MRI-guided needle localization of suspicious breast lesions: results of a freehand technique
Magnetic resonance imaging (MRI) can detect clinically and mammographically occult breast lesions. In this study we report the results of MRI-guided needle localization of suspicious breast lesions by using a freehand technique. Preoperative MRI-guided single-needle localization was performed in 220...
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| Veröffentlicht in: | European radiology 2006-08, Vol.16 (8), p.1811-1817 |
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| creator | van den Bosch, M A A J Daniel, B L Pal, S Nowels, K W Birdwell, R L Jeffrey, S S Ikeda, D M |
| description | Magnetic resonance imaging (MRI) can detect clinically and mammographically occult breast lesions. In this study we report the results of MRI-guided needle localization of suspicious breast lesions by using a freehand technique. Preoperative MRI-guided single-needle localization was performed in 220 patients with 304 MRI-only breast lesions at our hospital between January 1997 and July 2004. Procedures were performed in an open 0.5-T Signa-SP imager allowing real-time monitoring, with patient in prone position, by using a dedicated breast coil. MRI-compatible hookwires were placed in a noncompressed breast by using a freehand technique. MRI findings were correlated with pathology and follow-up. MRI-guided needle localization was performed for a single lesion in 150 patients, for two lesions in 56 patients, and for three lesions in 14 patients. Histopathologic analysis of these 304 lesions showed 104 (34%) malignant lesions, 51 (17%) high-risk lesions, and 149 (49%) benign lesions. The overall lesion size ranged from 2.0-65.0 mm (mean 11.2 mm). No direct complications occurred. Follow-up MRI in 54 patients showed that two (3.7%) lesions were missed by surgical biopsy. MRI-guided freehand needle localization is accurate and allows localization of lesions anterior in the breast, the axillary region, and near the chest wall. |
| doi_str_mv | 10.1007/s00330-006-0214-5 |
| format | Article |
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In this study we report the results of MRI-guided needle localization of suspicious breast lesions by using a freehand technique. Preoperative MRI-guided single-needle localization was performed in 220 patients with 304 MRI-only breast lesions at our hospital between January 1997 and July 2004. Procedures were performed in an open 0.5-T Signa-SP imager allowing real-time monitoring, with patient in prone position, by using a dedicated breast coil. MRI-compatible hookwires were placed in a noncompressed breast by using a freehand technique. MRI findings were correlated with pathology and follow-up. MRI-guided needle localization was performed for a single lesion in 150 patients, for two lesions in 56 patients, and for three lesions in 14 patients. Histopathologic analysis of these 304 lesions showed 104 (34%) malignant lesions, 51 (17%) high-risk lesions, and 149 (49%) benign lesions. The overall lesion size ranged from 2.0-65.0 mm (mean 11.2 mm). No direct complications occurred. Follow-up MRI in 54 patients showed that two (3.7%) lesions were missed by surgical biopsy. MRI-guided freehand needle localization is accurate and allows localization of lesions anterior in the breast, the axillary region, and near the chest wall.</description><identifier>ISSN: 0938-7994</identifier><identifier>EISSN: 1432-1084</identifier><identifier>DOI: 10.1007/s00330-006-0214-5</identifier><identifier>PMID: 16683117</identifier><language>eng</language><publisher>Germany: Springer Nature B.V</publisher><subject>Adult ; Aged ; Biopsy ; Biopsy, Needle - methods ; Breast ; Breast Diseases - diagnosis ; Breast Diseases - pathology ; Diagnosis, Differential ; Female ; Humans ; Lesions ; Localization ; Magnetic Resonance Imaging ; Middle Aged ; Predictive Value of Tests ; Prone position ; Real time ; Retrospective Studies</subject><ispartof>European radiology, 2006-08, Vol.16 (8), p.1811-1817</ispartof><rights>Springer-Verlag 2006.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c358t-f62e5b680cae715f31f1c8acd06054cc0a3f9c8695bb4f3d51252c5e42207a9f3</citedby><cites>FETCH-LOGICAL-c358t-f62e5b680cae715f31f1c8acd06054cc0a3f9c8695bb4f3d51252c5e42207a9f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,778,782,27907,27908</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16683117$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>van den Bosch, M A A J</creatorcontrib><creatorcontrib>Daniel, B L</creatorcontrib><creatorcontrib>Pal, S</creatorcontrib><creatorcontrib>Nowels, K W</creatorcontrib><creatorcontrib>Birdwell, R L</creatorcontrib><creatorcontrib>Jeffrey, S S</creatorcontrib><creatorcontrib>Ikeda, D M</creatorcontrib><title>MRI-guided needle localization of suspicious breast lesions: results of a freehand technique</title><title>European radiology</title><addtitle>Eur Radiol</addtitle><description>Magnetic resonance imaging (MRI) can detect clinically and mammographically occult breast lesions. In this study we report the results of MRI-guided needle localization of suspicious breast lesions by using a freehand technique. Preoperative MRI-guided single-needle localization was performed in 220 patients with 304 MRI-only breast lesions at our hospital between January 1997 and July 2004. Procedures were performed in an open 0.5-T Signa-SP imager allowing real-time monitoring, with patient in prone position, by using a dedicated breast coil. MRI-compatible hookwires were placed in a noncompressed breast by using a freehand technique. MRI findings were correlated with pathology and follow-up. MRI-guided needle localization was performed for a single lesion in 150 patients, for two lesions in 56 patients, and for three lesions in 14 patients. Histopathologic analysis of these 304 lesions showed 104 (34%) malignant lesions, 51 (17%) high-risk lesions, and 149 (49%) benign lesions. The overall lesion size ranged from 2.0-65.0 mm (mean 11.2 mm). No direct complications occurred. Follow-up MRI in 54 patients showed that two (3.7%) lesions were missed by surgical biopsy. MRI-guided freehand needle localization is accurate and allows localization of lesions anterior in the breast, the axillary region, and near the chest wall.</description><subject>Adult</subject><subject>Aged</subject><subject>Biopsy</subject><subject>Biopsy, Needle - methods</subject><subject>Breast</subject><subject>Breast Diseases - diagnosis</subject><subject>Breast Diseases - pathology</subject><subject>Diagnosis, Differential</subject><subject>Female</subject><subject>Humans</subject><subject>Lesions</subject><subject>Localization</subject><subject>Magnetic Resonance Imaging</subject><subject>Middle Aged</subject><subject>Predictive Value of Tests</subject><subject>Prone position</subject><subject>Real time</subject><subject>Retrospective Studies</subject><issn>0938-7994</issn><issn>1432-1084</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNqFkU1r3DAQhkVJaDZpf0AvRRDITcmM9WGptxDyBQmB0N4KQpZHjYPX3kr2of319bILhVxymsM873zwMPYF4RwB6osCICUIACOgQiX0B7ZCJSuBYNUBW4GTVtTOqSN2XMorADhU9Ud2hMZYiViv2M_H53vxa-5aavlA1PbE-zGGvvsbpm4c-Jh4mcumi904F95kCmXiPZWlV77xTGXup7KlAk-Z6CUMLZ8ovgzd75k-scMU-kKf9_WE_bi5_n51Jx6ebu-vLh9ElNpOIpmKdGMsxEA16iQxYbQhtmBAqxghyOSiNU43jUqy1VjpKmpSVQV1cEmesLPd3E0el7Vl8uuuROr7MNBytjfWLAmF74LolFbKyQU8fQO-jnMelie8xKpWYKXVC4U7KuaxlEzJb3K3DvmPR_BbQ35nyC-G_NaQ32a-7ifPzZra_4m9EvkPoIeLdg</recordid><startdate>20060801</startdate><enddate>20060801</enddate><creator>van den Bosch, M A A J</creator><creator>Daniel, B L</creator><creator>Pal, S</creator><creator>Nowels, K W</creator><creator>Birdwell, R L</creator><creator>Jeffrey, S S</creator><creator>Ikeda, D M</creator><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20060801</creationdate><title>MRI-guided needle localization of suspicious breast lesions: results of a freehand technique</title><author>van den Bosch, M A A J ; 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In this study we report the results of MRI-guided needle localization of suspicious breast lesions by using a freehand technique. Preoperative MRI-guided single-needle localization was performed in 220 patients with 304 MRI-only breast lesions at our hospital between January 1997 and July 2004. Procedures were performed in an open 0.5-T Signa-SP imager allowing real-time monitoring, with patient in prone position, by using a dedicated breast coil. MRI-compatible hookwires were placed in a noncompressed breast by using a freehand technique. MRI findings were correlated with pathology and follow-up. MRI-guided needle localization was performed for a single lesion in 150 patients, for two lesions in 56 patients, and for three lesions in 14 patients. Histopathologic analysis of these 304 lesions showed 104 (34%) malignant lesions, 51 (17%) high-risk lesions, and 149 (49%) benign lesions. The overall lesion size ranged from 2.0-65.0 mm (mean 11.2 mm). No direct complications occurred. Follow-up MRI in 54 patients showed that two (3.7%) lesions were missed by surgical biopsy. MRI-guided freehand needle localization is accurate and allows localization of lesions anterior in the breast, the axillary region, and near the chest wall.</abstract><cop>Germany</cop><pub>Springer Nature B.V</pub><pmid>16683117</pmid><doi>10.1007/s00330-006-0214-5</doi><tpages>7</tpages></addata></record> |
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| subjects | Adult Aged Biopsy Biopsy, Needle - methods Breast Breast Diseases - diagnosis Breast Diseases - pathology Diagnosis, Differential Female Humans Lesions Localization Magnetic Resonance Imaging Middle Aged Predictive Value of Tests Prone position Real time Retrospective Studies |
| title | MRI-guided needle localization of suspicious breast lesions: results of a freehand technique |
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