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MR-guided vacuum-assisted breast biopsy with a handheld biopsy system: clinical experience and results in postinterventional MR mammography after 24 h

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Abstract

This prospective study evaluates the feasibility of the magnetic resonance (MR)-guided vacuum-assisted breast biopsy with a handheld vacuum-biopsy system and documents the biopsy results with MR mammography 24 h after the procedure. MR-guided biopsy was undertaken in 33 patients with 34 lesions on dynamic MR mammography. The interventions were performed with the handheld 10-gauge Vacora vacuum-biopsy system. In all cases, dynamic MR mammography was performed 24 h after the procedure to determine the extent of the lesion removal and to identify the lesions that were missed. In 5/34 (14.7%) lesions, biopsy was not performed because no suspicious lesion was identified on the day of biopsy. In 25/29 (86.2%) lesions, the biopsy was successfully performed with a complete removal in 4/29 (13.8%) and a partial removal of 21/29 (72.4%) lesions. In 4/29 (13.8%) interventions the lesion was missed with the biopsy. In one case, histopathology after surgical excision revealed ductal carcinoma in situ. Histopathology revealed 9/29 (31%) malignant and 20/29 (68.9%) benign lesions. MR-guided vacuum-assisted breast biopsy with the handheld Vacora vacuum-biopsy system is technically feasible in most cases. MR mammography 24 h after the biopsy should be performed in those cases in which the biopsy success is unclear immediately after the procedure.

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Authors and Affiliations

  1. Department of Diagnostic and Interventional, Radiology and Neuroradiology, University Hospital Essen, Hufelandstr. 55, 45122, Essen, Germany

    E. A. Hauth, J. Lubnau, S. Maderwald & M. Forsting

  2. Department of Radiology, Neuroradiology and Nuclear Medicine, Marien-Hospital Wesel, Wesel, Germany

    H. J. Jaeger

  3. Department of Pathology and Neuropathology, University Hospital Essen, Essen, Germany

    F. Otterbach

  4. Department of Obstetrics and Gynecology, University Hospital Essen, Essen, Germany

    R. Kimmig

Authors
  1. E. A. Hauth
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  2. H. J. Jaeger
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  3. J. Lubnau
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  4. S. Maderwald
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  5. F. Otterbach
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  6. R. Kimmig
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  7. M. Forsting
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Correspondence to E. A. Hauth.

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Hauth, E.A., Jaeger, H.J., Lubnau, J. et al. MR-guided vacuum-assisted breast biopsy with a handheld biopsy system: clinical experience and results in postinterventional MR mammography after 24 h. Eur Radiol 18, 168–176 (2008). https://doi.org/10.1007/s00330-007-0704-0

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  • DOI: https://doi.org/10.1007/s00330-007-0704-0

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