Monica Liwen Huang MD, Presenter: Nothing to Disclose

Beatriz E. Adrada MD, Abstract Co-Author: Nothing to Disclose

Marion Elizabeth Scoggins MD, Abstract Co-Author: Nothing to Disclose

Deanna Lynn Lane MD, Abstract Co-Author: Nothing to Disclose

Basak Erguvan Dogan MD, Abstract Co-Author: Nothing to Disclose

1) With increasing implementation of digital breast tomosynthesis (DBT) and detection of mammographically and sonographically occult tomosynthesis lesions, tomosynthesis-guided breast biopsy is now a necessity. 2) A tomosynthesis-identified suspicious breast lesion should undergo targeted breast ultrasound for ultrasound-guided biopsy if possible, with clip placement within the lesion and post-biopsy tomosynthesis confirmation.  3) Principles of tomosynthesis-guided breast biopsy and stereotactic biopsy share similarities but have many differences.  4) With detailed planning and creativity, tomosynthesis-guided biopsy without dedicated tomosynthesis guidance software may be performed when the basic principles of tomosynthesis-guided biopsy are understood.   

1) Basic principles of digital breast tomosynthesis. 2) Principles of tomosynthesis-guided breast biopsy. 3) Equipment and software necessary to perform tomosynthesis-guided breast biopsy. 4) Indications and breast lesion selection process for tomosynthesis-guided biopsy. 5) Step by step instructions in performing a tomosynthesis-guided breast biopsy with tomosynthesis-guidance software. 6) Alternative tomosynthesis guided biopsy methods utilized or may be attempted to obtain tissue diagnosis in the absence of tomosynthesis guidance software.  

http://abstract.rsna.org/uploads/2014/14011676/14011676_ped9.pdf

Huang, M, Adrada, B, Scoggins, M, Lane, D, Dogan, B, Tomosynthesis-guided Breast Biopsy: Nuts and Bolts.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14011676.html