Digital breast Tomosynthesis vacuum assisted biopsy for Tomosynthesis-detected Sonographically occult lesions

摘要

Abstract Purpose To assess the utility and pathological results from DBT VAB for lesions occult on 2D mammography and breast ultrasound (US). Materials and methods A retrospective review of 1116 consecutive stereotactic biopsies was performed over 27months. DBT VAB was performed for 38 non-calcified lesions which were solely detected using DBT. Imaging findings and pathology results were reviewed. Results Pathologic findings were malignant in 8 of 38 lesions [masses (5) and distortion (3)]. High-risk findings found in 14 lesions. Conclusion DBT VAB is easily performed and the majority of cases yield actionable pathologies. Therefore, perform DBT VAB primarily when available. Highlights ? DBT VAB is fast, averaging 15min, and accurate for targeting DBT-detected lesions. ? DBT VAB yielded actionable pathologies in a majority of cases, requiring surgical attention. ? DBT VAB should be performed if DBT lesions are not well seen on 2D mammography or US.