Magnetic resonance-guided biopsy of suspicious breast lesions with a handheld vacuum biopsy device
| Autor: | Peter M. Schlag, Wolfgang Schneider, R. Felix, K. T. Moesta, M. Bostanjoglo, Bernhard Gebauer |
|---|---|
| Rok vydání: | 2006 |
| Předmět: |
Adult
Breast biopsy medicine.medical_specialty Vacuum Breast Neoplasms Breast cancer Biopsy medicine Humans Mammography Radiology Nuclear Medicine and imaging skin and connective tissue diseases Breast ultrasound Aged Retrospective Studies Radiological and Ultrasound Technology medicine.diagnostic_test business.industry Biopsy Needle Cancer Magnetic resonance imaging Equipment Design General Medicine Middle Aged Ductal carcinoma medicine.disease Magnetic Resonance Imaging Radiology business |
| Zdroj: | Acta Radiologica. 47:907-913 |
| ISSN: | 1600-0455 0284-1851 |
| Popis: | Purpose: To evaluate a handheld vacuum-assisted device system for magnetic resonance image (MRI)-guided breast lesion biopsy. Material and Methods: In 32 patients, a total of 42 suspicious breast lesions (mean diameter 7.5 mm for mass lesions, 11.6 mm for non-masslike diffuse lesions) seen with MRI (no suspicious changes in breast ultrasound or mammography) were biopsied (27 lateral, 15 medial) using a 10G vacuum-assisted breast biopsy device under MR guidance. Histology of biopsy specimens was compared with final histology after surgery or follow-up in benign lesions. Results: In all biopsies, technical success was achieved. Histology revealed 11 lesions with ductal carcinoma in situ (DCIS) or invasive cancer, three with intermediate lesions (LCIS) and 28 with benign breast lesions (adenosis, infected hematoma). In one patient with discordant results of MRI and histology, surgical excision revealed medullary cancer. In the follow-up (mean 18 months) of the histological benign lesions, no breast cancer development was observed. Besides minor complications (hematoma, n = 6), with no further therapeutic interventions, no complications occurred. Conclusion: MRI-guided breast lesion biopsy using a handheld vacuum-assisted device is a safe and effective method for the work-up of suspicious lesions seen with breast MRI without changes in mammography or ultrasound. In the case of discordant histology of vacuum biopsy and breast MRI appearance, surgical excision is recommended. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|