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Imaging-guided core biopsies in the breast

M S Soo1

  • 1Department of Radiology, Duke University Medical Center, Durham, NC 27710, USA.

Southern Medical Journal
|November 21, 1998
PubMed
Summary

Image-guided core biopsies are a safe and accurate method for diagnosing breast lesions found during mammography screening. This technique offers a lower-cost, lower-morbidity alternative to surgical biopsies for benign findings.

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Area of Science:

  • Radiology and Imaging
  • Pathology
  • Breast Cancer Screening

Background:

  • Screening mammography reduces breast cancer mortality but leads to biopsies of benign lesions, increasing healthcare costs and patient morbidity.
  • Percutaneous imaging-guided core biopsy is an established diagnostic tool for screening-detected breast lesions.

Purpose of the Study:

  • To review the indications, techniques, and correlation methods for image-guided core biopsies of the breast.
  • To outline accreditation requirements for mammographic (stereotactic) and sonographic-guided breast biopsies.

Main Methods:

  • Review of current literature and practices for image-guided core breast biopsy.
  • Discussion of stereotactic and sonographic guidance techniques.
  • Emphasis on correlating histological findings with mammographic results.

Main Results:

  • Image-guided core biopsy is a safe and accurate method for histologic diagnosis of screening-detected breast lesions.
  • This technique is more cost-effective and results in lower patient morbidity compared to surgical excisional biopsy.

Conclusions:

  • Image-guided core biopsy is a valuable diagnostic procedure for nonpalpable breast lesions detected by mammography.
  • Adherence to established indications, techniques, and accreditation standards ensures optimal patient care and diagnostic accuracy.

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