Accuracy of ultrasound-guided, large-core needle breast biopsy.

Ultrasound-guided, large-core needle biopsy (US-LCNB) of suspicious breast lesions is acknowledged as less invasive and less expensive and less time consuming than surgical biopsy, and provides a histologic diagnosis with a comparable high degree. US-LCNB has been proven to help reduce the number of...

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Publicado en:European Radiology Vol. 18; no. 9; pp. 1761 - 1774
Autores principales: Schueller G, Schueller-Weidekamm C, Helbich TH, Schueller, G, Schueller-Weidekamm, C, Helbich, T H
Formato: research Journal Article
Publicado: Springer Nature Sep2008
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Accuracy of ultrasound-guided, large-core needle breast biopsy.
      aug:
        au:
          Schueller G
          Schueller-Weidekamm C
          Helbich TH
          Schueller, G
          Schueller-Weidekamm, C
          Helbich, T H
        affil: Department of Radiology, Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria
      sug:
        subj:
          Biopsy, Needle Methods
          Breast Neoplasms Pathology
          Breast Neoplasms Ultrasonography
          Breast Pathology
          Specimen Handling Methods
          Ultrasonography Methods
          Biopsy, Needle Equipment and Supplies
          Biopsy, Needle Trends
          Practice Guidelines
          Reproducibility of Results
          Sensitivity and Specificity
          Specimen Handling Equipment and Supplies
          Specimen Handling Trends
          Ultrasonography Equipment and Supplies
          Ultrasonography Trends
          Human
      ab: Ultrasound-guided, large-core needle biopsy (US-LCNB) of suspicious breast lesions is acknowledged as less invasive and less expensive and less time consuming than surgical biopsy, and provides a histologic diagnosis with a comparable high degree. US-LCNB has been proven to help reduce the number of unnecessary surgeries for benign disease. Its limitations, however, are false-negative results and underestimation of disease. Thus, the demand for breast teams is to carefully adhere to the principles of triple assessment and imaging-histologic correlation, and follow-up of lesions with a specific benign histology after biopsy. Also, the acceptance of guidelines and rigorous quality controls help to reliably minimize the delay in the diagnosis of breast cancer in patients with false-negative biopsies. This paper aims to summarize the equipment and methods as well as the benefits and limitations of US-LCNB. Also, guidelines of quality assessment are suggested. Finally, recent developments which may help to overcome the limitations of US-LCNB will be discussed, i.e., directional vacuum-assisted biopsy (VAB), three-dimensional (3D) US-guided biopsy, as well as the use of tissue harmonic imaging (THI) and compound imaging (CI) during biopsy.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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