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Localization of impalpable breast lesions: what are we aiming at?
Brian Mucci1, Robert Shaw, Jean Lauder
1Department Of Radiology, South Glasgow University Hospitals, Southern General Hospital, 1345 Govan Road, Glasgow G51 4TF, UK. brian.mucci@ggc.nhs.scot.uk
Unlabelled:
The European published target for wire placement is 95% being within 10 mm of impalpable breast lesions. Other suggested targets may be more relevant. We assessed 500 procedures of which 411 could be measured.
Results:
Fail 10 mm target: 3 (0.7%); Fail 5 mm target: 11 (2.7%); Fail 2 mm target: 21 (4.9%); within 2 mm: 11 (2.7%); and Fail to traverse lesion in one or more projection: 32 (7.8%).
Conclusion:
The European QA target has little supporting evidence and is easily met. Success in traversing lesions is a more measurable, achievable aim with clinical relevance. We suggest that this could be an improved target.
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