Portnow Leah H, Thornton Cynthia M, Milch Hannah S, Mango Victoria L, Morris Elizabeth A, Saphier Nicole B
2Memorial Sloan Kettering Cancer Center, Evelyn H. Lauder Breast Center, 300 E 66th St, New York, NY 10065.
AJR Am J Roentgenol. 2019 Jun;212(6):1400-1405. doi: 10.2214/AJR.18.20577. Epub 2019 Apr 11.
The purposes of this study were to compile mammographic images in various projections showing commercially available breast biopsy site markers and to provide a standardized nomenclature and marker guide to improve physician communication and patient care. A retrospective review of all breast biopsy markers encountered at one institution was conducted from January 2012 to January 2018. Markers placed at the facility and those placed at outside institutions with the patient subsequently referred to the study institution were included. Additional drawings and photographs and biopsy marker information were compiled from manufacturers and the literature. Intrinsic properties, features, pitfalls, and biopsy marker mimics were recorded from the institution's experience and the literature. Thirty-eight different biopsy marker shapes available from six manufacturers were identified, and mammograms of 37 were compiled and organized by manufacturer. Nomenclature was compiled on the basis of the manufacturer names of each marker. Potential pitfalls and mimics were identified. Manufacturer-reported marker material composition and carrier properties were summarized, including decreased marker migration, enhanced ultrasound visibility, and varying MRI susceptibility. Variability in the appearance and nomenclature of breast biopsy site markers may contribute to misinterpretation, miscommunication, and possibly removal of the incorrect lesion. A comprehensive guide to breast biopsy marker nomenclature is clinically useful, and standardization is necessary.
本研究的目的是收集显示市售乳腺活检部位标记物的各种投照方式下的乳腺钼靶图像，并提供标准化的命名法和标记物指南，以改善医生之间的沟通及患者护理。对2012年1月至2018年1月期间在某一机构遇到的所有乳腺活检标记物进行了回顾性研究。包括在该机构放置的标记物以及在外部机构放置且患者随后转诊至本研究机构的标记物。从制造商和文献中收集了额外的图纸、照片及活检标记物信息。根据该机构的经验和文献记录了内在特性、特征、陷阱及活检标记物的类似物。确定了来自六个制造商的38种不同活检标记物形状，并按制造商对其中37种进行了乳腺钼靶图像的收集和整理。根据每种标记物的制造商名称编制了命名法。识别出了潜在的陷阱和类似物。总结了制造商报告的标记物材料成分和载体特性，包括标记物迁移减少、超声可见性增强以及不同的磁共振成像敏感性。乳腺活检部位标记物外观和命名的差异可能导致误解、沟通不畅，并可能导致切除错误的病变。一份全面的乳腺活检标记物命名指南具有临床实用性，标准化是必要的。
