도 지속적으로 증가하고 있다. 하지만 이에 비해 자기공명영상 유도하 조직생검술 및 침위치결정술과 같은 유방의 중재적 시술은 초음파 유도하 시술이나 입체정위생검술에 비해 많이 이루어지지 않는다. 유방 자기공명영상은 다른 유방 영상 검사들에 비해 높은 민감도를 보이는 검사법이지만 그 특이도는 제한되는 검사법이기 때문에, 자기공명영상에서만 발견된 병변들은 자기공명영상 유도하 조직생검술이나 자기공명영상 유도하 침위치결정술을 통한 수술적 절제를 통하여 병리적 진단이 이루어져야 한다. 이러한 배경을 바탕으로, 본 종설에서는 자기공명영상 유도하 유방의 중재적 시술들의 적응증, 시술 방법, 시술 과정에서의 여러 고려 사항 및 제한점들에 대해 다루고자 한다.

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“…Migration of a breast lesion marker is a known complication that is most commonly associated with vacuum-assisted biopsies [ 2 ]. Significant migration may hamper the achievement of clear margins after surgical removal.…”

Section: Introductionmentioning

confidence: 99%

Intraductal Migration of a Breast Tissue Marker Placed Under Ultrasound Guidance during COVID-Induced Delay of Surgery

et al. 2021

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Breast tissue markers are common in current clinical practice and are susceptible to migration. Herein, we present the case of a 47-year-old woman with invasive breast carcinoma diagnosed through ultrasound-guided core biopsy, who underwent placement of a breast marker (HydroMARK ® ) under ultrasound guidance 30 days after core biopsy and with subsequent marker migration to the nipple. The correct position of the marker was documented by mammography after its placement and by magnetic resonance imaging (MRI) after neoadjuvant chemotherapy. Migration of the marker to the nipple was evident only by mammography on the day of surgery. We hypothesized that an intraductal path was the route of marker migration in this patient. Marked ductal ectasia evident on MRI and histopathologic examination supported this hypothesis. To the best of our knowledge, this is the first published case of intraductal migration of a breast tissue marker.

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Tissue marker migration after MRI‐guided breast biopsy: Migration frequency and associated factors

Cited by 12 publications

References 16 publications

Are breast biopsy markers underused?

Are breast biopsy markers underused?

MRI-Guided Breast Intervention: Biopsy and Needle Localization

Intraductal Migration of a Breast Tissue Marker Placed Under Ultrasound Guidance during COVID-Induced Delay of Surgery

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