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Breast Cancer
Published in: Breast Cancer 1/2012

01-01-2012 | Original Article

Clip placement after an 11-gauge vacuum-assisted stereotactic breast biopsy: correlation between breast thickness and clip movement

Authors: Takayoshi Uematsu, Masako Kasami, Kaoru Takahashi, Junichiro Watanabe, Seiji Yamasaki, Kumiko Tanaka, Yukiko Tadokoro, Akiko Ogiya

Published in: Breast Cancer | Issue 1/2012

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Abstract

Purpose

To retrospectively evaluate the accuracy of clip placement on the basis of measurements obtained on pre- and post-vacuum-assisted 11-gauge stereotactic biopsy mammograms and to analyze the factors that can predict which patients will experience a significant movement of the clip.

Materials and methods

The pre- and post-vacuum-assisted 11-guage stereotactic biopsy mammographic findings in 204 cases undergoing clip placement were reviewed. The clip-to-lesion distance was measured. The correlations between the clinical-mammographic findings and the likelihood of clip movement were evaluated.

Results

Target mammographic lesion types of the 204 cases were characterized as calcification in all but one case, which was a distortion lesion. The clip-to-lesion distance was within 5 mm on both the craniocaudal and mediolateral oblique projections in 119 (58%) cases, within 6–10 mm in 28 (14%), within 11–19 mm in 25 (12%), and was >20 mm in 32 (16%). The variability of the clip-to-lesion distance was greatest in the plane orthogonal to the compression plane used for stereotactic biopsy. Breast thickness was the only factor that was predictive of a significant movement of the clip, and thin breasts tended to exhibit greater clip movement.

Conclusion

Breast thickness may be a useful factor for predicting the degree of clip movement after 11-gauge vacuum-assisted stereotactic biopsy.
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Metadata
Title
Clip placement after an 11-gauge vacuum-assisted stereotactic breast biopsy: correlation between breast thickness and clip movement
Authors
Takayoshi Uematsu
Masako Kasami
Kaoru Takahashi
Junichiro Watanabe
Seiji Yamasaki
Kumiko Tanaka
Yukiko Tadokoro
Akiko Ogiya
Publication date
01-01-2012
Publisher
Springer Japan
Published in
Breast Cancer / Issue 1/2012
Print ISSN: 1340-6868
Electronic ISSN: 1880-4233
DOI
https://doi.org/10.1007/s12282-011-0252-y

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