Related Experiment Videos
Troubleshooting to Overcome Technical Challenges in Image-guided Breast Biopsy
Allyson L Chesebro1, Sona A Chikarmane1, Julie A Ritner1
1From the Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston, Mass.
Summary
Image-guided breast biopsy offers a less invasive, accurate alternative to surgical biopsy. This review details strategies for overcoming technical challenges in image-guided breast biopsy for improved patient outcomes.
Area of Science:
- Radiology
- Breast Imaging
- Interventional Radiology
Background:
- Image-guided breast biopsy is a cornerstone of modern breast imaging.
- It offers advantages in cost, morbidity, recovery, and aesthetics compared to open surgical biopsy.
- Accurate targeting is crucial for diagnosis.
Purpose of the Study:
- To review patient and lesion factors presenting technical challenges in image-guided breast biopsy.
- To present strategies and modifications for successful biopsy completion in difficult cases.
- To ensure accurate diagnosis and timely treatment.
Main Methods:
- Review of preprocedural planning, including imaging modality selection and approach.
- Discussion of patient-specific challenges (comorbidities, anticoagulation, breast characteristics) and lesion characteristics (location, conspicuity).
- Emphasis on multimodality correlation and radiologic-pathologic correlation when different imaging modalities are used.
Main Results:
- Successful image-guided breast biopsy relies on meticulous planning and overcoming specific technical hurdles.
- Strategies exist to manage challenging patient and lesion factors.
- When biopsy is not feasible, prompt surgical excision is recommended to prevent diagnostic delays.
Conclusions:
- Image-guided breast biopsy is a safe and effective procedure when challenges are appropriately managed.
- Preprocedural planning and adaptive techniques are key to success.
- Alternative diagnostic pathways, including surgical excision, should be considered when necessary.