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Accuracy of a Collagen-Plug Biopsy Site Marking Device Deployed After Stereotactic Core Needle Breast Biopsy

Eric L. Rosen1, Jay A. Baker and Mary Scott Soo

1 All authors: Department of Radiology, Breast Imaging Division, Duke University Medical Center, Box 3808, Durham, NC 27710.



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Fig. 1A. MammoMark (Artemis Medical, Hayward, CA) biopsy site identifier. Close-up photograph shows introducer of biopsy site marking device contains collagen plug, which is introduced through biopsy probe and deployed by depressing plunger.

 


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Fig. 1B. MammoMark (Artemis Medical, Hayward, CA) biopsy site identifier. Close-up photograph shows introducer sheath ramp that directs collagen plug into biopsy cavity on deployment.

 


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Fig. 1C. MammoMark (Artemis Medical, Hayward, CA) biopsy site identifier. Close-up photograph shows collagen plug (dry). Collagen plug expands when wet.

 


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Fig. 2. Close-up mammographic image of deployed marker shows collagen plug filling biopsy cavity and centrally embedded titanium clip.

 


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Fig. 3A. Displacement of marker as result of "accordion effect" in woman with small irregular mass. Mammogram obtained before biopsy shows small irregular mass (arrow).

 


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Fig. 3B. Displacement of marker as result of "accordion effect" in woman with small irregular mass. Mammogram obtained after biopsy shows air and hematoma (arrows) at biopsy site with metallic marker clip displaced away from biopsy site.

 


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Fig. 4A. 54-year-old woman with new solid mass in inferior right breast. Stereotactic biopsy was performed from inferior approach. Close-up of craniocaudal (A) and mediolateral (B) mammograms before biopsy shows solid mass (arrow) in inferior right breast.

 


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Fig. 4B. 54-year-old woman with new solid mass in inferior right breast. Stereotactic biopsy was performed from inferior approach. Close-up of craniocaudal (A) and mediolateral (B) mammograms before biopsy shows solid mass (arrow) in inferior right breast.

 


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Fig. 4C. 54-year-old woman with new solid mass in inferior right breast. Stereotactic biopsy was performed from inferior approach. Close-up of craniocaudal mammogram after biopsy shows that mass was removed and that positioning of marking device in x- and y-axes is accurate.

 


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Fig. 4D. 54-year-old woman with new solid mass in inferior right breast. Stereotactic biopsy was performed from inferior approach. Close-up of mediolateral mammogram after biopsy shows accurate positioning of marking device without measurable displacement in z-axis.

 

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