Vacuum-assisted breast biopsies (VAB) carried out on an open 1.0 T MR imager: Influence of patient and target characteristics on the procedural and clinical results

Krug, Barbara; Hellmich, Martin; Ulhaas, A; Krämer, Stefan; Rhiem, Kerstin; Zarghooni, V.; Püsken, Michael; Schwabe, H; Grinstein, Olga; Markiefka, Birgid; Maintz, David

doi:10.1016/j.ejrad.2016.02.030

Cited by 6 publications

(3 citation statements)

References 26 publications

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“…Since then, MRI-guided clinical applications have been successfully applied to lesions in various anatomical regions, such as pancreatic, breast, prostate, lung tumor, and renal tumor lesions (14)(15)(16)(17)(18). After ∼20 years of clinical use, MRIguided breast biopsy has evolved into a routine method in Western European countries (19,20). A small number of breast lesions cannot be detected by breast ultrasonography and mammography and can be identified only by MRI.…”

Section: Discussionmentioning

confidence: 99%

Clinical Application and Feasibility of MRI-Guided Breast Biopsy of Breast Minimal Lesions in Chinese Population

et al. 2020

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Objectives: Some breast lesions are not visible on mammography or ultrasonography, and magnetic resonance imaging (MRI) become the only way to monitor these lesions. The purpose of this study was to evaluate the clinical application of MRI-guided biopsy and MRI-guided wire localization of breast minimal lesions in Chinese population. Methods:We evaluated 95 patients (the most patients of known in China) from August 2013 to December 2017. All the patients were scanned with a 1.5-Tesla MRI system (GE Medical Systems, America) in the prone position using a bilateral 8-channel phased-array breast coil and underwent MRI-guided wire localization or MRI-guided biopsy.Results: MRI-guided wire localization and MRI-guided biopsy were successfully performed in 87 patients with 88 lesions (100%, 88/88). After biopsy or surgery, 36 of 88 lesions (40.91%) were malignant, and 52 of 88 lesions (59.09%) were benign. Thirty-nine of 88 lesions (44.32%) were masses, and 49 of 88 (55.68%) showed non-mass enhancement. Statistical analysis showed there was no significant correlation between the malignancy rate and the type of lesion on MRI (P = 0.27). In this study, the rate of malignancy for Breast Imaging-Reporting and Data System (BI-RADS) 5 lesions was 100% (2 of 2) compared with 44.44% for BI-RADS 4C lesions (4 of 9), 42.42% for BI-RADS 4B lesions (14 of 33), and 36.36% for BI-RADS 4A lesions (16 of 44).Conclusions: MRI-guided wire localization with subsequent surgical biopsy and MRI-guided biopsy are safe and effective tools for breast minimal lesions.

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Section: Discussionmentioning

confidence: 99%

Clinical Application and Feasibility of MRI-Guided Breast Biopsy of Breast Minimal Lesions in Chinese Population

et al. 2020

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“…However, its specificity varies between 37 and 97% leading to a high rate of false positive lesions. VAB devices are now MRI compatible and are being increasingly utilized, allowing rapid exclusion of false positives [35, 36].…”

Section: Vab Image Guidance Methodsmentioning

confidence: 99%

The Evolving Role of Vacuum Assisted Biopsy of the Breast: A Progression from Fine‐Needle Aspiration Biopsy

Bennett

Saboo

2019

World j. surg.

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Background The management of breast disease has been greatly facilitated by the technology of needle biopsy interventions, and over the past 30 years, this has evolved from the use of fine-needle aspiration biopsy (FNAB) to the current methodology of vacuum assisted biopsy (VAB). Methods This article provides an historical review of the application of needle interventions of the breast in the diagnosis and management of breast conditions, and discusses current indications for the use of vacuum assisted biopsies and vacuum assisted excisions. Results Whilst FNAB continues to have a limited role in breast disease diagnosis, the necessity of achieving an histological diagnosis has preferentially seen the development and wider application of automated core needle biopsies (CNB) and VAB in the assessment and management of breast lesions. The advantages of CNB and VAB include the ability to distinguish in situ and invasive disease pre-operatively, and the ability to achieve prior knowledge of immunohistochemical tumour markers particularly in the setting of neoadjuvant drug treatments. Conclusion Due to its ability to obtain larger tissue samples, VAB does have diagnostic advantages over CNB and indications for the utilization of VAB are discussed. VAB additionally has an expanding role as a tool for breast lesion excision.

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“…The pre-contrast sequence should be reviewed to verify the approximate location of the lesion and the quality of fat saturation, the grid and the fiducial marker. Although some coils have standard locations where the fiducial is placed, put the fiducial in a grid square that is relatively close to the approximate location of the lesion but unlikely to be the exact entry location is recommended [40]. And it is important that the imaging protocol should minimize image acquisition time while maintaining lesion visualization, because there is a short period following the administration of the intravenous contrast during which the area of interest can be visualized [41,42].…”

Section: Lesion Identification and Targetingmentioning

confidence: 99%

Recent Progress for the Techniques of MRI-Guided Breast Interventions and their applications on Surgical Strategy

Gao¹,

Kong²,

Song³

et al. 2020

J. Cancer

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With a high sensitivity of breast lesions, MRI can detect suspicious lesions which are occult in traditional breast examination equipment. However, the lower and variable specificity of MRI makes the MRI-guided intervention, including biopsies and localizations, necessary before surgery, especially for patients who need the treatment of breast-conserving surgery (BCS). MRI techniques and patient preparation should be first carefully considered before the intervention to avoid lengthening the procedure time and compromising targeting accuracy. Doctors and radiologists need to reconfirm the target of the lesion and be very familiar with the process approach and equipment techniques involving the computer-aided diagnosis (CAD) tools and the biopsy system and follow a correct way. The basic steps of MRI-guided biopsy and localization are nearly the same regardless of the vendor or platform, and this article systematically introduces detailed methods and techniques of MRI-guided intervention. The two interventions both face different challenging situations during procedures with solutions given in the article. Post-operative statistics show that the complications of MRI-guided intervention are infrequent and mild, and MRI-guided biopsy provides the pathological information for the subsequent surgical decisions and MRI-guided localization fully prepared for follow-up surgical biopsy. New techniques for MRI-guided intervention are also elaborated in the article, which leads to future development. In a word, MRI-guided intervention is a safe, accurate, and effective technique with a low complication rate and successful MRI-guided intervention is truly teamwork with efforts from patients to surgeons, radiologists, MRI technologists, and nurses.

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Vacuum-assisted breast biopsies (VAB) carried out on an open 1.0 T MR imager: Influence of patient and target characteristics on the procedural and clinical results

Cited by 6 publications

References 26 publications

Clinical Application and Feasibility of MRI-Guided Breast Biopsy of Breast Minimal Lesions in Chinese Population

Clinical Application and Feasibility of MRI-Guided Breast Biopsy of Breast Minimal Lesions in Chinese Population

The Evolving Role of Vacuum Assisted Biopsy of the Breast: A Progression from Fine‐Needle Aspiration Biopsy

Recent Progress for the Techniques of MRI-Guided Breast Interventions and their applications on Surgical Strategy

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