Tomosynthesis-guided breast and axillary localizations: tips and tricks.

Area of Science:

• Radiology
• Medical Imaging
• Breast Imaging

Background:

• Digital breast tomosynthesis (DBT) adoption is increasing in clinical practice.
• DBT allows for improved visualization of breast tissue compared to standard mammography.
• Certain breast lesions or findings may be challenging to localize using conventional methods.

Purpose of the Study:

• To describe a practical, step-by-step approach for performing tomosynthesis-guided needle localizations.
• To highlight the feasibility and efficiency of tomosynthesis-guided procedures.
• To address the localization of tomosynthesis-specific or single-view findings.

Main Methods:

• Utilizing a standard tomosynthesis unit for image acquisition.
• Detailed description of the localization process for breast and axilla.
• Step-by-step procedural guidance for clinicians.

Main Results:

• Tomosynthesis-guided needle localizations are demonstrated to be feasible.
• The procedures are shown to be efficient for lesion targeting.
• Effective localization of findings difficult under standard mammography is achieved.

Conclusions:

• Tomosynthesis-guided needle localization is a viable and efficient technique.
• This method expands localization capabilities for challenging breast and axilla findings.
• Standard tomosynthesis units can be effectively employed for these guided procedures.