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Tomosynthesis-guided vacuum-assisted breast biopsy: A feasibility study.
Waldherr, Christian; Berclaz, Gilles; Altermatt, Hans Jörg; Cerny, Peter; Keller, Patrik; Dietz, Uwe; Buser, Katharina; Ciriolo, Michele; Sonnenschein, Martin Josef.
Afiliación
  • Waldherr C; Breast Centre Bern (Brustzentrum Bern), Division of Radiology & Nuclear Medicine, Klinik Engeried, Lindenhofgruppe, Riedweg 15, 3012 Bern, Bern, Switzerland. christian.waldherr@lindenhofgruppe.ch.
  • Berclaz G; Breast Centre Bern (Brustzentrum Bern), Division of Gynaecology & Surgical Oncology, Klinik Engeried, Lindenhofgruppe, Bern, Switzerland.
  • Altermatt HJ; Institute of Pathology Länggasse, Division of Histopathology, Bern, Switzerland.
  • Cerny P; Breast Centre Bern (Brustzentrum Bern), Division of Radiology & Nuclear Medicine, Klinik Engeried, Lindenhofgruppe, Riedweg 15, 3012 Bern, Bern, Switzerland.
  • Keller P; Breast Centre Bern (Brustzentrum Bern), Division of Radiology & Nuclear Medicine, Klinik Engeried, Lindenhofgruppe, Riedweg 15, 3012 Bern, Bern, Switzerland.
  • Dietz U; Breast Centre Bern (Brustzentrum Bern), Division of Gynaecology & Surgical Oncology, Klinik Engeried, Lindenhofgruppe, Bern, Switzerland.
  • Buser K; Breast Centre Bern (Brustzentrum Bern), Division of Oncology (Oncocare), Klinik Engeried, Lindenhofgruppe, Bern, Switzerland.
  • Ciriolo M; Breast Centre Bern (Brustzentrum Bern), Division of Oncology (Oncocare), Klinik Engeried, Lindenhofgruppe, Bern, Switzerland.
  • Sonnenschein MJ; Breast Centre Bern (Brustzentrum Bern), Division of Radiology & Nuclear Medicine, Klinik Engeried, Lindenhofgruppe, Riedweg 15, 3012 Bern, Bern, Switzerland.
Eur Radiol ; 26(6): 1582-9, 2016 Jun.
Article en En | MEDLINE | ID: mdl-26385802
PURPOSE: Evaluation of feasibility and clinical performance of a tomosynthesis-guided vacuum-assisted breast biopsy (TVAB) system compared to Stereotaxy (SVAB). MATERIALS AND METHODS: All biopsies were performed on consecutive patients: 148 TVAB biopsies and 86 biopsies on different patients using SVAB. Evaluation criteria for each biopsy were technical feasibility, histopathology, procedure time, and complications. RESULTS: All 148 TVAB biopsies were technically successful, and gained the targeted groups of microcalcifications (100 %). In 1 of 86 SVAB procedures, it was not possible to gain the targeted microcalcifications (1 %), in 3 of 86 the needle had to be adjusted (4 %). All TVAB biopsies were performed without clinically relevant complications. Distortions were biopsied exclusively by TVAB, mean size 0.9 cm, p < 0.0001. Of the 24 distortions, 13 were cancer, 11 Radial Scars/ CSL. The mean procedure time for TVAB was 15.4 minutes (range 7-28 min), for SVAB 23 minutes (range 11-46 min), p < 0.0001. CONCLUSIONS: TVAB is able to biopsy small architectural distortions with high accuracy. TVAB is easily feasible and appears to have the same degree of clinical performance for diagnosing microcalcifications. The increased number of biopsied distortions by TVAB is presumably due to increased use of tomosynthesis and its diagnostic potential. KEY POINTS: • TVAB is easily feasible. • TVAB is able to target architectural distortions with high accuracy. • TVAB diagnoses microcalcifications with the same clinical performance as SVAB.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Vacio / Neoplasias de la Mama / Calcinosis / Fibroadenoma / Carcinoma Lobular / Carcinoma Ductal de Mama / Carcinoma Intraductal no Infiltrante / Enfermedad Fibroquística de la Mama Límite: Adult / Aged / Aged80 / Female / Humans / Middle aged Idioma: En Revista: Eur Radiol Asunto de la revista: RADIOLOGIA Año: 2016 Tipo del documento: Article País de afiliación: Suiza Pais de publicación: Alemania
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Vacio / Neoplasias de la Mama / Calcinosis / Fibroadenoma / Carcinoma Lobular / Carcinoma Ductal de Mama / Carcinoma Intraductal no Infiltrante / Enfermedad Fibroquística de la Mama Límite: Adult / Aged / Aged80 / Female / Humans / Middle aged Idioma: En Revista: Eur Radiol Asunto de la revista: RADIOLOGIA Año: 2016 Tipo del documento: Article País de afiliación: Suiza Pais de publicación: Alemania