title: Interdisciplinary consensus on the uses and technique of MR-guided vacuum-assisted breast biopsy (VAB): results of a European consensus meeting.
abstract: 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.
authors: Center for Breast Diagnosis Munich, Radiologie Haidhausen, Medizinisches Versorgungszentrum, Einsteinstrasse 1, Munich, Germany. heywangkoe@referenzzentrum-muenchen.de
authors: Sylvia H
authors: SH
authors: Heywang-Köbrunner
authors: Ruchi
authors: R
authors: Sinnatamby
authors: Annette
authors: A
authors: Lebeau
authors: Antje
authors: A
authors: Lebrecht
authors: Peter D
authors: PD
authors: Britton
authors: Ingrid
authors: I
authors: Schreer
mesh_terms: 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*