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Clinical performance of digital breast tomosynthesis–guided vacuum-assisted biopsy: a single-institution experience in Japan

BACKGROUND: The purpose of this study was to evaluate the clinical performance of Digital Breast Tomosynthesis guided vacuum-assisted biopsy (DBT-VAB) for microcalcifications in the breast. METHODS: Retrospective review of 131 mammography-guided VABs at our institution were performed. All of the tar...

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Autores principales: Ido, Mirai, Saito, Masayuki, Banno, Hirona, Ito, Yukie, Goto, Manami, Ando, Takahito, Kousaka, Junko, Mouri, Yukako, Fujii, Kimihito, Imai, Tsuneo, Nakano, Shogo, Suzuki, Kojiro, Murotani, Kenta
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9817251/
https://www.ncbi.nlm.nih.gov/pubmed/36604648
http://dx.doi.org/10.1186/s12880-022-00896-1
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author Ido, Mirai
Saito, Masayuki
Banno, Hirona
Ito, Yukie
Goto, Manami
Ando, Takahito
Kousaka, Junko
Mouri, Yukako
Fujii, Kimihito
Imai, Tsuneo
Nakano, Shogo
Suzuki, Kojiro
Murotani, Kenta
author_facet Ido, Mirai
Saito, Masayuki
Banno, Hirona
Ito, Yukie
Goto, Manami
Ando, Takahito
Kousaka, Junko
Mouri, Yukako
Fujii, Kimihito
Imai, Tsuneo
Nakano, Shogo
Suzuki, Kojiro
Murotani, Kenta
author_sort Ido, Mirai
collection PubMed
description BACKGROUND: The purpose of this study was to evaluate the clinical performance of Digital Breast Tomosynthesis guided vacuum-assisted biopsy (DBT-VAB) for microcalcifications in the breast. METHODS: Retrospective review of 131 mammography-guided VABs at our institution were performed. All of the targets were calcification lesion suspicious for cancer. 45 consecutive stereotactic vacuum-assisted biopsies (ST-VABs) and 86 consecutive DBT-VABs were compared. Written informed consent was obtained. Tissue sampling methods and materials were the same with both systems. Student’s t-test was used to compare procedure time and the Fisher’s exact test was used to compare success rate, complications, and histopathologic findings for the 2 methods. RESULTS: The tissue sampling success rate was 95.6% for ST-VAB (43/45) and 97.7% (84/86) for DBT-VAB. Time for positioning (10.6 ± 6.4 vs. 6.7 ± 5.3 min), time for biopsy (33.4 ± 13.1 vs. 22.5 ± 13.1 min), and overall procedure time (66.6 ± 16.6 min vs. 54.5 ± 13.0 min) were substantially shorter with DBT-VAB (P < 0.0001). There were no differences in the distribution of pathological findings between the 2 groups. CONCLUSION: Depth information and stable visibility of the target provided by DBT images led to quick decisions about target coordinates and improved the clinical performance of microcalcification biopsies.
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spelling pubmed-98172512023-01-07 Clinical performance of digital breast tomosynthesis–guided vacuum-assisted biopsy: a single-institution experience in Japan Ido, Mirai Saito, Masayuki Banno, Hirona Ito, Yukie Goto, Manami Ando, Takahito Kousaka, Junko Mouri, Yukako Fujii, Kimihito Imai, Tsuneo Nakano, Shogo Suzuki, Kojiro Murotani, Kenta BMC Med Imaging Research BACKGROUND: The purpose of this study was to evaluate the clinical performance of Digital Breast Tomosynthesis guided vacuum-assisted biopsy (DBT-VAB) for microcalcifications in the breast. METHODS: Retrospective review of 131 mammography-guided VABs at our institution were performed. All of the targets were calcification lesion suspicious for cancer. 45 consecutive stereotactic vacuum-assisted biopsies (ST-VABs) and 86 consecutive DBT-VABs were compared. Written informed consent was obtained. Tissue sampling methods and materials were the same with both systems. Student’s t-test was used to compare procedure time and the Fisher’s exact test was used to compare success rate, complications, and histopathologic findings for the 2 methods. RESULTS: The tissue sampling success rate was 95.6% for ST-VAB (43/45) and 97.7% (84/86) for DBT-VAB. Time for positioning (10.6 ± 6.4 vs. 6.7 ± 5.3 min), time for biopsy (33.4 ± 13.1 vs. 22.5 ± 13.1 min), and overall procedure time (66.6 ± 16.6 min vs. 54.5 ± 13.0 min) were substantially shorter with DBT-VAB (P < 0.0001). There were no differences in the distribution of pathological findings between the 2 groups. CONCLUSION: Depth information and stable visibility of the target provided by DBT images led to quick decisions about target coordinates and improved the clinical performance of microcalcification biopsies. BioMed Central 2023-01-05 /pmc/articles/PMC9817251/ /pubmed/36604648 http://dx.doi.org/10.1186/s12880-022-00896-1 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Ido, Mirai
Saito, Masayuki
Banno, Hirona
Ito, Yukie
Goto, Manami
Ando, Takahito
Kousaka, Junko
Mouri, Yukako
Fujii, Kimihito
Imai, Tsuneo
Nakano, Shogo
Suzuki, Kojiro
Murotani, Kenta
Clinical performance of digital breast tomosynthesis–guided vacuum-assisted biopsy: a single-institution experience in Japan
title Clinical performance of digital breast tomosynthesis–guided vacuum-assisted biopsy: a single-institution experience in Japan
title_full Clinical performance of digital breast tomosynthesis–guided vacuum-assisted biopsy: a single-institution experience in Japan
title_fullStr Clinical performance of digital breast tomosynthesis–guided vacuum-assisted biopsy: a single-institution experience in Japan
title_full_unstemmed Clinical performance of digital breast tomosynthesis–guided vacuum-assisted biopsy: a single-institution experience in Japan
title_short Clinical performance of digital breast tomosynthesis–guided vacuum-assisted biopsy: a single-institution experience in Japan
title_sort clinical performance of digital breast tomosynthesis–guided vacuum-assisted biopsy: a single-institution experience in japan
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9817251/
https://www.ncbi.nlm.nih.gov/pubmed/36604648
http://dx.doi.org/10.1186/s12880-022-00896-1
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