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[MRI-controlled preoperative wire marking of uncertain breast lesions]
1Röntgenabteilung der Missionsärztlichen Klinik Würzburg.
Purpose:
Small suspicious breast lesions that are only visible at MR imaging were preoperatively marked with a hook wire under MR-guidance to allow the removal of the lesion with tissue-sparing surgery.
Method:
In all patients the suspicious lesions were marked preoperatively under MR guidance with a hook wire using a commercially available stereotactic device. Interventions were performed with MR guidance on a 1.0 T and on a 1.5 T system.
Results:
In 19 patients 22 lesions were localized. One lesion was missed and removed in a second procedure. The mean duration for localization was 66 +/- 20 min (range 38-119 min). In two patients two lesions were localized. The mean deviation of the wire tip to the lesion was 2.0 +/- 2.6 mm. In this series, 6 of 22 lesions were malignant. The mean diameter of the lesion was 7.6 +/- 2.6 mm (range 3-14 mm).
Conclusion:
Suspicious breast lesions detectable only in MR imaging can be accurately localized with a hook wire preoperatively under MR control to remove the lesion with a tissue-saving surgery.
Insights
Magnetic resonance imaging (MRI) guided hook wire placement accurately localizes small breast lesions. This technique enables tissue-sparing surgery for suspicious lesions only visible on MRI.
Area of Science:
- Radiology
- Oncology
- Surgical Oncology
Context:
- Breast lesions detectable solely by MRI pose localization challenges for surgical excision.
- Accurate preoperative localization is crucial for successful tissue-sparing breast surgery.
Purpose:
- To evaluate the efficacy of MR-guided hook wire placement for localizing small, MRI-only suspicious breast lesions.
- To facilitate tissue-sparing surgical removal of these lesions.
Summary:
- MR-guided hook wire localization was performed in 19 patients for 22 lesions using stereotactic devices on 1.0 T and 1.5 T systems.
- The mean localization time was 66 minutes with a mean wire tip deviation of 2.0 mm from the lesion.
- Six of the 22 lesions were malignant, with a mean diameter of 7.6 mm.
Impact:
- MR-guided hook wire localization is an effective method for precise preoperative marking of breast lesions.
- This technique supports minimally invasive surgical approaches, improving outcomes in breast cancer management.