Department of Radiology and Imaging Sciences, University of Utah and Huntsman Cancer Institute, Salt Lake, City, UT.
Tech Vasc Interv Radiol. 2021 Sep;24(3):100776. doi: 10.1016/j.tvir.2021.100776. Epub 2021 Oct 2.
Core needle biopsies are common procedures performed in breast imaging centers. Utilizing ultrasound guidance for biopsy of suspicious findings within the breast and axilla is the standard of care when lesions are visible on ultrasound. Most ultrasound guided breast biopsies are performed by radiologists interpreting breast imaging who correlate findings across modalities including mammography, ultrasound and breast MRI, however interventional radiologists may perform in some practice settings. Appropriate knowledge of complete breast imaging is important not only for localization, but for determining radiologic-pathologic concordance. Proper localization, technique, and post biopsy management are essential to the success of the procedure and providing proper care for patients. This article discusses indications, strategies for accurate targeting, how-to biopsy techniques, post biopsy considerations and radiologic-pathologic concordance incorporating recommendations from the American College of Radiology Practice Parameter for the Performance of Ultrasound-guided Percutaneous Breast Interventional procedures.
核心针活检是在乳腺影像中心进行的常见操作。当超声能够看到病灶时，利用超声引导对乳腺和腋窝的可疑发现进行活检是标准的护理方法。大多数超声引导的乳腺活检是由解读乳腺影像的放射科医生进行的，他们可以对包括乳腺 X 线摄影、超声和乳腺 MRI 在内的多种模态的结果进行关联，然而，介入放射科医生在某些实践环境中也可以进行操作。全面的乳腺影像学知识不仅对于定位很重要，对于确定影像学-病理学一致性也很重要。正确的定位、技术和活检后的管理对于手术的成功和为患者提供适当的护理至关重要。本文讨论了适应证、准确靶向的策略、活检技术、活检后的考虑因素以及影像学-病理学一致性，其中包含了美国放射学院（ACR）关于超声引导经皮乳腺介入操作性能的实践参数中的建议。
