title: MR-guided biopsy of the breast after lumpectomy and radiation therapy using two methods of immobilization in the lateral decubitus position.
abstract: We describe two methods of breast immobilization using the lateral decubitus position to increase patient comfort and access to the axillary tail for MR-guided biopsy in the postsurgical or irradiated breast. The first method uses a compression device with good immobilization but poor patient tolerance. The second approach uses a thermoplastic mesh material to form a rigid exoskeleton around the breast: immobilization is adequate and patient acceptability is good. The latter method is preferred and requires formal evaluation in larger scale trials.
authors.affiliation: Robert Steiner Magnetic Resonance Unit, Royal Postgraduate Medical School, Hammersmith Hospital, London, UK.
authors.forename: N M
authors.initials: NM
authors.lastname: deSouza
authors.forename: D W
authors.initials: DW
authors.lastname: Kormos
authors.forename: T
authors.initials: T
authors.lastname: Krausz
authors.forename: G A
authors.initials: GA
authors.lastname: Coutts
authors.forename: A S
authors.initials: AS
authors.lastname: Hall
authors.forename: M
authors.initials: M
authors.lastname: Burl
authors.forename: J E
authors.initials: JE
authors.lastname: Schwieso
authors.forename: R
authors.initials: R
authors.lastname: Puni
authors.forename: C
authors.initials: C
authors.lastname: Vernon
mesh_terms: D001707:Biopsy, Needle / Q000295:instrumentation; D001943:Breast Neoplasms / Q000175:diagnosis / Q000473:pathology* / Q000532:radiotherapy / Q000601:surgery; D004867:Equipment Design; D005260:Female; D006801:Humans; D007103:Immobilization; D008279:Magnetic Resonance Imaging / Q000295:instrumentation / Q000379:methods; D015412:Mastectomy, Segmental; D015642:Radiology, Interventional; D012680:Sensitivity and Specificity