title: MRI-guided vacuum-assisted breast biopsy: comparison with stereotactically guided and ultrasound-guided techniques.
abstract: OBJECTIVE
  To analyse the development of MRI-guided vacuum-assisted biopsy (VAB) in Switzerland and to compare the procedure with stereotactically guided and ultrasound-guided VAB.
  
  
  METHODS
  We performed a retrospective analysis of VABs between 2009 and 2011. A total of 9,113 VABs were performed. Of these, 557 were MRI guided.
  
  
  RESULTS
  MRI-guided VAB showed the highest growth rate (97 %) of all three procedures. The technical success rates for MRI-guided, stereotactically guided and ultrasound-guided VAB were 98.4 % (548/557), 99.1 % (5,904/5,960) and 99.6 % (2,585/2,596), respectively. There were no significant differences (P = 0.12) between the MRI-guided and the stereotactically guided procedures. The technical success rate for ultrasound-guided VAB was significantly higher than that for MRI-guided VAB (P < 0.001). There were no complications using MRI-guided VAB requiring open surgery. The malignancy diagnosis rate for MRI-guided VAB was similar to that for stereotactically guided VAB (P = 0.35).
  
  
  CONCLUSIONS
  MRI-guided VAB is a safe and accurate procedure that provides insight into clinical breast findings.
  
  
  CONCLUSIONS
  • Three vacuum-assisted breast biopsy (VAB) procedures were compared. • Technical success rates were high for all three VAB procedures. • Medical complications were relatively low using all three VAB procedures. • The use of MRI-guided vacuum-assisted breast biopsy is growing.
authors: Institute for Radiology, Kantonspital Baden AG, Im Ergel 1, 5404, Baden, Switzerland, imschweiler@gmail.com.
authors: Thomas
authors: T
authors: Imschweiler
authors: Harald
authors: H
authors: Haueisen
authors: Gert
authors: G
authors: Kampmann
authors: Luzi
authors: L
authors: Rageth
authors: Burkhardt
authors: B
authors: Seifert
authors: Christoph
authors: C
authors: Rageth
authors: Bianka
authors: B
authors: Freiwald
authors: Rahel A
authors: RA
authors: Kubik-Huch
mesh_terms: D000328:Adult; D000368:Aged; D001707:Biopsy, Needle / Q000379:methods*; D001940:Breast / Q000473:pathology*; D001943:Breast Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology*; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D061705:Image-Guided Biopsy / Q000379:methods*; D021621:Imaging, Three-Dimensional; D008279:Magnetic Resonance Imaging / Q000379:methods*; D008875:Middle Aged; D015203:Reproducibility of Results; D012189:Retrospective Studies; D013238:Stereotaxic Techniques; D014463:Ultrasonography; D014618:Vacuum
references: AJR Am J Roentgenol. 2009 Apr;192(4):1128-34
references: 19304724
references: AJR Am J Roentgenol. 1999 Mar;172(3):683-7
references: 10063860
references: Eur Radiol. 2011 Mar;21(3):582-9
references: 20839000
references: Jpn J Radiol. 2010 Aug;28(7):527-33
references: 20799018
references: Rofo. 2008 May;180(5):455-65
references: 18438746
references: Radiol Med. 2011 Sep;116(6):876-85
references: 21293942
references: Eur Radiol. 2012 Feb;22(2):341-9
references: 21915606
references: Radiol Med. 2008 Sep;113(6):830-40
references: 18633687
references: AJR Am J Roentgenol. 2005 Jun;184(6):1782-7
references: 15908530
references: Radiology. 2003 Jun;227(3):856-61
references: 12773685
references: Cancer. 2006 Mar 1;106(5):982-90
references: 16456807
references: Radiology. 2006 Jan;238(1):54-61
references: 16304093
references: J Magn Reson Imaging. 2008 Oct;28(4):900-5
references: 18821610
references: AJR Am J Roentgenol. 2008 Dec;191(6):1798-804
references: 19020252
references: Clin Radiol. 2010 Apr;65(4):259-70
references: 20338392
references: Eur J Radiol. 2009 Nov;72(2):289-94
references: 18723305
references: Rofo. 2009 Aug;181(8):774-81
references: 19582655
references: Eur Radiol. 2008 Jan;18(1):168-76
references: 17609959
references: Radiology. 2007 Mar;242(3):698-715
references: 17244718
references: Radiology. 2008 Jan;246(1):116-24
references: 18024435
references: Eur Radiol. 2010 Jul;20(7):1554-62
references: 20119729
references: AJR Am J Roentgenol. 2005 Jul;185(1):183-93
references: 15972421
references: J Surg Oncol. 2011 Mar 15;103(4):299-305
references: 21337562
references: Breast Cancer. 2010 Apr;17(2):110-7
references: 19434473
references: Radiology. 2000 Apr;215(1):267-79
references: 10751498
references: AJR Am J Roentgenol. 2012 Feb;198(2):292-9
references: 22268171
references: Top Magn Reson Imaging. 2008 Jun;19(3):151-62
references: 18941395
references: AJR Am J Roentgenol. 2010 Feb;194(2):370-7
references: 20093598