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Breast Cancer Research and Treatment

, Volume 75, Issue 2, pp 175–179 | Cite as

The Clinical Value of Preoperative Wire Localization of Breast Lesions by Magnetic Resonance Imaging – A Multicenter Study

  • D. Lampe
  • L. Hefler
  • T. Alberich
  • H. Sittek
  • C. Perlet
  • X. Prat
  • P. Taourel
  • B. Amaya
  • H. Koelbl
  • S.H. Heywang-Kobrunner
Article

Abstract

To evaluate the clinical value of MRI guided preoperative wire localization of clinically and mammographically occult lesions of the breast. In a multicenter study, we evaluated 132 preoperative MRI guided localizations. Median lesion size evaluated by MRI prior to wire localization was 9 2–30 mm. MRI guided localization was successfully performed in 96.2% of cases. Median wire deviation from the lesion was 0 (0–10) mm. Moderate bleeding with no further treatment required occurred in three patients. We conclude that MRI guided preoperative wire localization is a safe and accurate procedure in cases of clinically and mammographically occult lesions of the breast.

breast lesions clinical value MRI wire localization 

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References

  1. 1.
    Heywang-Kobrunner SH, Heinig A, Pickuth D, Alberich T, Spielmann RP: Interventional MRI of the breast: lesion local-isation and biopsy. Eur Radiol 10: 36–45, 2000PubMedGoogle Scholar
  2. 2.
    Orel SG, Schnall MD: MR imaging of the breast for the detection, diagnosis, and staging of breast cancer. Radiology 220: 13–30, 2001PubMedGoogle Scholar
  3. 3.
    Warner E, Plewes DB, Shumak RS, Catzavelos GC, Di Prospero LS, Yaffe MJ, Goel V, Ramsay E, Chart PL, Cole DE, Taylor GA, Cutrara M, Samuels TH, Murphy JP, Murphy JM, Narod SA: Comparison of breast magnetic resonance imaging, mammography, and ultrasound for surveillance of women at high risk for hereditary breast cancer. J Clin Oncol 19: 3524–3531, 2001PubMedGoogle Scholar
  4. 4.
    Kuhl CK, Elevelt A, Leutner CC, Gieseke J, Pakos E, Schild HH: Interventional breast MR imaging: clinical use of a stereotactic localization and biopsy device. Radiology 204: 667–675, 1997PubMedGoogle Scholar
  5. 5.
    Perlet C, Heinig A, Prat X, Casselman L, Baath L, Sittek H, Stets C, Lamarque J, Anderson I, Schneider P, Taourel P, Reiser M, Heywang-Köbrunner SH: Multicenter study for the evaluation of a dedicated biopsy device for MR-guided vacuum biopsy of the breast. Eur Radiol (in press).Google Scholar
  6. 6.
    Heywang-Kobrunner SH, Heinig A, Schaumloffel U, Viehweg P, Buchmann J, Lampe D, Spielmann R: MRI guided percutaneous excisional and incisional biopsy of breast lesions. Eur Radiol 9: 1656–1665, 1999PubMedGoogle Scholar
  7. 7.
    Kuhl CK, Bieling HB, Gieseke J, Kreft BP, Sommer T, Lutter-bey G, Schild HH: Healthy premenopausal breast parenchyma in dynamic contrast-enhanced MR imaging of the breast: normal contrast medium enhancement and cyclical-phase de-pendency. Radiology 203: 137–144, 1997PubMedGoogle Scholar
  8. 8.
    Rissanen TJ, Makarainen HP, Mattila SI, Karttunen AI, Kiviniemi HO, Kallioinen MJ: Kaarela OI Wire localized biopsy of breast lesions: a review of 425 cases found in screening or clinical mammography. Clin Radiol 47: 14–22, 1993PubMedGoogle Scholar
  9. 9.
    Devia A, Murray KA, Nelson EW: Stereotactic core needle biopsy and the workup of mammographic breast lesions. Arch Surg 132: 512–515, 1997PubMedGoogle Scholar
  10. 10.
    Fischer U, Vosshenrich R, Doler W, Hamadeh A, Oestmann JW, Grabbe E: MR imaging-guided breast intervention: experience with two systems. Radiology 195: 533–538, 1995PubMedGoogle Scholar

Copyright information

© Kluwer Academic Publishers 2002

Authors and Affiliations

  • D. Lampe
    • 1
  • L. Hefler
    • 1
  • T. Alberich
    • 2
  • H. Sittek
    • 3
  • C. Perlet
    • 3
  • X. Prat
    • 4
  • P. Taourel
    • 4
  • B. Amaya
    • 2
  • H. Koelbl
    • 1
  • S.H. Heywang-Kobrunner
    • 2
  1. 1.Department of Obstetrics and GynecologyMartin-Luther-University Halle-WittenbergHalleGermany
  2. 2.Department of Diagnostic RadiologyMartin-Luther-University Halle-WittenbergHalleGermany
  3. 3.Department of Diagnostic RadiologyUniversity of Munich-GrosshadernMunichGermany
  4. 4.Départment d'Imagerie Médicale Hôpital LapeyronieMontpellier UniversityMontpellierFrance

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