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Canadian Recommendations on Optimal Breast Biopsy Practices Developed Using a Modified Delphi Panel.

Zina S Kellow1, Afsaneh Alikhassi2, Anita Bane3

  • 1Department of Diagnostic Radiology, Dalhousie University, Halifax, NS, Canada.

Canadian Association of Radiologists Journal = Journal L'Association Canadienne Des Radiologistes
|April 1, 2025
PubMed
Summary
This summary is machine-generated.

Canadian experts developed consensus recommendations for breast biopsy techniques and imaging guidance. These guidelines aim to standardize and improve breast biopsy practices across Canada, addressing a gap in existing international recommendations.

Keywords:
Delphibreast biopsyconsensusdiagnosticmanagementneedle biopsy

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Area of Science:

  • Medical Imaging
  • Surgical Pathology
  • Oncology

Background:

  • Lack of specific Canadian guidelines for breast biopsy techniques and imaging modalities.
  • Existing international recommendations do not address the Canadian healthcare system's unique aspects.

Purpose of the Study:

  • To establish consensus-based recommendations for breast biopsy techniques and imaging guidance in Canada.
  • To address the gap in clinical practice guidelines for Canadian clinicians.

Main Methods:

  • A modified Delphi panel of 17 Canadian experts (radiologists, pathologists, surgeons) from 6 provinces.
  • Two rounds of anonymized voting with an in-person discussion, adhering to best practices for consensus development.
  • Rigorous statistical analysis of 347 items, assessing agreement and disagreement.

Main Results:

  • 82% (286 out of 347) of items achieved consensus.
  • Recommendations cover initial biopsy technique selection based on lesion type and imaging, rebiopsy considerations, procedural details (gauge size, sample number), and patient factors.
  • Consensus findings were endorsed by the Canadian Society of Breast Imaging.

Conclusions:

  • The developed recommendations aim to standardize and improve breast biopsy practices nationwide.
  • These guidelines provide a framework for selecting appropriate biopsy techniques and imaging modalities.
  • Recommendations should be applied on a case-by-case basis, considering emerging evidence.