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CC BY-NC-ND 4.0 · Journal of Clinical Interventional Radiology ISVIR 2023; 07(03): 172-178
DOI: 10.1055/s-0043-1768040
Original Article

Safety and Efficacy of Vacuum-Assisted Breast Biopsies under Ultrasound and Stereotactic Guidance

Palak Bhavesh Thakkar Popat
1   Department of Radiology, Tata Memorial Hospital, Mumbai, Maharashtra, India
,
Aashna Karbhari
1   Department of Radiology, Tata Memorial Hospital, Mumbai, Maharashtra, India
,
Nitin Shetty
1   Department of Radiology, Tata Memorial Hospital, Mumbai, Maharashtra, India
,
Kunal Gala
1   Department of Radiology, Tata Memorial Hospital, Mumbai, Maharashtra, India
,
Purvi Haria
1   Department of Radiology, Tata Memorial Hospital, Mumbai, Maharashtra, India
,
Aparna Katdare
1   Department of Radiology, Tata Memorial Hospital, Mumbai, Maharashtra, India
,
Sonal Chauhan
1   Department of Radiology, Tata Memorial Hospital, Mumbai, Maharashtra, India
,
Vani Parmar
2   Department of Surgical Oncology, Tata Memorial Hospital, Mumbai, Maharashtra, India
,
Nita Nair
2   Department of Surgical Oncology, Tata Memorial Hospital, Mumbai, Maharashtra, India
,
Shalaka Joshi
2   Department of Surgical Oncology, Tata Memorial Hospital, Mumbai, Maharashtra, India
,
Sangeeta Desai
3   Department of Pathology, Tata Memorial Hospital, Mumbai, Maharashtra, India
,
Tanuja Shet
3   Department of Pathology, Tata Memorial Hospital, Mumbai, Maharashtra, India
,
Asawari Patil
3   Department of Pathology, Tata Memorial Hospital, Mumbai, Maharashtra, India
,
Ayushi Sahay
3   Department of Pathology, Tata Memorial Hospital, Mumbai, Maharashtra, India
,
Meenakshi Thakur
1   Department of Radiology, Tata Memorial Hospital, Mumbai, Maharashtra, India
,
Rajendra Badwe
4   Department of Surgical Oncology, Tata Memorial Centre, Homi Bhabha National Institute, Tata Memorial Hospital, Mumbai, Maharashtra, India
,
Suyash Kulkarni
1   Department of Radiology, Tata Memorial Hospital, Mumbai, Maharashtra, India
› Author Affiliations Funding None.
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Abstract

Purpose To evaluate the safety and efficacy of vacuum-assisted breast biopsy (VABB) under ultrasound and stereotactic guidance.

Methods This institutionally approved retrospective analysis comprised 60 females who underwent VABB under ultrasound and stereotactic guidance. Technical success and adverse events were analyzed as per the Society of Interventional Radiology standards. Pain score was recorded as per the visual analog scale.

Results Technical success was 100% with high specificity (100%), sensitivity (96%), negative predictive value 97%, and accuracy of 98%. Ductal carcinoma in situ underestimation rate was 4%. No major complications were encountered, and minor complication of postprocedural hematoma did not require intervention. Procedure was well tolerated with majority patients experiencing mild pain.

Conclusion VABB under ultrasound and stereotactic guidance is a safe and effective method for sampling breast abnormalities.

Keywords

breast - intervention - biopsy - vacuum-assisted biopsy

Ethical Approval

This was an ethics approved study for analysis but being retrospective, formal consent was not required.




Publication History

Article published online:
12 June 2023

© 2023. Indian Society of Vascular and Interventional Radiology. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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