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Digital breast Tomosynthesis vacuum assisted biopsy for Tomosynthesis-detected Sonographically occult lesions
Nikki S Ariaratnam1, Sherrill T Little1, Markus A Whitley1
1South Jersey Radiology Associates, 1307 White Horse Road, Suite A102, Voorhees, NJ 08043, USA.
Purpose:
To assess the utility and pathological results from DBT VAB for lesions occult on 2D mammography and breast ultrasound (US).
Materials And Methods:
A retrospective review of 1116 consecutive stereotactic biopsies was performed over 27months. DBT VAB was performed for 38 non-calcified lesions which were solely detected using DBT. Imaging findings and pathology results were reviewed.
Results:
Pathologic findings were malignant in 8 of 38 lesions [masses (5) and distortion (3)]. High-risk findings found in 14 lesions.
Conclusion:
DBT VAB is easily performed and the majority of cases yield actionable pathologies. Therefore, perform DBT VAB primarily when available.

