Reni Butler, MD; Wendie A. Berg, MD, PhD, FACR, FSBI
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KEY FACTS
Procedure
Post Procedure
TERMINOLOGY
Definitions
Imaging of surgical specimen or core needle biopsy (CNB) samples to confirm presence of targeted lesion
Usually single-view magnification radiography (XR)
Digital breast tomosynthesis (DBT) or US, as needed
PREPROCEDURE
Indications
Getting Started
PROCEDURE
Patient Position/Location
Equipment Preparation
Procedure Steps
Findings and Reporting
Alternative Procedures/Therapies
POST PROCEDURE
Expected Outcome
Things to Do
Things to Avoid
OUTCOMES
Problems
Complications
Selected References
Polat YD et al: The role of tomosynthesis in intraoperative specimen evaluation. Breast J. 24(6):992-6, 2018
Amer HA et al: Digital breast tomosynthesis versus full-field digital mammography-which modality provides more accurate prediction of margin status in specimen radiography? Eur J Radiol. 93:258-64, 2017
Urano M et al: Digital mammography versus digital breast tomosynthesis for detection of breast cancer in the intraoperative specimen during breast-conserving surgery. Breast Cancer. 23(5):706-11, 2016
Gümüş H et al: Breast microcalcification: diagnostic value of calcified and non-calcified cores on specimen radiographs. Breast J. 19(2):156-61, 2013
Britton PD et al: Breast surgical specimen radiographs: how reliable are they? Eur J Radiol. 79(2):245-9, 2011
Dooley WC et al: Understanding the mechanisms creating false positive lumpectomy margins. Am J Surg. 190(4):606-8, 2005
Méndez JE et al: Tissue compression is not necessary for needle-localized lesion identification. Am J Surg. 190(4):580-2, 2005
Margolin FR et al: Stereotactic core breast biopsy of malignant calcifications: diagnostic yield of cores with and cores without calcifications on specimen radiographs. Radiology. 233(1):251-4, 2004
Liberman L et al: To excise or to sample the mammographic target: what is the goal of stereotactic 11-gauge vacuum-assisted breast biopsy? AJR Am J Roentgenol. 179(3):679-83, 2002
Berg WA et al: Predictive value of specimen radiography for core needle biopsy of noncalcified breast masses. AJR Am J Roentgenol. 171(6):1671-8, 1998
Homer MJ et al: Radiography of the surgical breast biopsy specimen. AJR Am J Roentgenol. 171(5):1197-9, 1998
D'Orsi CJ: Management of the breast specimen. Radiology. 194(2):297-302, 1995
Lee CH et al: Detecting residual tumor after excisional biopsy of impalpable breast carcinoma: efficacy of comparing preoperative mammograms with radiographs of the biopsy specimen. AJR Am J Roentgenol. 164(1):81-6, 1995
Liberman L et al: Radiography of microcalcifications in stereotaxic mammary core biopsy specimens. Radiology. 190(1):223-5, 1994
D'Orsi CJ et al: Breast specimen microcalcifications: radiographic validation and pathologic-radiologic correlation. Radiology. 180(2):397-401, 1991
Stomper PC et al: Efficacy of specimen radiography of clinically occult noncalcified breast lesions. AJR Am J Roentgenol. 151(1):43-7, 1988
Related Anatomy
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Related Differential Diagnoses
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References
Tables
Tables
KEY FACTS
Procedure
Post Procedure
TERMINOLOGY
Definitions
Imaging of surgical specimen or core needle biopsy (CNB) samples to confirm presence of targeted lesion
Usually single-view magnification radiography (XR)
Digital breast tomosynthesis (DBT) or US, as needed
PREPROCEDURE
Indications
Getting Started
PROCEDURE
Patient Position/Location
Equipment Preparation
Procedure Steps
Findings and Reporting
Alternative Procedures/Therapies
POST PROCEDURE
Expected Outcome
Things to Do
Things to Avoid
OUTCOMES
Problems
Complications
Selected References
Polat YD et al: The role of tomosynthesis in intraoperative specimen evaluation. Breast J. 24(6):992-6, 2018
Amer HA et al: Digital breast tomosynthesis versus full-field digital mammography-which modality provides more accurate prediction of margin status in specimen radiography? Eur J Radiol. 93:258-64, 2017
Urano M et al: Digital mammography versus digital breast tomosynthesis for detection of breast cancer in the intraoperative specimen during breast-conserving surgery. Breast Cancer. 23(5):706-11, 2016
Gümüş H et al: Breast microcalcification: diagnostic value of calcified and non-calcified cores on specimen radiographs. Breast J. 19(2):156-61, 2013
Britton PD et al: Breast surgical specimen radiographs: how reliable are they? Eur J Radiol. 79(2):245-9, 2011
Dooley WC et al: Understanding the mechanisms creating false positive lumpectomy margins. Am J Surg. 190(4):606-8, 2005
Méndez JE et al: Tissue compression is not necessary for needle-localized lesion identification. Am J Surg. 190(4):580-2, 2005
Margolin FR et al: Stereotactic core breast biopsy of malignant calcifications: diagnostic yield of cores with and cores without calcifications on specimen radiographs. Radiology. 233(1):251-4, 2004
Liberman L et al: To excise or to sample the mammographic target: what is the goal of stereotactic 11-gauge vacuum-assisted breast biopsy? AJR Am J Roentgenol. 179(3):679-83, 2002
Berg WA et al: Predictive value of specimen radiography for core needle biopsy of noncalcified breast masses. AJR Am J Roentgenol. 171(6):1671-8, 1998
Homer MJ et al: Radiography of the surgical breast biopsy specimen. AJR Am J Roentgenol. 171(5):1197-9, 1998
D'Orsi CJ: Management of the breast specimen. Radiology. 194(2):297-302, 1995
Lee CH et al: Detecting residual tumor after excisional biopsy of impalpable breast carcinoma: efficacy of comparing preoperative mammograms with radiographs of the biopsy specimen. AJR Am J Roentgenol. 164(1):81-6, 1995
Liberman L et al: Radiography of microcalcifications in stereotaxic mammary core biopsy specimens. Radiology. 190(1):223-5, 1994
D'Orsi CJ et al: Breast specimen microcalcifications: radiographic validation and pathologic-radiologic correlation. Radiology. 180(2):397-401, 1991
Stomper PC et al: Efficacy of specimen radiography of clinically occult noncalcified breast lesions. AJR Am J Roentgenol. 151(1):43-7, 1988
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