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Related Experiment Videos

Tissue compression is not necessary for needle-localized lesion identification.

Jane E Méndez1, Deborah ter Meulen, James Padussis

  • 1Department of Surgery, Surgical Oncology, Boston Medical Center, Boston University School of Medicine, 88 E. Newton St., Boston, MA 02118, USA.

American Journal of Surgery
|September 17, 2005
PubMed
Summary

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Specimen radiography after needle-localized breast biopsy does not require tissue compression. Lesions were accurately identified on noncompressed views, simplifying the procedure.

Area of Science:

  • Radiology
  • Breast Imaging
  • Surgical Pathology

Background:

  • Tissue compression is a standard technique to improve lesion visibility on specimen radiography for needle-localized breast biopsies.
  • The necessity of compression for accurate lesion detection on specimen radiographs has been questioned.

Purpose of the Study:

  • To evaluate whether tissue compression is essential for identifying mammographic targets in breast biopsy specimens.

Main Methods:

  • 59 mammographic targets from 49 patients undergoing needle-localized biopsies were radiographed with and without compression.
  • Specimen radiographs were independently reviewed by 2 surgeons and 1 breast-imaging radiologist.
  • Identification of mammographic targets in noncompressed specimen radiographs was the primary endpoint.

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Main Results:

  • All mammographically localized lesions were successfully identified on noncompressed specimen radiographs.
  • Concordance for lesion identification between noncompressed views and preoperative mammograms was 100% for all reviewers.
  • Inter-reviewer concordance was 98%.

Conclusions:

  • Routine tissue compression before specimen radiography is not necessary for accurate identification of target lesions.
  • This finding may streamline the specimen radiography process for needle-localized breast biopsies.