title: Breast ultrasound for the interventionalist.
abstract: Ultrasound (US)-guided interventional procedures are routinely performed for lesions visualized on US and are the standard of care in the diagnosis and management of breast disease. When performed correctly, these procedures are safe, minimally invasive, and have a high diagnostic accuracy comparable to surgical biopsy. The most commonly performed US-guided procedures include fine-needle aspiration, core needle biopsy, and preoperative wire localization. The success of these procedures depends on a thorough understanding of the indications, strong technical skills, and appropriate postbiopsy management. This article reviews the indications and techniques for US-guided interventional procedures. Concordance of imaging and pathology results, potential challenges, and associated complications are also discussed.
authors.affiliation: Yale School of Medicine, New Haven, CT. Electronic address: Madhavi.raghu@yale.edu.
authors.forename: Madhavi
authors.initials: M
authors.lastname: Raghu
authors.affiliation: Yale School of Medicine, New Haven, CT.
authors.forename: Regina
authors.initials: R
authors.lastname: Hooley
mesh_terms: D001943:Breast Neoplasms / Q000000981:diagnostic imaging* / Q000601:surgery*; D061765:Endoscopic Ultrasound-Guided Fine Needle Aspiration / Q000379:methods*; D005260:Female; D006801:Humans; D007089:Image Enhancement / Q000379:methods; D018084:Ultrasonography, Interventional / Q000379:methods*; D016217:Ultrasonography, Mammary / Q000379:methods*
keywords: Ultrasound guided core needle biopsy; Ultrasound guided fine needle aspiration; Ultrasound guided pre-operative needle localization