Abstract:
OBJECTIVE:Image-guided percutaneous biopsy is the recommended initial diagnostic procedure for suspicious mammographic lesions. This study was conducted to determine the accuracy of the Intact(®) breast lesion excision system (BLES) and to identify predictive factors for complete excision and underestimation. MATERIAL AND METHODS:A prospective study was conducted between January 28, 2008 and April 30, 2009 on 166 biopsy procedures using Intact(®) biopsy device. Diagnoses obtained from biopsy specimen were compared with to final diagnosis on surgical excision specimen. RESULTS:Of the 166 patients, 15 (9%) displayed lesions with cell atypia, 28 (17%) had an intra ductal carcinoma (IDC) and 9 (5%) had an invasive carcinoma. Eight of 15 patients with cell atypia had open surgical excision, and none showed underestimation. All patients with IDC underwent surgical excision: we found an invasive carcinoma in 6 cases (21.4% underestimation) and a complete removal of the lesion by the Intact(®) BLES in 11 cases (39%). All 9 patients with invasive carcinoma had a surgical excision, with 1 complete removal of the lesion by Intact(®) BLES. Multivariate analyses did not identify predictive factors for underestimation; clear margins ≥1mm on biopsy specimen was the only independent predictive factor of complete excision (OR=8.51, p=0.02). CONCLUSIONS:Intact(®) BLES provides a safe alternative to vacuum assisted core needle biopsy (VACNB) with an underestimation rate comparable to those previously reported for VACNB. The high rate of complete removal of the lesions, particularly ISC, offers an interesting perspective of avoiding subsequent excisional surgery for small lesions and thus requires further confirmational study.
journal_name
Eur J Radioljournal_title
European journal of radiologyauthors
Seror JY,Lesieur B,Scheuer-Niro B,Zerat L,Rouzier R,Uzan Sdoi
10.1016/j.ejrad.2011.01.049subject
Has Abstractpub_date
2012-04-01 00:00:00pages
719-24issue
4eissn
0720-048Xissn
1872-7727pii
S0720-048X(11)00078-7journal_volume
81pub_type
杂志文章abstract:PURPOSE:Compare the right ventricle to left ventricle (RV/LV) diameter ratio obtained from axial pulmonary CT angiograms (CTPA) with those derived from automatically generated 4-chamber (4-CH) reformats in patients with suspected pulmonary embolism (PE). METHODS:In this institutional review board-approved study we inc...
journal_title:European journal of radiology
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abstract:OBJECTIVE:To investigate the distribution of an ultrasound-guided intra-articular (IA) injection in the wrist joint of patients with rheumatoid arthritis (RA). METHODS:An ultrasound-guided IA drug injection into the wrist joint was performed in 17 patients with 1 ml methylprednisolone (40 mg/ml), 0.5 ml Lidocaine (5mg...
journal_title:European journal of radiology
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journal_title:European journal of radiology
pub_type: 杂志文章,随机对照试验
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journal_title:European journal of radiology
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journal_title:European journal of radiology
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journal_title:European journal of radiology
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doi:
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更新日期:2014-05-01 00:00:00
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journal_title:European journal of radiology
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journal_title:European journal of radiology
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