| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
Original Research |
Department of Radiology, Memorial Sloan-Kettering Cancer Center, 1275 York Ave., New York, NY 10021.
OBJECTIVE. The objective of this study was to evaluate our initial clinical experience with MRI-guided vacuum-assisted breast biopsy as an alternative to surgical excision.
MATERIALS AND METHODS. A retrospective review revealed 112 consecutive nonpalpable, mammographically occult MRI-detected breast lesions scheduled for MRI-guided vacuum-assisted biopsy. Biopsy was performed with a 9-gauge vacuum-assisted biopsy probe (Suros Surgical Systems) followed by clip placement (Artemis Medical). Medical records and histologic findings were reviewed.
RESULTS. Among 112 lesions, biopsy was cancelled because of nonvisualization of the lesion in 14 (12%). Of the remaining 98 lesions, tissue was successfully acquired in 95 (97%). The median number of specimens obtained was 12 (range, 6-20). The median time to perform MRI-guided biopsy was 33 min for one lesion and 56 min for two lesions. Histology in 95 lesions was benign and concordant in 52 (55%), cancer in 24 (25%), high-risk in 10 (11%), and discordant in nine (9%). MRI-guided biopsy histologies in 24 cancers were ductal carcinoma in situ in 13 (54%) and infiltrating carcinoma in 11 (46%). Seven additional cancers were found at surgery in four discordant lesions and in three high-risk lesions. The clip successfully deployed in 86 (95%) of 91 lesions. Six complications (three hematomas, two instances in which the biopsy probe pierced the skin on the far side of the breast, and one vasovagal reaction) resolved without sequelae.
CONCLUSION. MRI-guided vacuum-assisted biopsy is a fast and safe alternative to surgical biopsy for MRI-detected breast lesions. Imaging-histologic correlation is necessary to ensure lesion sampling.
CiteULike 
Complore 
Connotea 
Del.icio.us 
Digg 
Reddit 
Technorati What's this?
This article has been cited by other articles:
|
|
 |
|
  S. Nakano, M. Yoshida, K. Fujii, K. Yorozuya, Y. Mouri, J. Kousaka, T. Fukutomi, J. Kimura, T. Ishiguchi, K. Ohno, et al. Fusion of MRI and Sonography Image for Breast Cancer Evaluation Using Real-time Virtual Sonography with Magnetic Navigation: First Experience Jpn. J. Clin. Oncol., September 1, 2009; 39(9): 552 - 559. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. Li, D. D. Dershaw, C. H. Lee, J. Kaplan, and E. A. Morris MRI Follow-Up After Concordant, Histologically Benign Diagnosis of Breast Lesions Sampled by MRI-Guided Biopsy Am. J. Roentgenol., September 1, 2009; 193(3): 850 - 855. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
B.-K. Han, M. D. Schnall, S. G. Orel, and M. Rosen Outcome of MRI-Guided Breast Biopsy Am. J. Roentgenol., December 1, 2008; 191(6): 1798 - 1804. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J.-M. Lee, J. B. Kaplan, M. P. Murray, and L. Liberman Complete Excision of the MRI Target Lesion at MRI-Guided Vacuum-Assisted Biopsy of Breast Cancer Am. J. Roentgenol., October 1, 2008; 191(4): 1198 - 1202. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
P. A. Causer, C. A. Piron, R. A. Jong, and D. B. Plewes Preliminary In Vivo Validation of a Dedicated Breast MRI and Sonographic Coregistration Imaging System Am. J. Roentgenol., October 1, 2008; 191(4): 1203 - 1207. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A. Gossmann, C. Bangard, M. Warm, R. K. Schmutzler, P. Mallmann, and K.-J. Lackner Real-time MR-guided Wire Localization of Breast Lesions by Using an Open 1.0-T Imager: Initial Experience Radiology, May 1, 2008; 247(2): 535 - 542. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
F. Zagouri, T. N. Sergentanis, and G. C. Zografos Lesions Too Close to the Chest Wall: A Relative Contraindication for Vacuum-Assisted Breast Biopsy Am. J. Roentgenol., April 1, 2008; 190(4): W270 - W270. [Full Text] [PDF]
|
|
|
|
|
|
L. Bartella, S. B. Thakur, E. A. Morris, D. D. Dershaw, W. Huang, E. Chough, M. C. Cruz, and L. Liberman Enhancing Nonmass Lesions in the Breast: Evaluation with Proton (1H) MR Spectroscopy Radiology, October 1, 2007; 245(1): 80 - 87. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J.-M. Lee, J. B. Kaplan, M. P. Murray, L. Bartella, E. A. Morris, S. Joo, D. D. Dershaw, and L. Liberman Imaging Histologic Discordance at MRI-Guided 9-Gauge Vacuum-Assisted Breast Biopsy Am. J. Roentgenol., October 1, 2007; 189(4): 852 - 859. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 P. A. Causer, R. A. Jong, E. Warner, K. Hill, J. W. Wong, B. N. Curpen, and D. B. Plewes Breast Cancers Detected with Imaging Screening in the BRCA Population: Emphasis on MR Imaging with Histopathologic Correlation RadioGraphics, October 1, 2007; 27(suppl_1): S165 - S182. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J.-m. Lee, J. B. Kaplan, M. P. Murray, M. Mazur-Grbec, T. Tadic, D. Stimac, and L. Liberman Underestimation of DCIS at MRI-Guided Vacuum-Assisted Breast Biopsy Am. J. Roentgenol., August 1, 2007; 189(2): 468 - 474. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. Kuhl The Current Status of Breast MR Imaging * Part I. Choice of Technique, Image Interpretation, Diagnostic Accuracy, and Transfer to Clinical Practice Radiology, August 1, 2007; 244(2): 356 - 378. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
L. Liberman, A. E. Holland, D. Marjan, M. P. Murray, L. Bartella, E. A. Morris, D. D. Dershaw, and R. T. Wynn Underestimation of Atypical Ductal Hyperplasia at MRI-Guided 9-Gauge Vacuum-Assisted Breast Biopsy Am. J. Roentgenol., March 1, 2007; 188(3): 684 - 690. [Abstract] [Full Text] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
