Interdisciplinary consensus on the uses and technique of MR-guided vacuum-assisted breast biopsy (VAB): Results of a European consensus meeting

Heywang-Köbrunner, Sylvia H.; Sinnatamby, Ruchi; Lebeau, Annette; Lebrecht, Antje; Britton, Peter D.; Schreer, Ingrid; Consensus Group,

doi:10.1016/j.ejrad.2008.07.010

« Previous Next »European Journal of Radiology
Volume 72, Issue 2 , Pages 289-294, November 2009

Interdisciplinary consensus on the uses and technique of MR-guided vacuum-assisted breast biopsy (VAB): Results of a European consensus meeting

Sylvia H. Heywang-Köbrunner
- Center for Breast Diagnosis Munich, Radiologie Haidhausen, Medizinisches Versorgungszentrum, Einsteinstr. 1, 81675 München, Germany
- Reference Center for Mammography Munich, Einsteinstr. 3, 81675 München, Germany
- Corresponding author at: Reference Center for Mammography Munich, Einsteinstr. 3, 81675 München, Germany. Tel.: +49 89 961 661 330; fax: +49 89 961 661 340.
Ruchi Sinnatamby
- Cambridge University, Box 97, Addenbrooke's Hospital, Cambridge CB2 2QQ, UK
Annette Lebeau
- Department of Pathology, University Medical Center Hamburg-Eppendorf, Martinistr. 52, D-20246 Hamburg, Germany
Antje Lebrecht
- Department of Obstetrics and Gynaecology, Johannes Gutenberg-University Mainz, Langenbeckstr. 1, D-55131 Mainz, Germany
Peter D. Britton
- Cambridge University, Box 97, Addenbrooke's Hospital, Cambridge CB2 2QQ, UK
Ingrid Schreer
- Mammazentrum des Universitätsklinikums Schleswig-Holstein, Campus Kiel, Fachbereich Medizin, Michaelisstr. 16, 24105 Kiel, Germany
Consensus Group
- See Appendix A.

Received 13 May 2008; received in revised form 2 July 2008; accepted 8 July 2008.

Abstract

Purpose

Quality assurance of MR-guided vacuum-assisted breast biopsy (VAB).

Method

A consensus was achieved based on the existing literature and experience of an interdisciplinary group comprising European specialists in breast imaging and VAB.

Results

Full imaging work-up must be completed according to existing standards before an indication for MR-guided VAB is established. The procedure should be reserved for lesions demonstrable by MRI alone.

Acquisition of >24 cores (11-Gauge) should be routinely attempted, with the intention of sufficiently removing small lesions for accurate diagnosis.

Following biopsy the patient should be re-imaged to demonstrate the biopsy site and its proximity to the lesion and hence the likely accuracy of the sampling. All patients should be discussed in a regular interdisciplinary conference and a documented consensus reached regarding patient management. Regular audit and review of all MR-guided VAB results and subsequent follow-up are recommended.

Conclusion

This consensus includes protocols for the indication, performance parameters, interdisciplinary interpretation therapeutic recommendation, documentation and follow-up of MR-guided VAB. It does not replace official recommendations for percutaneous biopsy.

Keywords: Breast biopsy, MRI, Quality assurance, European consensus meeting