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Long-term outcome of 9G MRI-guided vacuum-assisted breast biopsy: results of 293 single-center procedures and underestimation rate of high-risk lesions over 12 years.
Rescinito, Giuseppe; Brunetti, Nicole; Garlaschi, Alessandro; Tosto, Simona; Gristina, Licia; Conti, Benedetta; Pieroni, Diletta; Calabrese, Massimo; Tagliafico, Alberto Stefano.
Afiliación
  • Rescinito G; Department of Radiology, IRCCS - Ospedale Policlinico San Martino, Largo Rosanna Benzi 10, 16132, Genoa, Italy.
  • Brunetti N; Department of Radiology, IRCCS - Ospedale Policlinico San Martino, Largo Rosanna Benzi 10, 16132, Genoa, Italy. nicole.brunetti@hsanmartino.it.
  • Garlaschi A; Department of Experimental Medicine (DIMES), University of Genova, Via L.B. Alberti 2, 16132, Genoa, Italy. nicole.brunetti@hsanmartino.it.
  • Tosto S; Department of Radiology, IRCCS - Ospedale Policlinico San Martino, Largo Rosanna Benzi 10, 16132, Genoa, Italy.
  • Gristina L; Department of Radiology, IRCCS - Ospedale Policlinico San Martino, Largo Rosanna Benzi 10, 16132, Genoa, Italy.
  • Conti B; Department of Radiology, IRCCS - Ospedale Policlinico San Martino, Largo Rosanna Benzi 10, 16132, Genoa, Italy.
  • Pieroni D; Radiology Section, Department of Health Sciences (DISSAL), University of Genova, Via L.B. Alberti 2, 16132, Genoa, Italy.
  • Calabrese M; Radiology Section, Department of Health Sciences (DISSAL), University of Genova, Via L.B. Alberti 2, 16132, Genoa, Italy.
  • Tagliafico AS; Department of Radiology, IRCCS - Ospedale Policlinico San Martino, Largo Rosanna Benzi 10, 16132, Genoa, Italy.
Radiol Med ; 129(5): 767-775, 2024 May.
Article en En | MEDLINE | ID: mdl-38512628
ABSTRACT

PURPOSE:

Breast magnetic resonance imaging (MRI) can detect some malignant lesions that are not visible on mammography (MX) or ultrasound (US). If a targeted, second-look fails, MRI-guided breast biopsy is the only available tool to obtain a tissue sample and pathological proof of these "MRI-only lesions". The aim of this study is to report the performance and underestimation rate of 9G MRI-guided vacuum-assisted breast biopsy (VABB) over 12 years at a single center. MATERIAL AND

METHODS:

All 9G MRI-VABB procedures performed from January 2010 to December 2021 were retrospectively reviewed. Two MRI scanners (1.5 T and 3 T) were used with the same image resolution and contrast media. All suspicious lesions detected only by breast MRI underwent biopsy. Reference standard was histological diagnosis or at least 1-year negative follow-up. All malignant and atypical lesions underwent surgery, which was used as the reference standard.

RESULTS:

A total of 293 biopsies were retrospectively reviewed. Histopathological VABB results revealed 142/293 (48.4%) benign lesions, 77/293 (26.2%) high-risk lesions, and 74/293 (25.2%) malignant lesions. No significant complications were observed. Surgical pathology results allowed for the reclassification of n = 7/48 B3b lesions n = 4 were ductal carcinoma in situ, while n = 3 presented invasive features at surgical histology (2 IDC; 1 ILC). B3b underestimation occurred overall in 14.6% of B3 cases. Breast follow-up was achieved for all benign VABB results, and only one false-negative case was observed.

CONCLUSION:

Our results confirm that 1.5 T and 3 T MRI-guided VABB is an accurate and safe procedure for histopathologic final diagnosis of MRI-only lesions. Critical issues remain the potential high-risk underestimation rate of B3b VABB results and management of follow-up of benign lesions.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias de la Mama / Biopsia Guiada por Imagen Límite: Adult / Aged / Aged80 / Female / Humans / Middle aged Idioma: En Revista: Radiol Med Año: 2024 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Italia
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias de la Mama / Biopsia Guiada por Imagen Límite: Adult / Aged / Aged80 / Female / Humans / Middle aged Idioma: En Revista: Radiol Med Año: 2024 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Italia