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Does lateral arm technique decrease the rate of clip migration in stereotactic and tomosynthesis-guided biopsies?

Olena Weaver1,2, Ethan O Cohen3, Rachel E Perry3

  • 1Department of Breast Imaging, Unit 1350, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Boulevard, Houston, TX, 77030, USA. ooweaver@mdanderson.org.

Insights Into Imaging
|December 21, 2021
PubMed
Summary
This summary is machine-generated.

Comparing conventional (CBA) and lateral arm biopsy approaches (LABA) for mammography-guided vacuum-assisted biopsies (MGVAB), this study found no significant difference in marker clip migration or hematoma formation rates. Both techniques demonstrated similar success rates in prone procedures.

Keywords:
Clip migrationHematomaLateral arm approachMammographyStereotactic breast biopsy

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Area of Science:

  • Radiology
  • Interventional Radiology
  • Breast Imaging

Background:

  • Mammography-guided vacuum-assisted biopsies (MGVAB) are crucial for breast lesion diagnosis.
  • Marker clip migration is a known complication, potentially leading to positive surgical margins.
  • Two approaches exist: conventional (CBA) and lateral arm biopsy approach (LABA).

Purpose of the Study:

  • To compare marker clip migration and hematoma formation rates between CBA and LABA in prone MGVAB.
  • To evaluate the technical success rates of both approaches.

Main Methods:

  • Retrospective analysis of 389 consecutive prone MGVAB procedures over 20 months.
  • Procedures were performed using either CBA or LABA, with digital breast tomosynthesis (DBT) or stereotaxis guidance.
  • Clip migration and hematoma formation were assessed, with technical failure rates also recorded.

Main Results:

  • No statistically significant difference in clip migration was observed between CBA (15% at 1cm, 5.8% at 2cm) and LABA (10% at 1cm, 3.1% at 2cm).
  • Hematoma formation rates were similar: 57.5% for CBA and 50.5% for LABA.
  • Technical failure rates were comparable, with 1.7% for CBA and 3% for LABA.

Conclusions:

  • The lateral arm biopsy approach (LABA) and conventional biopsy approach (CBA) show comparable rates of marker clip migration and hematoma formation in prone MGVAB.
  • Both techniques exhibit similar success rates, offering flexibility for different clinical scenarios in breast biopsy procedures.