Institute for Radiology, Kantonspital Baden AG, Im Ergel 1, 5404, Baden, Switzerland,
Eur Radiol. 2014 Jan;24(1):128-35. doi: 10.1007/s00330-013-2989-5. Epub 2013 Aug 27.
To analyse the development of MRI-guided vacuum-assisted biopsy (VAB) in Switzerland and to compare the procedure with stereotactically guided and ultrasound-guided VAB.
We performed a retrospective analysis of VABs between 2009 and 2011. A total of 9,113 VABs were performed. Of these, 557 were MRI guided.
MRI-guided VAB showed the highest growth rate (97 %) of all three procedures. The technical success rates for MRI-guided, stereotactically guided and ultrasound-guided VAB were 98.4 % (548/557), 99.1 % (5,904/5,960) and 99.6 % (2,585/2,596), respectively. There were no significant differences (P = 0.12) between the MRI-guided and the stereotactically guided procedures. The technical success rate for ultrasound-guided VAB was significantly higher than that for MRI-guided VAB (P < 0.001). There were no complications using MRI-guided VAB requiring open surgery. The malignancy diagnosis rate for MRI-guided VAB was similar to that for stereotactically guided VAB (P = 0.35).
MRI-guided VAB is a safe and accurate procedure that provides insight into clinical breast findings.
• Three vacuum-assisted breast biopsy (VAB) procedures were compared. • Technical success rates were high for all three VAB procedures. • Medical complications were relatively low using all three VAB procedures. • The use of MRI-guided vacuum-assisted breast biopsy is growing.
分析瑞士磁共振引导下真空辅助活检（VAB）的发展，并将其与立体定向和超声引导下的 VAB 进行比较。
我们对 2009 年至 2011 年间进行的 VAB 进行了回顾性分析。共进行了 9113 例 VAB，其中 557 例为 MRI 引导。
MRI 引导的 VAB 是三种方法中增长率最高的（97%）。MRI 引导、立体定向和超声引导 VAB 的技术成功率分别为 98.4%（548/557）、99.1%（5904/5960）和 99.6%（2585/2596），差异无统计学意义（P=0.12）。MRI 引导与立体定向引导 VAB 之间无显著差异。超声引导 VAB 的技术成功率明显高于 MRI 引导 VAB（P<0.001）。MRI 引导 VAB 无并发症需要开放手术。MRI 引导 VAB 的恶性诊断率与立体定向引导 VAB 相似（P=0.35）。
MRI 引导的 VAB 是一种安全准确的方法，可以深入了解临床乳房发现。
比较了三种真空辅助乳房活检（VAB）程序。
所有三种 VAB 程序的技术成功率均较高。
所有三种 VAB 程序的医疗并发症相对较低。
MRI 引导的真空辅助乳房活检的应用正在增加。
