Digital breast Tomosynthesis vacuum assisted biopsy for Tomosynthesis-detected Sonographically occult lesions

Clin Imaging. 2018 Jan-Feb:47:4-8. doi: 10.1016/j.clinimag.2017.08.002. Epub 2017 Aug 5.

Abstract

Purpose: To assess the utility and pathological results from DBT VAB for lesions occult on 2D mammography and breast ultrasound (US).

Materials and methods: A retrospective review of 1116 consecutive stereotactic biopsies was performed over 27months. DBT VAB was performed for 38 non-calcified lesions which were solely detected using DBT. Imaging findings and pathology results were reviewed.

Results: Pathologic findings were malignant in 8 of 38 lesions [masses (5) and distortion (3)]. High-risk findings found in 14 lesions.

Conclusion: DBT VAB is easily performed and the majority of cases yield actionable pathologies. Therefore, perform DBT VAB primarily when available.

Keywords: Biopsy; Breast; Digital breast Tomosythesis.

MeSH terms

  • Adult
  • Aged
  • Biopsy, Needle / methods
  • Breast / pathology*
  • Breast Neoplasms / diagnosis*
  • Breast Neoplasms / diagnostic imaging
  • Breast Neoplasms / pathology
  • Female
  • Humans
  • Image-Guided Biopsy / methods*
  • Mammography / methods*
  • Middle Aged
  • Radiographic Image Enhancement / methods*
  • Retrospective Studies
  • Ultrasonography, Mammary / methods
  • Vacuum