MR-guided stereotactic breast biopsy using a mixed ferromagnetic-nonmagnetic coaxial system with 12-to 18-gauge needles: clinical experience and long-term outcome

被引:0
作者
Belloni, Elena [1 ]
Panizza, Pietro [2 ]
Ravelli, Silvia [3 ]
De Cobelli, Francesco [3 ]
Gusmini, Simone [3 ]
Losio, Claudio [3 ]
Sassi, Isabella [4 ]
Perseghin, Gianluca [5 ]
Del Maschio, Alessandro [3 ]
机构
[1] Guglielmo da Saliceto Hosp, Dept Radiol, I-29100 Cantone Del Cristo, Piacenza, Italy
[2] Ist Tumori Fdn, Dept Radiol, Milan, Italy
[3] Univ Vita Salute San Raffaele, San Raffaele Sci Inst, Dept Radiol, Milan, Italy
[4] Univ Vita Salute San Raffaele, San Raffaele Sci Inst, Dept Pathol, Milan, Italy
[5] Univ Milan, Sport Nutr & Hlth Dept, Milan, Italy
来源
RADIOLOGIA MEDICA | 2013年 / 118卷 / 07期
关键词
Breast magnetic resonance; Breast lesion; Breast biopsy; Coaxial needle; Follow-up; INITIAL-EXPERIENCE; LESIONS; UNDERESTIMATION;
D O I
10.1007/s11547-013-0954-7
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
This study investigated the clinical application of a magnetic-resonance (MR)-guided breast biopsy (MRBB) system consisting of a nonmagnetic coaxial needle and a ferromagnetic core biopsy needle. MRBB was performed on 70 breast lesions. The biopsy device consisted of a nonmagnetic 14- to 16-gauge coaxial needle and a ferromagnetic 16- to 18-gauge biopsy needle. Of the 70 lesions, 29 were malignant and 41 nonmalignant. All 29 malignant lesions underwent surgery and were confirmed as malignant at final histology. Of the 41 nonmalignant lesions, 35 underwent follow-up breast MR imaging (mean, 26 +/- 19 months), which demonstrated no lesions changes; six lesions underwent surgery because of poor radiological-pathological correlation; of these 6 lesions, 3 were nonmalignant, one was borderline (lobular carcinoma in situ) and two were malignant (well-differentiated tubular carcinoma and infiltrating ductal carcinoma). Sensitivity, specificity, positive and negative predictive values and diagnostic accuracy were, respectively, 93.5%, 100%, 100%, 95.1% and 97.1% if the lobular carcinoma in situ was considered a nonmalignant histological result, and 90.6%, 100%, 100%, 92.7% and 95.7% if the lobular carcinoma in situ was considered malignant. MRBB with a ferromagnetic-nonmagnetic coaxial system represented an easy way to perform a biopsy procedure and was easily applicable in the routine clinical setting.
引用
收藏
页码:1137 / 1148
页数:12
相关论文
共 20 条
  • [11] Fast MRI-guided vacuum-assisted breast biopsy: Initial experience
    Liberman, L
    Morris, EA
    Dershaw, DD
    Thornton, CM
    Van Zee, KJ
    Tan, LK
    [J]. AMERICAN JOURNAL OF ROENTGENOLOGY, 2003, 181 (05) : 1283 - 1293
  • [12] Underestimation of atypical ductal hyperplasia at MRI-guided 9-gauge vacuum-assisted breast biopsy
    Liberman, Laura
    Holland, Agnes E.
    Marjan, Domagoj
    Murray, Melissa P.
    Bartella, Lia
    Morris, Elizabeth A.
    Dershaw, D. David
    Wynn, Ralph T.
    [J]. AMERICAN JOURNAL OF ROENTGENOLOGY, 2007, 188 (03) : 684 - 690
  • [13] Luciani ML, 2011, RADIOL MED, V116, P886, DOI 10.1007/s11547-011-0630-8
  • [14] Vacuum-assisted biopsies under MR guidance: results of 72 procedures
    Malhaire, C.
    El Khoury, C.
    Thibault, F.
    Athanasiou, A.
    Petrow, P.
    Ollivier, L.
    Tardivon, A.
    [J]. EUROPEAN RADIOLOGY, 2010, 20 (07) : 1554 - 1562
  • [15] MR imaging-guided sonography followed by fine-needle aspiration cytology in occult carcinoma of the breast
    Obdeijn, IMA
    Brouwers-Kuyper, EMJ
    Tilanus-Linthorst, MAA
    Wiggers, T
    Oudkerk, M
    [J]. AMERICAN JOURNAL OF ROENTGENOLOGY, 2000, 174 (04) : 1079 - 1084
  • [16] MR imaging-guided 9-gauge vacuum-assisted core-needle breast biopsy: Initial experience
    Orel, SG
    Rosen, M
    Mies, C
    Schnall, MD
    [J]. RADIOLOGY, 2006, 238 (01) : 54 - 61
  • [17] Panizza Pietro, 2003, Radiol Med, V106, P232
  • [18] Magnetic resonance-guided, vacuum-assisted breast biopsy - Results from a European Multicenter Study of 538 lesions
    Perlet, C
    Heywang-Kobrunner, SH
    Heinig, A
    Sittek, H
    Casselman, J
    Anderson, I
    Taourel, P
    [J]. CANCER, 2006, 106 (05) : 982 - 990
  • [19] Frequency, Upgrade Rates, and Characteristics of High-Risk Lesions Initially Identified With Breast MRI
    Strigel, Roberta M.
    Eby, Peter R.
    DeMartini, Wendy B.
    Gutierrez, Robert L.
    Allison, Kimberly H.
    Peacock, Sue
    Lehman, Constance D.
    [J]. AMERICAN JOURNAL OF ROENTGENOLOGY, 2010, 195 (03) : 792 - 798
  • [20] MR-guided intervention in women with a family history of breast cancer
    Viehweg, P
    Bernerth, T
    Kiechle, M
    Buchmann, J
    Heinig, A
    Koelbl, H
    Laniado, M
    Heywang-Köbrunner, SH
    [J]. EUROPEAN JOURNAL OF RADIOLOGY, 2006, 57 (01) : 81 - 89