Ultrasound-guided cable-free 13-gauge vacuum-assisted biopsy of non-massbreast lesions

Collection with item attached
2017
Item details URL
http://open-repository.kisti.re.kr/cube/handle/open_repository/486685.do
DOI
10.1371/journal.pone.0179182
Title
Ultrasound-guided cable-free 13-gauge vacuum-assisted biopsy of non-massbreast lesions
Description
This work has been funded by Grant No. 02-2014-040 from the SNUBHResearch Fund. This work was supported by the Technology InnovationProgram funded By the Ministry of Trade, Industry and Energy (MOTIE) ofKorea (10049785). The funders had no role in study design, datacollection and analysis, decision to publish, or preparation of themanuscript.; This work was supported by the Technology InnovationProgram funded By the Ministry of Trade, Industry and Energy (MOTIE) ofKorea (10049785, Development of 'medical equipment using (ionizing ornon-ionizing) radiation'-dedicated R&D platform and medical devicetechnology.
abstract
Purpose
To compare the outcomes of ultrasound-guided core biopsy for non-mass breast lesions by the novel 13-gauge cable-free vacuum-assisted biopsy (VAB) and by the conventional 14gauge semi-automated core needle biopsy (CCNB).
Materials and methods
Our institutional review board approved this prospective study, and all patients provided written informed consent. Among 1840 ultrasound-guided percutaneous biopsies performed from August 2013 to December 2014, 145 non-mass breast lesions with suspicious microcalcifications on mammography or corresponding magnetic resonance imaging finding were subjected to 13-gauge VAB or 14-gauge CCNB. We evaluated the technical success rates, average specimen numbers, and tissue sampling time. We also compared the results of percutaneous biopsy and final surgical pathologic diagnosis to analyze the rates of diagnostic upgrade or downgrade.
Results
Ultrasound-guided VAB successfully targeted and sampled all lesions, whereas CCNB failed to demonstrate calcification in four (10.3%) breast lesions with microcalcification on specimen mammography. The mean sampling time were 238.6 and 170.6 seconds for VAB and CCNB, respectively. No major complications were observed with either method. Ductal carcinoma in situ (DCIS) and atypical ductal hyperplasia (ADH) lesions were more frequently upgraded after CCNB (8/23 and 3/5, respectively) than after VAB (2/26 and 0/4, respectively P = 0.028).
Conclusion
Non-mass breast lesions were successfully and accurately biopsied using cable-free VAB. The underestimation rate of ultrasound-detected non-mass lesion was significantly lower with VAB than with CCNB.
provenance
Made available in Cube on 2018-09-28T16:14:13Z (GMT). No. of bitstreams: 0
language
English
author
Seo, Jiwoon
Kim, Sun Mi
Jang, Mijung
La Yun, Bo
Lee, Soo Hyun
Kim, Eun-Kyu
Kang, Eunyoung
Park, So Yeon
Moon, Woo Kyung
Choi, Hye Young
Kim, Bohyoung
accessioned
2018-09-28T16:14:13Z
available
2018-09-28T16:14:13Z
issued
2017
citation
PLOS ONE(12): 6
issn
1932-6203
uri
http://open-repository.kisti.re.kr/cube/handle/open_repository/486685.do
Funder
교육부
Funding Program
BK21플러스사업(0.5)
Project ID
1345274070
Jurisdiction
Rep.of Korea
Project Name
Biomedical Science Project
rights
openAccess
type
article


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