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MRI-Guided Vacuum-Assisted Breast Biopsy with a Handheld Portable Biopsy System

Sujata V. Ghate1, Eric L. Rosen2, Mary Scott C. Soo1 and Jay A. Baker1

1 Department of Radiology, Breast Imaging, Duke University Medical Center, Box 3808, Duke South Hospital, Durham, NC 27710.
2 University of Washington Seattle Cancer Care Alliance, Seattle, WA.


Figure 1
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  		Fig. 1 —Photograph shows vacuum-assisted biopsy system with 10-gauge biopsy needle attached to integrated vacuum syringe contained within handheld housing unit. (Courtesy of Bard Biopsy Systems, Tempe, Arizona)

 

Figure 2
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  		Fig. 2A —37-year-old woman with history of right breast lumpectomy for invasive ductal carcinoma. Suspicious spiculated mass was found at MRI examination. Sagittal T1-weighted contrast-enhanced image shows irregular, rapidly enhancing mass (arrow).

 

Figure 3
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  		Fig. 2B —37-year-old woman with history of right breast lumpectomy for invasive ductal carcinoma. Suspicious spiculated mass was found at MRI examination. Axial T1-weighted contrast-enhanced image shows needle tip positioned just lateral to irregular mass (arrow). Patient is prone and only small portion of breast was scanned to visualize needle and lesion in central and slightly lateral breast. Thus, nipple and axilla are not included on margins of film.

 

Figure 4
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  		Fig. 2C —37-year-old woman with history of right breast lumpectomy for invasive ductal carcinoma. Suspicious spiculated mass was found at MRI examination. Postprocedure sagittal T1-weighted contrast-enhanced image shows air at biopsy site with partial removal of lesion (arrow) and biopsy marker clip in place. Pathologic findings confirmed invasive ductal carcinoma.

 

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