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European Radiology

, Volume 17, Issue 2, pp 581–588 | Cite as

Guidelines from the European Society of Breast Imaging for diagnostic interventional breast procedures

  • Matthew WallisEmail author
  • Anne Tarvidon
  • Thomas Helbich
  • Ingrid Schreer
News from EUSOBI

Abstract

The aim of the breast team is to obtain a definitive, nonoperative diagnosis of all potential breast abnormalities in a timely and cost-effective way. Percutaneous needle biopsy with its high sensitivity and specificity should now be standard practice, removing the need for open surgical biopsy or frozen section. For patients with cancer, needle biopsy provides a cost-effective and rapid way of providing not only a definitive diagnosis but prognostic information, allowing prompt discussion of treatment options, be they surgical or medical. Early removal of uncertainty also allows better psychosocial adjustment to the disease. Patients with benign conditions found either by themselves or as a result of population or opportunistic screening can be promptly reassured and discharged, removing the health care and psychological costs of surgical biopsy or repeated follow-up. Radiologists involved in breast imaging should ensure that they have the necessary skills to carry out core biopsy and/or fine-needle aspiration (FNA) under all forms of image guidance. This paper provides guidelines on best practice for diagnostic interventional breast procedures and standards, against which all practitioners should audit themselves, from the European Society of Breast Imaging.

Keywords

Breast cancer Diagnostic imaging Needle biopsy Guidelines 

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Copyright information

© Springer-Verlag 2006

Authors and Affiliations

  • Matthew Wallis
    • 1
    Email author
  • Anne Tarvidon
    • 2
  • Thomas Helbich
    • 3
  • Ingrid Schreer
    • 4
  1. 1.Warwickshire, Solihull & Coventry Breast Screening ServiceUniversity HospitalCoventryUK
  2. 2.Department of RadiologyInstitut CurieParisFrance
  3. 3.Department of RadiologyMedical University Vienna-AKH WienViennaAustria
  4. 4.Mammazentrum Klinik fuer Gynaekologie und GeburtshilfeUniversitätsklinikum Schleswig-Holstein Campus KielKielGermany

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