scholarly journals Comparison of Upright Digital Breast Tomosynthesis–guided versus Prone Stereotactic Vacuum-assisted Breast Biopsy

Radiology ◽  
2019 ◽  
Vol 290 (2) ◽  
pp. 298-304 ◽  
Author(s):  
Manisha Bahl ◽  
Mary Maunglay ◽  
Helen Anne D’Alessandro ◽  
Constance D. Lehman
Author(s):  
Kyoko Goda ◽  
Maki Tanaka ◽  
Miki Yamaguchi ◽  
Hiroko Otsuka ◽  
Shigeru Sakata ◽  
...  

2011 ◽  
Author(s):  
Laurence Vancamberg ◽  
Nausikaa Geeraert ◽  
Razvan Iordache ◽  
Giovanni Palma ◽  
Rémy Klausz ◽  
...  

Radiology ◽  
2015 ◽  
Vol 274 (3) ◽  
pp. 654-662 ◽  
Author(s):  
Simone Schrading ◽  
Martina Distelmaier ◽  
Timm Dirrichs ◽  
Sabine Detering ◽  
Liv Brolund ◽  
...  

2017 ◽  
Vol 14 (04) ◽  
pp. 214-220
Author(s):  
Rüdiger Schulz-Wendtland ◽  
P. Dankerl ◽  
M. Bani ◽  
P. Fasching ◽  
K. Heusinger ◽  
...  

Abstract Introduction The placement of intramammary marker clips has proven to be helpful for tumor localization in patients undergoing neoadjuvant chemotherapy and breast-conserving surgery. The purpose of our study was to investigate the feasibility of using a clip marker system for breast cancer localization and its influence on the imaging assessment of treatment responses after neoadjuvant chemotherapy. Patients and Methods Between March and June 2015, a total of 25 patients (n = 25), with a suspicion of invasive breast cancer with diameters of at least 2 cm (cT2), underwent preoperative sonographically guided core needle biopsy using a single-use breast biopsy system (HistoCore™) and intramammary clip marking using a directly adapted clip system based on the established O-Twist Marker™, before their scheduled preoperative neoadjuvant chemotherapy. Localization of the intramammary marker clip was controlled by sonography and digital breast tomosynthesis. Results Sonography detected no dislocation of intrammammary marker clips in 20 of 25 patients (80 %), while digital breast tomosynthesis showed accurate placement without dislocation in 24 patients (96 %) (p < 0.05). There was no evidence of significant clip migration during preoperative follow-up imaging after neoadjuvant chemotherapy. No complication related to the clip marking was noted and there was no difficulty in evaluating the treatment response to neoadjuvant chemotherapy. Among the breast-conserving surgeries performed, no cases were identified in which intraoperative loss of the marker clip had occurred. Conclusion Our study underscores the importance of intramammary marking clip systems before neoadjuvant chemotherapy. Placement of marker clips is advised to facilitate accurate tumor bed localization. With regard to digital breast tomosynthesis, its development continues to improve the quality of diagnostics and the therapy of breast cancer particularly for small breast cancer tumors or in neoadjuvant chemotherapy setting.


2015 ◽  
Vol 88 (1056) ◽  
pp. 20150593 ◽  
Author(s):  
Alberto Tagliafico ◽  
Licia Gristina ◽  
Bianca Bignotti ◽  
Francesca Valdora ◽  
Simona Tosto ◽  
...  

2019 ◽  
Vol 1 (1) ◽  
pp. 9-22 ◽  
Author(s):  
Reni Butler ◽  
Emily F Conant ◽  
Liane Philpotts

Abstract Digital breast tomosynthesis (DBT) is increasingly recognized as a superior breast imaging technology compared with 2D digital mammography (DM) alone. Accumulating data confirm increased sensitivity and specificity in the screening setting, resulting in higher cancer detection rates and lower abnormal interpretation (recall) rates. In the diagnostic environment, DBT simplifies the diagnostic work-up and improves diagnostic accuracy. Initial concern about increased radiation exposure resulting from the DBT acquisition added onto a 2D mammogram has been largely alleviated by the development of synthesized 2D mammography (SM). Continued research is underway to reduce artifacts associated with SM, and improve its comparability to DM. Breast cancers detected with DBT are most often small invasive carcinomas with a preponderance for grade 1 histology and luminal A molecular characteristics. Recent data suggest that higher-grade cancers are also more often node negative when detected with DBT. A meta-analysis of early single-institution studies of the effect of DBT on interval cancers has shown a modest decrease when multiple data sets are combined. Because of the greater conspicuity of lesions on DBT imaging, detection of subtle architectural distortion is increased. Such findings include both spiculated invasive carcinomas and benign etiologies such as radial scars. The diagnostic evaluation of architectural distortion seen only with DBT can pose a challenge. When no sonographic correlate can be identified, DBT-guided biopsy and/or localization capability is essential. Initial experience with DBT-guided procedures suggests that DBT biopsy equipment may improve the efficiency of percutaneous breast biopsy with less radiation.


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