Ethan O. Cohen, MD; Wendie A. Berg, MD, PhD, FACR, FSBI
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KEY FACTS
Terminology
Preprocedure
Procedure
Post Procedure
TERMINOLOGY
Synonyms
Stereotaxic biopsy
Definitions
Mammographically-guided biopsy using 2 stereotactic images (taken at +15° and -15° angles) or 1 tomosynthesis series for targeting with patient positioned prone on stereotactic table
PREPROCEDURE
Indications
Contraindications
Getting Started
PROCEDURE
Patient Position/Location
Procedure Steps
Findings and Reporting
Alternative Procedures/Therapies
POST PROCEDURE
Expected Outcome
Things to Do
Things to Avoid
OUTCOMES
Complications
Selected References
Bahl M et al: Comparison of upright digital breast tomosynthesis-guided versus prone stereotactic vacuum-assisted breast biopsy. Radiology. 290(2):298-304, 2018
Calhoun BC: Core needle biopsy of the breast: an evaluation of contemporary data. Surg Pathol Clin. 11(1):1-16, 2018
Falkner NM et al: Added value of second biopsy target in screen-detected widespread suspicious breast calcifications. J Med Imaging Radiat Oncol. 62(3):299-306, 2018
Gao Y et al: What happens after a diagnosis of high-risk breast lesion at stereotactic vacuum-assisted biopsy? An observational study of postdiagnosis management and imaging ddherence. Radiology. 171665, 2018
Shin K et al: Tomosynthesis-guided core biopsy of the breast: why and how to use it. J Clin Imaging Sci. 8:28, 2018
Chesebro AL et al: Troubleshooting to overcome technical challenges in image-guided breast biopsy. Radiographics. 37(3):705-18, 2017
Jain A et al: Stereotactic core needle breast biopsy marker migration: An analysis of factors contributing to immediate marker migration. Eur Radiol. 27(11):4797-4803, 2017
Plecha DM et al: Comparing cancer detection rates of patients undergoing short term follow-up vs routine follow-up after benign breast biopsies, is follow-up needed? Clin Imaging. 42:37-42, 2017
Ruggirello I et al: Stereotactic vacuum-assisted breast biopsy: Comparison between 11- and 8-gauge needles. Eur J Surg Oncol. 43(12):2257-2260, 2017
Monticciolo DL et al: Six-Month Short-Interval Imaging Follow-Up for Benign Concordant Core Needle Biopsy of the Breast: Outcomes in 1444 Cases With Long-Term Follow-Up. AJR Am J Roentgenol. 1-6, 2016
Mooney KL et al: Upgrade rates of high-risk breast lesions diagnosed on core needle biopsy: a single-institution experience and literature review. Mod Pathol. 29(12):1471-1484, 2016
Raj SD et al: Stereotactic biopsy of segmental breast calcifications: Is sampling of anterior and posterior components necessary? Acad Radiol. 23(6):682-6, 2016
Johnson JM et al: Breast cancer detection with short-interval follow-up compared with return to annual screening in patients with benign stereotactic or US-guided breast biopsy results. Radiology. 275(1):54-60, 2015
Mateo AM et al: Is 6-Month Radiologic Imaging Necessary after Benign Breast Biopsy? Review of Literature and Multicenter Experience. Am Surg. 81(12):1224-7, 2015
Schrading S et al: Digital breast tomosynthesis-guided vacuum-assisted breast biopsy: initial experiences and comparison with prone stereotactic vacuum-assisted biopsy. Radiology. 274(3):654-62, 2015
Becker AK et al: Flat ductal intraepithelial neoplasia 1A diagnosed at stereotactic core needle biopsy: is excisional biopsy indicated? AJR Am J Roentgenol. 200(3):682-8, 2013
Chaudhary S et al: Classic lobular neoplasia on core biopsy: a clinical and radio-pathologic correlation study with follow-up excision biopsy. Mod Pathol. 26(6):762-71, 2013
Gümüş H et al: Breast microcalcification: diagnostic value of calcified and non-calcified cores on specimen radiographs. Breast J. 19(2):156-61, 2013
Gümüş H et al: Causes of failure in removing calcium in microcalcification-only lesions using 11-gauge stereotactic vacuum-assisted breast biopsy. Diagn Interv Radiol. 18(4):354-9, 2012
Lee KA et al: Risk of malignancy when microscopic radial scars and microscopic papillomas are found at percutaneous biopsy. AJR Am J Roentgenol. 198(2):W141-5, 2012
Venkataraman S et al: Stereotactic core biopsy: Comparison of 11 gauge with 8 gauge vacuum assisted breast biopsy. Eur J Radiol. 81(10):2613-9, 2012
Londero V et al: Borderline breast lesions: comparison of malignancy underestimation rates with 14-gauge core needle biopsy versus 11-gauge vacuum-assisted device. Eur Radiol. 21(6):1200-6, 2011
Bruening W et al: Systematic review: comparative effectiveness of core-needle and open surgical biopsy to diagnose breast lesions. Ann Intern Med. 152(4):238-46, 2010
Kohr JR et al: Risk of upgrade of atypical ductal hyperplasia after stereotactic breast biopsy: effects of number of foci and complete removal of calcifications. Radiology. 255(3):723-30, 2010
Penco S et al: Stereotactic vacuum-assisted breast biopsy is not a therapeutic procedure even when all mammographically found calcifications are removed: analysis of 4,086 procedures. AJR Am J Roentgenol. 195(5):1255-60, 2010
Jackman RJ et al: False-negative diagnoses at stereotactic vacuum-assisted needle breast biopsy: long-term follow-up of 1,280 lesions and review of the literature. AJR Am J Roentgenol. 192(2):341-51, 2009
Somerville P et al: Anticoagulation and bleeding risk after core needle biopsy. AJR Am J Roentgenol. 191(4):1194-7, 2008
Ciatto S et al: Accuracy and underestimation of malignancy of breast core needle biopsy: the Florence experience of over 4000 consecutive biopsies. Breast Cancer Res Treat. 101(3):291-7, 2007
Lourenco AP et al: Stereotactic breast biopsy: comparison of histologic underestimation rates with 11- and 9-gauge vacuum-assisted breast biopsy. AJR Am J Roentgenol. 189(5):W275-9, 2007
Mahoney MC et al: Lobular neoplasia at 11-gauge vacuum-assisted stereotactic biopsy: correlation with surgical excisional biopsy and mammographic follow-up. AJR Am J Roentgenol. 187(4):949-54, 2006
Berg WA: Image-guided breast biopsy and management of high-risk lesions. Radiol Clin North Am. 42(5):935-46, vii, 2004
Esserman LE et al: Recognizing pitfalls in early and late migration of clip markers after imaging-guided directional vacuum-assisted biopsy. Radiographics. 24(1):147-56, 2004
Fajardo LL et al: Stereotactic and sonographic large-core biopsy of nonpalpable breast lesions: results of the Radiologic Diagnostic Oncology Group V study. Acad Radiol. 11(3):293-308, 2004
Jackman RJ et al: Stereotactic histologic biopsy with patients prone: technical feasibility in 98% of mammographically detected lesions. AJR Am J Roentgenol. 180(3):785-94, 2003
Jacobs TW et al: Nonmalignant lesions in breast core needle biopsies: to excise or not to excise? Am J Surg Pathol. 26(9):1095-110, 2002
Kass R et al: Clip migration in stereotactic biopsy. Am J Surg. 184(4):325-31, 2002
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
Liberman L: Percutaneous image-guided core breast biopsy. Radiol Clin North Am. 40(3):483-500, vi, 2002
Brenner RJ et al: Stereotactic core-needle breast biopsy: a multi-institutional prospective trial. Radiology. 218(3):866-72, 2001
Carr JJ et al: Stereotactic localization of breast lesions: how it works and methods to improve accuracy. Radiographics. 21(2):463-73, 2001
Jackman RJ et al: Stereotactic breast biopsy of nonpalpable lesions: determinants of ductal carcinoma in situ underestimation rates. Radiology. 218(2):497-502, 2001
Darling ML et al: Atypical ductal hyperplasia and ductal carcinoma in situ as revealed by large-core needle breast biopsy: results of surgical excision. AJR Am J Roentgenol. 175(5):1341-6, 2000
Lamm RL et al: Mammographic abnormalities caused by percutaneous stereotactic biopsy of histologically benign lesions evident on follow-up mammograms. AJR Am J Roentgenol. 174(3):753-6, 2000
Liberman L: Clinical management issues in percutaneous core breast biopsy. Radiol Clin North Am. 38(4):791-807, 2000
Melotti MK et al: Core needle breast biopsy in patients undergoing anticoagulation therapy: preliminary results. AJR Am J Roentgenol. 174(1):245-9, 2000
Jackman RJ et al: Atypical ductal hyperplasia diagnosed at stereotactic breast biopsy: improved reliability with 14-gauge, directional, vacuum-assisted biopsy. Radiology. 204(2):485-8, 1997
Liberman L et al: Stereotaxic 14-gauge breast biopsy: how many core biopsy specimens are needed? Radiology. 192(3):793-5, 1994
Parker SH et al: Percutaneous large-core breast biopsy: a multi-institutional study. Radiology. 193(2):359-64, 1994
Related Anatomy
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References
Tables
Tables
KEY FACTS
Terminology
Preprocedure
Procedure
Post Procedure
TERMINOLOGY
Synonyms
Stereotaxic biopsy
Definitions
Mammographically-guided biopsy using 2 stereotactic images (taken at +15° and -15° angles) or 1 tomosynthesis series for targeting with patient positioned prone on stereotactic table
PREPROCEDURE
Indications
Contraindications
Getting Started
PROCEDURE
Patient Position/Location
Procedure Steps
Findings and Reporting
Alternative Procedures/Therapies
POST PROCEDURE
Expected Outcome
Things to Do
Things to Avoid
OUTCOMES
Complications
Selected References
Bahl M et al: Comparison of upright digital breast tomosynthesis-guided versus prone stereotactic vacuum-assisted breast biopsy. Radiology. 290(2):298-304, 2018
Calhoun BC: Core needle biopsy of the breast: an evaluation of contemporary data. Surg Pathol Clin. 11(1):1-16, 2018
Falkner NM et al: Added value of second biopsy target in screen-detected widespread suspicious breast calcifications. J Med Imaging Radiat Oncol. 62(3):299-306, 2018
Gao Y et al: What happens after a diagnosis of high-risk breast lesion at stereotactic vacuum-assisted biopsy? An observational study of postdiagnosis management and imaging ddherence. Radiology. 171665, 2018
Shin K et al: Tomosynthesis-guided core biopsy of the breast: why and how to use it. J Clin Imaging Sci. 8:28, 2018
Chesebro AL et al: Troubleshooting to overcome technical challenges in image-guided breast biopsy. Radiographics. 37(3):705-18, 2017
Jain A et al: Stereotactic core needle breast biopsy marker migration: An analysis of factors contributing to immediate marker migration. Eur Radiol. 27(11):4797-4803, 2017
Plecha DM et al: Comparing cancer detection rates of patients undergoing short term follow-up vs routine follow-up after benign breast biopsies, is follow-up needed? Clin Imaging. 42:37-42, 2017
Ruggirello I et al: Stereotactic vacuum-assisted breast biopsy: Comparison between 11- and 8-gauge needles. Eur J Surg Oncol. 43(12):2257-2260, 2017
Monticciolo DL et al: Six-Month Short-Interval Imaging Follow-Up for Benign Concordant Core Needle Biopsy of the Breast: Outcomes in 1444 Cases With Long-Term Follow-Up. AJR Am J Roentgenol. 1-6, 2016
Mooney KL et al: Upgrade rates of high-risk breast lesions diagnosed on core needle biopsy: a single-institution experience and literature review. Mod Pathol. 29(12):1471-1484, 2016
Raj SD et al: Stereotactic biopsy of segmental breast calcifications: Is sampling of anterior and posterior components necessary? Acad Radiol. 23(6):682-6, 2016
Johnson JM et al: Breast cancer detection with short-interval follow-up compared with return to annual screening in patients with benign stereotactic or US-guided breast biopsy results. Radiology. 275(1):54-60, 2015
Mateo AM et al: Is 6-Month Radiologic Imaging Necessary after Benign Breast Biopsy? Review of Literature and Multicenter Experience. Am Surg. 81(12):1224-7, 2015
Schrading S et al: Digital breast tomosynthesis-guided vacuum-assisted breast biopsy: initial experiences and comparison with prone stereotactic vacuum-assisted biopsy. Radiology. 274(3):654-62, 2015
Becker AK et al: Flat ductal intraepithelial neoplasia 1A diagnosed at stereotactic core needle biopsy: is excisional biopsy indicated? AJR Am J Roentgenol. 200(3):682-8, 2013
Chaudhary S et al: Classic lobular neoplasia on core biopsy: a clinical and radio-pathologic correlation study with follow-up excision biopsy. Mod Pathol. 26(6):762-71, 2013
Gümüş H et al: Breast microcalcification: diagnostic value of calcified and non-calcified cores on specimen radiographs. Breast J. 19(2):156-61, 2013
Gümüş H et al: Causes of failure in removing calcium in microcalcification-only lesions using 11-gauge stereotactic vacuum-assisted breast biopsy. Diagn Interv Radiol. 18(4):354-9, 2012
Lee KA et al: Risk of malignancy when microscopic radial scars and microscopic papillomas are found at percutaneous biopsy. AJR Am J Roentgenol. 198(2):W141-5, 2012
Venkataraman S et al: Stereotactic core biopsy: Comparison of 11 gauge with 8 gauge vacuum assisted breast biopsy. Eur J Radiol. 81(10):2613-9, 2012
Londero V et al: Borderline breast lesions: comparison of malignancy underestimation rates with 14-gauge core needle biopsy versus 11-gauge vacuum-assisted device. Eur Radiol. 21(6):1200-6, 2011
Bruening W et al: Systematic review: comparative effectiveness of core-needle and open surgical biopsy to diagnose breast lesions. Ann Intern Med. 152(4):238-46, 2010
Kohr JR et al: Risk of upgrade of atypical ductal hyperplasia after stereotactic breast biopsy: effects of number of foci and complete removal of calcifications. Radiology. 255(3):723-30, 2010
Penco S et al: Stereotactic vacuum-assisted breast biopsy is not a therapeutic procedure even when all mammographically found calcifications are removed: analysis of 4,086 procedures. AJR Am J Roentgenol. 195(5):1255-60, 2010
Jackman RJ et al: False-negative diagnoses at stereotactic vacuum-assisted needle breast biopsy: long-term follow-up of 1,280 lesions and review of the literature. AJR Am J Roentgenol. 192(2):341-51, 2009
Somerville P et al: Anticoagulation and bleeding risk after core needle biopsy. AJR Am J Roentgenol. 191(4):1194-7, 2008
Ciatto S et al: Accuracy and underestimation of malignancy of breast core needle biopsy: the Florence experience of over 4000 consecutive biopsies. Breast Cancer Res Treat. 101(3):291-7, 2007
Lourenco AP et al: Stereotactic breast biopsy: comparison of histologic underestimation rates with 11- and 9-gauge vacuum-assisted breast biopsy. AJR Am J Roentgenol. 189(5):W275-9, 2007
Mahoney MC et al: Lobular neoplasia at 11-gauge vacuum-assisted stereotactic biopsy: correlation with surgical excisional biopsy and mammographic follow-up. AJR Am J Roentgenol. 187(4):949-54, 2006
Berg WA: Image-guided breast biopsy and management of high-risk lesions. Radiol Clin North Am. 42(5):935-46, vii, 2004
Esserman LE et al: Recognizing pitfalls in early and late migration of clip markers after imaging-guided directional vacuum-assisted biopsy. Radiographics. 24(1):147-56, 2004
Fajardo LL et al: Stereotactic and sonographic large-core biopsy of nonpalpable breast lesions: results of the Radiologic Diagnostic Oncology Group V study. Acad Radiol. 11(3):293-308, 2004
Jackman RJ et al: Stereotactic histologic biopsy with patients prone: technical feasibility in 98% of mammographically detected lesions. AJR Am J Roentgenol. 180(3):785-94, 2003
Jacobs TW et al: Nonmalignant lesions in breast core needle biopsies: to excise or not to excise? Am J Surg Pathol. 26(9):1095-110, 2002
Kass R et al: Clip migration in stereotactic biopsy. Am J Surg. 184(4):325-31, 2002
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
Liberman L: Percutaneous image-guided core breast biopsy. Radiol Clin North Am. 40(3):483-500, vi, 2002
Brenner RJ et al: Stereotactic core-needle breast biopsy: a multi-institutional prospective trial. Radiology. 218(3):866-72, 2001
Carr JJ et al: Stereotactic localization of breast lesions: how it works and methods to improve accuracy. Radiographics. 21(2):463-73, 2001
Jackman RJ et al: Stereotactic breast biopsy of nonpalpable lesions: determinants of ductal carcinoma in situ underestimation rates. Radiology. 218(2):497-502, 2001
Darling ML et al: Atypical ductal hyperplasia and ductal carcinoma in situ as revealed by large-core needle breast biopsy: results of surgical excision. AJR Am J Roentgenol. 175(5):1341-6, 2000
Lamm RL et al: Mammographic abnormalities caused by percutaneous stereotactic biopsy of histologically benign lesions evident on follow-up mammograms. AJR Am J Roentgenol. 174(3):753-6, 2000
Liberman L: Clinical management issues in percutaneous core breast biopsy. Radiol Clin North Am. 38(4):791-807, 2000
Melotti MK et al: Core needle breast biopsy in patients undergoing anticoagulation therapy: preliminary results. AJR Am J Roentgenol. 174(1):245-9, 2000
Jackman RJ et al: Atypical ductal hyperplasia diagnosed at stereotactic breast biopsy: improved reliability with 14-gauge, directional, vacuum-assisted biopsy. Radiology. 204(2):485-8, 1997
Liberman L et al: Stereotaxic 14-gauge breast biopsy: how many core biopsy specimens are needed? Radiology. 192(3):793-5, 1994
Parker SH et al: Percutaneous large-core breast biopsy: a multi-institutional study. Radiology. 193(2):359-64, 1994
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