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Published in: European Radiology 1/2014

Open Access 01-01-2014 | Breast

MRI-guided vacuum-assisted breast biopsy: comparison with stereotactically guided and ultrasound-guided techniques

Authors: Thomas Imschweiler, Harald Haueisen, Gert Kampmann, Luzi Rageth, Burkhardt Seifert, Christoph Rageth, Bianka Freiwald, Rahel A. Kubik-Huch

Published in: European Radiology | Issue 1/2014

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Abstract

Objectives

To analyse the development of MRI-guided vacuum-assisted biopsy (VAB) in Switzerland and to compare the procedure with stereotactically guided and ultrasound-guided VAB.

Methods

We performed a retrospective analysis of VABs between 2009 and 2011. A total of 9,113 VABs were performed. Of these, 557 were MRI guided.

Results

MRI-guided VAB showed the highest growth rate (97 %) of all three procedures. The technical success rates for MRI-guided, stereotactically guided and ultrasound-guided VAB were 98.4 % (548/557), 99.1 % (5,904/5,960) and 99.6 % (2,585/2,596), respectively. There were no significant differences (P = 0.12) between the MRI-guided and the stereotactically guided procedures. The technical success rate for ultrasound-guided VAB was significantly higher than that for MRI-guided VAB (P < 0.001). There were no complications using MRI-guided VAB requiring open surgery. The malignancy diagnosis rate for MRI-guided VAB was similar to that for stereotactically guided VAB (P = 0.35).

Conclusion

MRI-guided VAB is a safe and accurate procedure that provides insight into clinical breast findings.

Key points

• Three vacuum-assisted breast biopsy (VAB) procedures were compared.
• Technical success rates were high for all three VAB procedures.
• Medical complications were relatively low using all three VAB procedures.
• The use of MRI-guided vacuum-assisted breast biopsy is growing.
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Metadata
Title
MRI-guided vacuum-assisted breast biopsy: comparison with stereotactically guided and ultrasound-guided techniques
Authors
Thomas Imschweiler
Harald Haueisen
Gert Kampmann
Luzi Rageth
Burkhardt Seifert
Christoph Rageth
Bianka Freiwald
Rahel A. Kubik-Huch
Publication date
01-01-2014
Publisher
Springer Berlin Heidelberg
Published in
European Radiology / Issue 1/2014
Print ISSN: 0938-7994
Electronic ISSN: 1432-1084
DOI
https://doi.org/10.1007/s00330-013-2989-5

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