Stereotactic Biopsy of the Breast Using an Upright Unit, a Vacuum-Suction Needle, and a Lateral Arm-Support System
Dianne Georgian-Smith1,2,
Carl D'Orsi3,
Ellen Morris4,
Crandon F. Clark, Jr.5,
Ellen Liberty3 and
Constance D. Lehman1
1
Department of Radiology, University of Washington Medical Center, Box 375115,
1959 N. E. Pacific, Seattle, WA 98195.
2
Present address: Department of Radiology, Massachusetts General Hospital, Wang
ACC 219-Q, 15 Parkman St., Boston, MA 02114.
3
Department of Radiology, University of Massachusetts Memorial Medical Center,
Rm. 2144, 55 Lake Ave. N., Worcester, MA 01655.
4
Department of Radiology, South Shore Hospital, 55 Fogg Rd., South Weymouth, MA
02190.
5
Department of Radiology, Travis Air Force Base, CA 94535-1800.
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Fig. 1A. —Upright stereotactic unit with phantom. Photograph shows
lateral arm-support device (black arrow) and vacuum-suction needle
(open arrow) (Minimally Invasive Breast Biopsy; United States
Surgical, Norwalk, CT) suspended upside down. Needle entry (white
arrow) lies in x-axis parallel to image receptor and
perpendicular to X-ray beam.
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Fig. 1B. —Upright stereotactic unit with phantom. Photographs show that
lateral arm rotates around central point, allowing different approaches for
skin insertion.
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Fig. 1C. —Upright stereotactic unit with phantom. Photographs show that
lateral arm rotates around central point, allowing different approaches for
skin insertion.
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Fig. 2A. —49-year-old woman with solid round ill-defined mass that was
not visible on sonography. This patient underwent stereotactic core biopsy
with lateral arm-support device. Preliminary scout mammogram shows mass
(arrow) within confines of biopsy area.
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Fig. 2B. —49-year-old woman with solid round ill-defined mass that was
not visible on sonography. This patient underwent stereotactic core biopsy
with lateral arm-support device. Prefire mammographic stereo pair views.
Orientation of needle tip (short arrows) in relation to mass
(long arrows) is similar because X-ray beam is perpendicular to
needle path in both images.
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Fig. 2C. —49-year-old woman with solid round ill-defined mass that was
not visible on sonography. This patient underwent stereotactic core biopsy
with lateral arm-support device. Prefire mammographic stereo pair views.
Orientation of needle tip (short arrows) in relation to mass
(long arrows) is similar because X-ray beam is perpendicular to
needle path in both images.
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Fig. 2D. —49-year-old woman with solid round ill-defined mass that was
not visible on sonography. This patient underwent stereotactic core biopsy
with lateral arm-support device. Postfire stereo pair views. Mass (long
arrows) is at sampling notch (short arrows).
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Fig. 2E. —49-year-old woman with solid round ill-defined mass that was
not visible on sonography. This patient underwent stereotactic core biopsy
with lateral arm-support device. Postfire stereo pair views. Mass (long
arrows) is at sampling notch (short arrows).
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Fig. 2F. —49-year-old woman with solid round ill-defined mass that was
not visible on sonography. This patient underwent stereotactic core biopsy
with lateral arm-support device. Mammogram obtained after sampling shows
biopsy cavity (short arrows) at mass (long arrows). Mass is
now smaller. Pathology revealed infiltrating ductal carcinoma (not shown).
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Fig. 3A. —63-year-old woman with cluster of pleomorphic calcifications
who underwent stereotactic core biopsy with lateral arm-support device.
Preliminary scout mammogram shows calcifications (arrow) in center of
biopsy area.
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Fig. 3B. —63-year-old woman with cluster of pleomorphic calcifications
who underwent stereotactic core biopsy with lateral arm-support device.
Prefire mammographic stereo pair views show calcification (long
arrows) and needle tip (short arrows) relationship.
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Fig. 3C. —63-year-old woman with cluster of pleomorphic calcifications
who underwent stereotactic core biopsy with lateral arm-support device.
Prefire mammographic stereo pair views show calcification (long
arrows) and needle tip (short arrows) relationship.
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Fig. 3D. —63-year-old woman with cluster of pleomorphic calcifications
who underwent stereotactic core biopsy with lateral arm-support device.
Postfire mammographic stereo pair views show calcifications (long
arrows) within sampling notch (short arrows).
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Fig. 3E. —63-year-old woman with cluster of pleomorphic calcifications
who underwent stereotactic core biopsy with lateral arm-support device.
Postfire mammographic stereo pair views show calcifications (long
arrows) within sampling notch (short arrows).
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Fig. 3F. —63-year-old woman with cluster of pleomorphic calcifications
who underwent stereotactic core biopsy with lateral arm-support device.
Mammogram obtained after sampling shows that calcifications have been
completely removed and replaced by marking clip (long arrow) at edge
of biopsy cavity (short arrows). Pathology revealed ductal carcinoma
in situ (not shown).
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Copyright © 2002 by the American Roentgen Ray Society.
