Interventional breast sonography

Abstract 

This review article covers the basic applications of and latest developments in interventional breast sonography (US). For breast masses, US has become the standard for guiding needle biopsy, whether a fine needle or a core biopsy needle is used. US has also become the preferred method for guiding insertion of various localization devices for nonpalpable masses, and US's intraoperative use for this purpose is expanding. Recently, US has been used to monitor the placement of percutaneous ablation devices, such as radiofrequency ablation needle-electrodes, into breast masses, including carcinomas. US is not indicated for the routine evaluation of microcalcifications. However, on occasion, clusters of microcalcifications without a mass can be visualized on sonograms with sufficient clarity to undertake a US-guided core biopsy if stereotactically guided biopsy cannot be performed for technical reasons.

Keywords:  Ultrasonography, Interventional ultrasonography, Intraoperative ultrasonography, Breast, Breast neoplasms, Breast cancer, Microcalcifications, Biopsy, Fine-needle aspiration, Core biopsy, Localization, Radiofrequency ablation, Metallic markers