Image-guided breast biopsy and localisation : recommendations for information to women and referring physicians by the European Society of Breast Imaging
(2020) In Insights into Imaging 11(1).- Abstract
We summarise here the information to be provided to women and referring physicians about percutaneous breast biopsy and lesion localisation under imaging guidance. After explaining why a preoperative diagnosis with a percutaneous biopsy is preferred to surgical biopsy, we illustrate the criteria used by radiologists for choosing the most appropriate combination of device type for sampling and imaging technique for guidance. Then, we describe the commonly used devices, from fine-needle sampling to tissue biopsy with larger needles, namely core needle biopsy and vacuum-assisted biopsy, and how mammography, digital breast tomosynthesis, ultrasound, or magnetic resonance imaging work for targeting the lesion for sampling or localisation.... (More)
We summarise here the information to be provided to women and referring physicians about percutaneous breast biopsy and lesion localisation under imaging guidance. After explaining why a preoperative diagnosis with a percutaneous biopsy is preferred to surgical biopsy, we illustrate the criteria used by radiologists for choosing the most appropriate combination of device type for sampling and imaging technique for guidance. Then, we describe the commonly used devices, from fine-needle sampling to tissue biopsy with larger needles, namely core needle biopsy and vacuum-assisted biopsy, and how mammography, digital breast tomosynthesis, ultrasound, or magnetic resonance imaging work for targeting the lesion for sampling or localisation. The differences among the techniques available for localisation (carbon marking, metallic wire, radiotracer injection, radioactive seed, and magnetic seed localisation) are illustrated. Type and rate of possible complications are described and the issue of concomitant antiplatelet or anticoagulant therapy is also addressed. The importance of pathological-radiological correlation is highlighted: when evaluating the results of any needle sampling, the radiologist must check the concordance between the cytology/pathology report of the sample and the radiological appearance of the biopsied lesion. We recommend that special attention is paid to a proper and tactful approach when communicating to the woman the need for tissue sampling as well as the possibility of cancer diagnosis, repeat tissue sampling, and or even surgery when tissue sampling shows a lesion with uncertain malignant potential (also referred to as “high-risk” or B3 lesions). Finally, seven frequently asked questions are answered.
(Less)
- author
- author collaboration
- organization
- publishing date
- 2020-02-05
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Breast, Breast lesion localisation, Core needle biopsy, Fine-needle sampling, Vacuum-assisted biopsy
- in
- Insights into Imaging
- volume
- 11
- issue
- 1
- article number
- 12
- publisher
- Springer
- external identifiers
-
- pmid:32025985
- scopus:85079157532
- ISSN
- 1869-4101
- DOI
- 10.1186/s13244-019-0803-x
- language
- English
- LU publication?
- yes
- id
- a076fefd-e03e-4386-b2b4-76bd1ea35ae9
- date added to LUP
- 2020-02-20 10:06:48
- date last changed
- 2024-04-17 04:10:43
@article{a076fefd-e03e-4386-b2b4-76bd1ea35ae9,
abstract = {{<p>We summarise here the information to be provided to women and referring physicians about percutaneous breast biopsy and lesion localisation under imaging guidance. After explaining why a preoperative diagnosis with a percutaneous biopsy is preferred to surgical biopsy, we illustrate the criteria used by radiologists for choosing the most appropriate combination of device type for sampling and imaging technique for guidance. Then, we describe the commonly used devices, from fine-needle sampling to tissue biopsy with larger needles, namely core needle biopsy and vacuum-assisted biopsy, and how mammography, digital breast tomosynthesis, ultrasound, or magnetic resonance imaging work for targeting the lesion for sampling or localisation. The differences among the techniques available for localisation (carbon marking, metallic wire, radiotracer injection, radioactive seed, and magnetic seed localisation) are illustrated. Type and rate of possible complications are described and the issue of concomitant antiplatelet or anticoagulant therapy is also addressed. The importance of pathological-radiological correlation is highlighted: when evaluating the results of any needle sampling, the radiologist must check the concordance between the cytology/pathology report of the sample and the radiological appearance of the biopsied lesion. We recommend that special attention is paid to a proper and tactful approach when communicating to the woman the need for tissue sampling as well as the possibility of cancer diagnosis, repeat tissue sampling, and or even surgery when tissue sampling shows a lesion with uncertain malignant potential (also referred to as “high-risk” or B3 lesions). Finally, seven frequently asked questions are answered.</p>}},
author = {{Bick, Ulrich and Trimboli, Rubina M. and Athanasiou, Alexandra and Balleyguier, Corinne and Baltzer, Pascal A.T. and Bernathova, Maria and Borbély, Krisztina and Brkljacic, Boris and Carbonaro, Luca A. and Clauser, Paola and Cassano, Enrico and Colin, Catherine and Esen, Gul and Evans, Andrew and Fallenberg, Eva M. and Fuchsjaeger, Michael H. and Gilbert, Fiona J. and Helbich, Thomas H. and Heywang-Köbrunner, Sylvia H. and Herranz, Michel and Kinkel, Karen and Kilburn-Toppin, Fleur and Kuhl, Christiane K. and Lesaru, Mihai and Lobbes, Marc B.I. and Mann, Ritse M. and Martincich, Laura and Panizza, Pietro and Pediconi, Federica and Pijnappel, Ruud M. and Pinker, Katja and Schiaffino, Simone and Sella, Tamar and Thomassin-Naggara, Isabelle and Tardivon, Anne and Ongeval, Chantal Van and Wallis, Matthew G. and Zackrisson, Sophia and Forrai, Gabor and Herrero, Julia Camps and Sardanelli, Francesco}},
issn = {{1869-4101}},
keywords = {{Breast; Breast lesion localisation; Core needle biopsy; Fine-needle sampling; Vacuum-assisted biopsy}},
language = {{eng}},
month = {{02}},
number = {{1}},
publisher = {{Springer}},
series = {{Insights into Imaging}},
title = {{Image-guided breast biopsy and localisation : recommendations for information to women and referring physicians by the European Society of Breast Imaging}},
url = {{http://dx.doi.org/10.1186/s13244-019-0803-x}},
doi = {{10.1186/s13244-019-0803-x}},
volume = {{11}},
year = {{2020}},
}