Interdisciplinary consensus on the uses and technique of MR-guided vacuum-assisted breast biopsy (VAB): results of a European consensus meeting.
OBJECTIVE
Quality assurance of MR-guided vacuum-assisted breast biopsy (VAB).


METHODS
A consensus was achieved based on the existing literature and experience of an interdisciplinary group comprising European specialists in breast imaging and VAB.


RESULTS
Full imaging work-up must be completed according to existing standards before an indication for MR-guided VAB is established. The procedure should be reserved for lesions demonstrable by MRI alone. Acquisition of >24 cores (11-Gauge) should be routinely attempted, with the intention of sufficiently removing small lesions for accurate diagnosis. Following biopsy the patient should be re-imaged to demonstrate the biopsy site and its proximity to the lesion and hence the likely accuracy of the sampling. All patients should be discussed in a regular interdisciplinary conference and a documented consensus reached regarding patient management. Regular audit and review of all MR-guided VAB results and subsequent follow-up are recommended.


CONCLUSIONS
This consensus includes protocols for the indication, performance parameters, interdisciplinary interpretation therapeutic recommendation, documentation and follow-up of MR-guided VAB. It does not replace official recommendations for percutaneous biopsy.
Heywang-Köbrunner
Sylvia H
SH
Center for Breast Diagnosis Munich, Radiologie Haidhausen, Medizinisches Versorgungszentrum, Einsteinstrasse 1, Munich, Germany. heywangkoe@referenzzentrum-muenchen.de
Sinnatamby
Ruchi
R
Lebeau
Annette
A
Lebrecht
Antje
A
Britton
Peter D
PD
Schreer
Ingrid
I
D001707:Biopsy, Needle / Q000592:standards*; D005060:Europe; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000592:standards*; D017410:Practice Guidelines as Topic; D025321:Surgery, Computer-Assisted / Q000592:standards*