Abstract
Purpose
To retrospectively evaluate the accuracy of clip placement on the basis of measurements obtained on pre- and post-vacuum-assisted 11-gauge stereotactic biopsy mammograms and to analyze the factors that can predict which patients will experience a significant movement of the clip.
Materials and methods
The pre- and post-vacuum-assisted 11-guage stereotactic biopsy mammographic findings in 204 cases undergoing clip placement were reviewed. The clip-to-lesion distance was measured. The correlations between the clinical-mammographic findings and the likelihood of clip movement were evaluated.
Results
Target mammographic lesion types of the 204 cases were characterized as calcification in all but one case, which was a distortion lesion. The clip-to-lesion distance was within 5 mm on both the craniocaudal and mediolateral oblique projections in 119 (58%) cases, within 6–10 mm in 28 (14%), within 11–19 mm in 25 (12%), and was >20 mm in 32 (16%). The variability of the clip-to-lesion distance was greatest in the plane orthogonal to the compression plane used for stereotactic biopsy. Breast thickness was the only factor that was predictive of a significant movement of the clip, and thin breasts tended to exhibit greater clip movement.
Conclusion
Breast thickness may be a useful factor for predicting the degree of clip movement after 11-gauge vacuum-assisted stereotactic biopsy.
Similar content being viewed by others
References
O’Flynn EAM, Wilson ARM, Michell MJ. Image-guided breast biopsy: state-of-the-art. Clin Radiol. 2010;65:259–70.
Liberman L. Centennial dissertation. Percutaneous imaging-guided core breast biopsy: state of the art at the millennium. AJR Am J Roentgenol. 2000;174:1191–9.
Esserman LE, Cura MA, DaCosta D. Recognizing pitfalls in early and late migration of clip markers after imaging-guided directional vacuum-assisted biopsy. RadioGraphics. 2004;24:147–56.
Chaveron C, Bachelle F, Fauquet I, Rocourt N, Faivre-Pierret M, Ceugnart L. Clip migration after stereotactic macrobiopsy and presurgical localization: technical considerations and tricks. J Radiol. 2009;90:31–6.
Lehman CD, Shook JE. Position of clip placement after vacuum-assisted breast biopsy: is a unilateral two-view postbiopsy mammogram necessary? Breast J. 2003;4:272–6.
Kruger BM, Burrowes P, MacGregor JH. Accuracy of marker clip placement after mammotome breast biopsy. Can Assoc Radiol J. 2002;53:137–40.
Kass R, Kumar G, Klimberg S, Kass L, Henry-Tillman R, Johnson A, et al. Clip migration in stereotactic biopsy. Am J Surg. 2002;184:325–31.
Rosen EL, Vo TT. Metallic clip deployment during stereotactic breast biopsy: retrospective analysis. Radiology. 2001;218:510–6.
Burbank F, Forcier N. Tissue marking clip for stereotactic breast biopsy: initial placement accuracy, long-term stability, and usefulness as a guide for wire localization. Radiology. 1997;205:407–15.
American College of Radiology. Breast imaging reporting and data system (BI-RADS), 4th ed. Reston VA: American College of Radiology; 2003.
National Health Service Breast Screening Program (NHSBSP). Quality assurance guidelines for surgeons in breast cancer screening, England. Publication no. 20, 3rd ed. 2003. http://www.cancerscreening.nhs.uk/breastscreen/.
Bober SE, Russell DG. Increasing breast tissue depth during stereotactic needle biopsy. AJR Am J Roentgenol. 2000;174:1085–6.
Jackman RJ, Marzoni FA. Stereotactic histologic biopsy with patients prone: technical feasibility in 98% of mammographically detected lesions. AJR Am J Roentgenol. 2003;180:785–94.
Rosen EL, Baker JA, Soo MS. Accuracy of a collagen-plug biopsy site marking device deployed after stereotactic core needle breast biopsy. AJR Am J Roentgenol. 2003;181:1295–9.
Philpotts L, Lee CH. Clip migration after 11-gauge vacuum-assisted stereotactic biopsy: case report. Radiology. 2002;222:794–6.
Burnside ES, Sohlich RE, Sickes E. Movement of a biopsy-site marker clip after completion of stereotactic directional vacuum-assisted breast biopsy: case report. Radiology. 2001;221:504–7.
Liberman L, Gougoutas CA, Zakowski MF, LaTrenta LR, Abramson AF, Morris EA, et al. Calcifications highly suggestive of malignancy: comparison of breast biopsy methods. AJR Am J Roentgenol. 2001;177:165–72.
Uematsu T, Kasami M, Uchida Y, Sanuki J, Kimura K, Tanaka K, et al. Preoperative computed tomography-guided percutaneous hookwire localization of metallic marker clip in the breast with a radial approach: initial experience. Acta Radiol. 2007;48:483–7.
Sickles EA. Periodic mammographic follow-up of probably benign lesions: results in 3,184 consecutive cases. Radiology. 1991;179:463–8.
Evans A, Pinder S, Wilson R, Sibbering M, Poller D, Elston C, et al. Ductal carcinoma in situ of the breast: correlation between mammographic and pathologic findings. AJR Am J Roentgenol. 1994;162:1307–11.
Evans A. The diagnosis and management of pre-invasive breast disease: radiological diagnosis. Breast Cancer Res. 2003;5:250–3.
Author information
Authors and Affiliations
Corresponding author
About this article
Cite this article
Uematsu, T., Kasami, M., Takahashi, K. et al. Clip placement after an 11-gauge vacuum-assisted stereotactic breast biopsy: correlation between breast thickness and clip movement. Breast Cancer 19, 30–36 (2012). https://doi.org/10.1007/s12282-011-0252-y
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12282-011-0252-y