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01-04-2016 | Breast

Real-time virtual sonography examination and biopsy for suspicious breast lesions identified on MRI alone

Authors: Takayoshi Uematsu, Kaoru Takahashi, Seiichiro Nishimura, Junichiro Watanabe, Seiji Yamasaki, Takashi Sugino, Takuma Oishi, Yuko Kakuda, Mutsu Sato, Tomomi Hayashi

Published in: European Radiology | Issue 4/2016

Abstract

Objectives

The purpose of our study was to assess whether there is a potential additional value of real-time virtual sonography (RVS) to second-look ultrasound (US) examination and biopsy for breast lesions identified on MRI alone.

Methods

A retrospective review of the records of 70 consecutive patients (78 lesions) with breast abnormalities identified on MRI alone was performed. All suspicious enhancing lesions were subsequently evaluated with second-look US. Lesions not observed on second-look US underwent RVS. Pathological findings were confirmed by subsequent percutaneous biopsy or excision.

Results

Of the 78 MRI-detected lesions, second-look US correlation was made in 50 (64 %), including 22 malignant and 28 benign lesions. The remaining 28 lesions (36 %) were scheduled to undergo RVS. Four lesions were not visible on the second breast MRI. The remaining 24 lesions were RVS correlated and underwent RVS-guided biopsy; these included seven malignant and 17 benign lesions. Overall, 74 of 74 (100 %) true MRI-detected lesions were confirmed by histological results without using MRI-guided breast biopsy. The cancer rate was 29 %.

Conclusions

RVS can increase the sonographic detection and biopsy rate of lesions identified on breast MRI alone.

Key Points

• All 74 MRI-detected lesions were confirmed without using MRI-guided biopsy.

• Four lesions were not visible on second breast MRI.

• RVS can increase sonographic detection of lesions identified on breast MRI alone.

• RVS-guided breast biopsy can be an alternative to MRI-guided biopsy.

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Title: Real-time virtual sonography examination and biopsy for suspicious breast lesions identified on MRI alone
Authors: Takayoshi Uematsu
Kaoru Takahashi
Seiichiro Nishimura
Junichiro Watanabe
Seiji Yamasaki
Takashi Sugino
Takuma Oishi
Yuko Kakuda
Mutsu Sato
Tomomi Hayashi
Publication date: 01-04-2016
Publisher: Springer Berlin Heidelberg
Published in: European Radiology / Issue 4/2016
Print ISSN: 0938-7994
Electronic ISSN: 1432-1084
DOI: https://doi.org/10.1007/s00330-015-3892-z

At a glance: The STEP trials

Springer Medicine

Real-time virtual sonography examination and biopsy for suspicious breast lesions identified on MRI alone

Abstract

Objectives

Methods

Results

Conclusions

Key Points

At a glance: The STEP trials

Springer Medicine

Abstract

Objectives

Methods

Results

Conclusions

Key Points

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