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Titolo:
Percutaneous biopsy of non-palpable breast lesions with the Advanced Breast Biopsy Instrumentation (ABBI): Analysis of indication strategies.
Autore:
Wedegartner, U; Otto, U; Buitrago-Tellez, C; Bremerich, J; Oertli, D; Torhorst, J; Bongartz, G;
Indirizzi:
Univ Basel, Inst Diagnost Radiol, Basel, Switzerland Univ Basel Basel Switzerland , Inst Diagnost Radiol, Basel, Switzerland Univ Basel, Inst Chirurg, Basel, Switzerland Univ Basel Basel Switzerland iv Basel, Inst Chirurg, Basel, Switzerland Univ Basel, Inst Pathol, Basel, Switzerland Univ Basel Basel Switzerland niv Basel, Inst Pathol, Basel, Switzerland
Titolo Testata:
ROFO-FORTSCHRITTE AUF DEM GEBIET DER RONTGENSTRAHLEN UND DER BILDGEBENDEN VERFAHREN
fascicolo: 3, volume: 173, anno: 2001,
pagine: 224 - 228
SICI:
1438-9029(200103)173:3<224:PBONBL>2.0.ZU;2-Q
Fonte:
ISI
Lingua:
GER
Soggetto:
POSITIVE PREDICTIVE VALUE; INITIAL EXPERIENCE; MAMMOGRAPHY; SYSTEM; CATEGORIES; CANCER;
Keywords:
breast cancer; breast biopsy; ABBI; BI-RADS; positive predictive value;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
20
Recensione:
Indirizzi per estratti:
Indirizzo: Wedegartner, U Univ Hamburg, Krankenhaus Eppendorf, Abt Rontgendiagnost, Martinistr 52, D-20246 Hamburg, Germany Univ Hamburg Martinistr 52 Hamburg Germany D-20246 Germany
Citazione:
U. Wedegartner et al., "Percutaneous biopsy of non-palpable breast lesions with the Advanced Breast Biopsy Instrumentation (ABBI): Analysis of indication strategies.", ROFO-F RONT, 173(3), 2001, pp. 224-228

Abstract

Purpose: To compare the indications for biopsy with and without the use ofthe Breast Imaging Reporting and Data System. Material and Methods: Biopsies using the ABBI were performed in 62 patients with 64 non-palpable evident mammographic lesions. The initial decision for biopsy was made by non-radiologists due to suspicious microcalcifications (n = 53) and masses (n = 11). The indication was retrospectively reassessed by adopting the BI-RADS classification by three radiologists in consensus. The positive predictive value (PPV) of both indication strategies was assessed and compared. Results:Biopsies adopting ABBI were performed without major side-effects and were diagnostic. Carcinoma was present in 14 lesions: nine specimens were diagnosed as DCIS and five as invasive carcinomas. For the 50 benign lesions histology revealed mastopathies (26/50) and fibroadenomas (8/50) as the most frequent diagnosis. The positive predictive value (PPV) for the initial indication was 22 %, whereas PPV for BI-RADS based indications (categories 4 and5) was 31 %. Conclusion: ABBI enables stereotactically-guided procedures that result in representative and diagnostic biopsies. Standardized criterialike BI-RADS improve the PPV and should be a mandatory part of mammographic evaluation. Radiologists should remain involved in the decision malting.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 10/07/20 alle ore 11:37:56