AJR Join ARRS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Rebner, M.
Right arrow Articles by Gregory, N.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Rebner, M.
Right arrow Articles by Gregory, N.
Social Bookmarking
Add to CiteULike   Add to Complore   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati  
What's this?

American Journal of Roentgenology, Vol 173, 221-226, Copyright © 1999 by American Roentgen Ray Society

ARTICLES

Initial experience with the advanced breast biopsy instrumentation device

M Rebner, R Chesbrough and N Gregory
William Beaumont Hospital, Royal Oak, MI 48073, USA.

OBJECTIVE: The Advanced Breast Biopsy Instrumentation (ABBI) device (United States Surgical; Norwalk, CT) is designed to percutaneously excise nonpalpable breast lesions. Because this is a new technique, we report our initial experience with regard to technical success, complications, and histologic margins for malignancies. SUBJECTS AND METHODS: From May 14, 1997, until March 4, 1998, 89 consecutive patients elected to undergo the ABBI procedure. Preprocedure imaging included screening mammography and additional mammographic and sonographic studies when deemed necessary. Lesions were targeted by the surgeons. Specimen radiography was performed for all lesions, and the images were interpreted by radiologists. Pathologic analysis was provided or reviewed by a dedicated breast pathologist. Parameters analyzed included technical success, complications, lesion size, histologic diagnosis, and margin status for malignant lesions. RESULTS: There were 29 patients with 30 noncalcified masses, 53 patients with clustered calcifications, three patients with masses and calcifications, three patients with asymmetric densities, and one patient with architectural distortion. Eighteen ABBI procedures were aborted, converted to core biopsy, or failed to remove the targeted lesion. Fifteen patients experienced a total of 19 complications; 10 of the complications required treatment and follow-up after the biopsy. Of 11 malignant tumors revealed by ABBI, four had negative margins. Seven of these 11 malignant tumors had positive margins. CONCLUSION: The ABBI procedure had a high number of complications and technical failures and did not reliably provide cancer-free margins for malignant tumors. Women with nonpalpable breast lesions that need a tissue diagnosis are better treated by stereotactic or sonographically guided needle biopsy.
Add to CiteULike CiteULike   Add to Complore Complore   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati    What's this?


This article has been cited by other articles:


Home page
 Ann. Surg. Oncol.Home page
V. Doridot, M. Meunier, C. E. Khoury, C. Nos, A. Vincent-Salomon, B. Sigal-Zafrani, and K. B. Clough
Stereotactic Radioguided Surgery by SiteSelect for Subclinical Mammographic Lesions
Ann. Surg. Oncol., February 1, 2005; 12(2): 181 - 188.
[Abstract] [Full Text] [PDF]

Home page
 RadiologyHome page
D. E. March, B. F. Coughlin, R. B. Barham, R. A. Goulart, S. V. Klein, M. E. Bur, J. L. Frank, and G. Makari-Judson
Breast Masses: Removal of All US Evidence during Biopsy by Using a Handheld Vacuum-assisted Device--Initial Experience
Radiology, May 1, 2003; 227(2): 549 - 555.
[Abstract] [Full Text] [PDF]

Home page
 Am. J. Roentgenol.Home page
R. L. Smathers
Advanced Breast Biopsy Instrumentation Device: Percentages of Lesion and Surrounding Tissue Removed
Am. J. Roentgenol., September 1, 2000; 175(3): 801 - 803.
[Abstract] [Full Text] [PDF]

Home page
 Am. J. Roentgenol.Home page
C. Kuni, M. Rebner, R. Chesbrough, and N. Gregory
Advanced Breast Biopsy Instrumentation Results
Am. J. Roentgenol., February 1, 2000; 174(2): 570 - 570.
[Full Text]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 1999 by the American Roentgen Ray Society.