Clinical Experience with MRI-Guided Vacuum-Assisted Breast Biopsy
Constance D. Lehman1,2,
Elizabeth R. DePeri3,
Sue Peacock1,2,
Michelle D. McDonough3,
Wendy B. DeMartini1,2 and
Jennifer Shook1,2
1 Department of Radiology, University of Washington Medical Center, 1959 NE
Pacific, Seattle, WA 98195.
2 Breast Imaging, Seattle Cancer Care Alliance, 825 Eastlake Ave. E, G4-830,
Seattle, WA 98109-1023.
3 Mayo Clinic, 4500 San Pablo Rd., Jacksonville, FL 32224.
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Fig. 1. —Photograph shows breast coil (model OBC-63 Breast Array Coil,
MRI Devices) and components of the ATEC Breast Biopsy and Excision System
(Suros Surgical Systems), including compression plate and grid, needle guide,
and fiducial marker.
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Fig. 2. —Photograph shows single-use MRI-safe ATEC Introducer Set
(Suros Surgical Systems), which includes needle guide, introducer sheath,
introducer stylet, and localizing obturator.
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Fig. 3. —Photograph shows handpiece of ATEC vacuum-assisted biopsy
device (Suros Surgical Systems).
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Fig. 4. —Photograph shows ATEC (Suros Surgical Systems) coaxial
introducer sheath (short arrow) placed into breast through
localization grid. Vacuum-assisted biopsy device handpiece (long
arrow) is placed into introducer sheath to perform biopsy.
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Fig. 5A. —Sagittal T1-weighted images of 78-year-old woman with
recently diagnosed left breast infiltrating ductal carcinoma who presented
with suspicious enhancing mass in right breast. Image of right breast shows
localization grid as low-signal-intensity lines at skin surface and vitamin E
marker within grid (arrow).
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Fig. 5B. —Sagittal T1-weighted images of 78-year-old woman with
recently diagnosed left breast infiltrating ductal carcinoma who presented
with suspicious enhancing mass in right breast. Contrast-enhanced image of
right breast shows enhancing mass (arrow), which measures 6 mm, in
lower outer quadrant.
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Fig. 5C. —Sagittal T1-weighted images of 78-year-old woman with
recently diagnosed left breast infiltrating ductal carcinoma who presented
with suspicious enhancing mass in right breast. Contrast-enhanced image of
right breast shows obturator tip (arrow) within mass.
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Fig. 5D. —Sagittal T1-weighted images of 78-year-old woman with
recently diagnosed left breast infiltrating ductal carcinoma who presented
with suspicious enhancing mass in right breast. Contrast-enhanced image of
right breast shows clip artifact (arrow) within mass.
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Copyright © 2005 by the American Roentgen Ray Society.
