Radiology, Vol 191, 165-171, Copyright © 1994 by Radiological Society of North America

ARTICLES

Image-guided automated core biopsies of the breast, chest, abdomen, and pelvis

F Burbank, K Kaye, J Belville, J Ekuan and M Blumenfeld
Department of Radiology, Mission Hospital Regional Medical Center, Mission Viejo, CA 92691.

PURPOSE: A prospective study was undertaken to measure success at obtaining definitive histologic diagnoses with an automated biopsy gun technique. MATERIALS AND METHODS: Image-directed biopsies (n = 300) were performed between November 1989 and June 1992 in 288 patients. Biopsy specimens of breast lesions were obtained with ultrasound (US) or stereotaxic mammographic guidance. Biopsy samples of lesions from other areas of the body were obtained with computed tomographic or US guidance. Clinical follow-up and surgical biopsy were used to measure diagnostic accuracy. RESULTS: Overall, a definitive diagnosis was reached with core specimen biopsy techniques in 95.3% of cases (286 of 300), and all 286 definitive findings were accurate. CONCLUSION: Because of the success of this approach, the adoption of an automated biopsy gun technique that includes histologic examination of a core specimen should be considered by all radiologists who perform image- guided biopsies.

This article has been cited by other articles:

				M. P. Rivera and A. C. Mehta Initial Diagnosis of Lung Cancer: ACCP Evidence-Based Clinical Practice Guidelines (2nd Edition) Chest, September 1, 2007; 132(3_suppl): 131S - 148S. [Abstract] [Full Text] [PDF]

				G. Schreiber and D. C. McCrory Performance Characteristics of Different Modalities for Diagnosis of Suspected Lung Cancer: Summary of Published Evidence Chest, January 1, 2003; 123(1_suppl): 115S - 128S. [Abstract] [Full Text] [PDF]

				G.-S. Jung, J.-D. Huh, S. U. Lee, B. H. Han, H.-K. Chang, and Y. D. Cho Bile Duct: Analysis of Percutaneous Transluminal Forceps Biopsy in 130 Patients Suspected of Having Malignant Biliary Obstruction Radiology, September 1, 2002; 224(3): 725 - 730. [Abstract] [Full Text] [PDF]

				H. E. Reynolds Core Needle Biopsy of Challenging Benign Breast Conditions: A Comprehensive Literature Review Am. J. Roentgenol., May 1, 2000; 174(5): 1245 - 1250. [Full Text] [PDF]

				K. D. Hopper, K. Singapuri, and A. Finkel Body CT and Oncologic Imaging Radiology, April 1, 2000; 215(1): 27 - 40. [Abstract] [Full Text]

				Y. Lacasse, E. Wong, G. H Guyatt, and D. J Cook Transthoracic needle aspiration biopsy for the diagnosis of localised pulmonary lesions: a meta-analysis Thorax, October 1, 1999; 54(10): 884 - 893. [Abstract] [Full Text]

				G. R. Tudor, P. M. Rodgers, and K. P. West Bowel Lesions: Percutaneous US-guided 18-gauge Needle Biopsy—Preliminary Experience Radiology, August 1, 1999; 212(2): 594 - 597. [Abstract] [Full Text]

				K. L. Kirklin, D. Thickman, and M. D. Smith Pseudoaneurysm: A Comnplication Secondary to Ultrasound-Guided Core Biopsy of the Breast Journal of Diagnostic Medical Sonography, September 1, 1996; 12(5): 220 - 223. [Abstract] [PDF]