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Ultrasound-Guided Breast Biopsies: Basic and New Techniques.

Asha A Bhatt¹, Dana H Whaley¹, Christine U Lee¹

¹Department of Radiology, Mayo Clinic, Rochester, Minnesota, USA.

Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine

|September 30, 2020

Summary

Performing ultrasound-guided breast biopsies can be difficult in challenging locations. Modified techniques, including novel open-trough and tandem-needle methods, can improve diagnostic specimen acquisition with fewer complications.

Keywords:

breast biopsy breast intervention hydrodissection tandem needle ultrasound-guided

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Area of Science:

Radiology
Breast Imaging
Interventional Procedures

Background:

Ultrasound-guided breast biopsies are crucial for diagnosing breast lesions.
Certain anatomical locations and tissue characteristics present significant technical challenges.
Standard techniques may not always yield optimal diagnostic specimens in difficult cases.

Purpose of the Study:

To review basic ultrasound-guided breast biopsy techniques.
To present modifications and novel techniques for challenging biopsy cases.
To demonstrate the utility of these advanced methods through case examples.

Main Methods:

Review of conventional ultrasound-guided breast biopsy devices and techniques.
Detailed description of novel open-trough and tandem-needle biopsy techniques.
Presentation of clinical cases illustrating the application of these modified approaches.

Main Results:

Modified techniques can overcome challenges posed by difficult target locations (e.g., near nipple, skin, implant, posterior dense tissue).
Novel open-trough and tandem-needle techniques facilitate the acquisition of diagnostic biopsy specimens.
These approaches aim to minimize procedural complications.

Conclusions:

Procedural modifications and novel techniques enhance the success of ultrasound-guided breast biopsies in challenging scenarios.
Open-trough and tandem-needle methods offer valuable alternatives for difficult-to-access breast lesions.
These techniques contribute to achieving diagnostic accuracy while reducing patient risk.