Our Summary

This study looked at the use of a grid image during a certain type of breast biopsy (a procedure to remove cells or tissues to check for disease). Some doctors take a mammogram (an X-ray picture of the breast) with a grid placed over the skin before the biopsy. The researchers wanted to see if using this grid image made the biopsy more efficient and accurate.

They looked at biopsy cases from a one-year period. They found that patients who had a grid image taken did have more images taken overall compared to those who didn’t have a grid image. However, those who had a grid image spent less time on the biopsy table. The patients who didn’t have a grid image were more likely to need the biopsy target to be repositioned at the start but were just as likely to need repositioning after the needle was placed.

In conclusion, while using a grid image does reduce the need for repositioning and time spent on the biopsy table, it also requires more images to be taken. This adds to the overall time of the procedure for the patient and the technologist. Therefore, the researchers suggest that the use of a grid image should be carefully considered, especially for patients who may find the prone (lying face down) position difficult.

FAQs

  1. What is the purpose of a grid image during a breast biopsy?
  2. Does using a grid image during a breast biopsy make the procedure more efficient and accurate?
  3. What are the potential drawbacks of using a grid image during a breast biopsy?

Doctor’s Tip

A helpful tip a doctor might tell a patient about breast biopsy is to discuss the use of a grid image with their healthcare provider. They can weigh the potential benefits of reduced repositioning and time on the biopsy table against the additional time needed for more images to be taken. Patients who may have difficulty with the prone position should especially consider this option. It’s important to have open communication with your healthcare provider to ensure the best possible experience during the biopsy procedure.

Suitable For

Patients who are typically recommended for a breast biopsy include those with suspicious findings on a mammogram, ultrasound, or MRI, as well as those with a breast lump or other symptoms such as nipple discharge or skin changes. Patients with a personal or family history of breast cancer, as well as those with a genetic mutation that increases the risk of breast cancer, may also be recommended for a breast biopsy. Additionally, patients who have had a previous breast biopsy that showed abnormal results may be recommended for further biopsy procedures.

Timeline

Before the breast biopsy:

  • Patient is referred for a breast biopsy by their doctor after a suspicious finding on a mammogram, ultrasound, or physical exam.
  • Patient may undergo additional imaging tests, such as a breast MRI, to further evaluate the suspicious area.
  • Patient meets with a radiologist to discuss the biopsy procedure, risks, benefits, and potential results.
  • Patient may be instructed to avoid blood-thinning medications and to not eat or drink for a certain period before the biopsy.
  • Patient may be asked to sign a consent form before the procedure.

During and after the breast biopsy:

  • Patient arrives at the imaging center or hospital for the biopsy procedure.
  • Patient changes into a hospital gown and lies down on the biopsy table.
  • Local anesthesia is administered to numb the area where the biopsy will be performed.
  • The radiologist uses imaging guidance, such as ultrasound or mammography, to locate the suspicious area and insert a needle to collect tissue samples.
  • After the biopsy is completed, a small bandage is placed over the incision site.
  • Patient may experience mild discomfort or bruising at the biopsy site.
  • Patient is provided with post-procedure instructions and may be advised to avoid strenuous activities for a certain period.
  • Patient may receive the biopsy results within a few days to a week, depending on the type of biopsy performed.

Overall, the breast biopsy procedure can be a stressful and anxiety-provoking experience for patients. It is important for healthcare providers to provide clear communication, support, and follow-up care to help patients navigate the process.

What to Ask Your Doctor

Some questions a patient should ask their doctor about breast biopsy include:

  1. What type of biopsy procedure will be performed?
  2. Why is a grid image being used for the biopsy?
  3. How will the grid image affect the accuracy of the biopsy results?
  4. Will using a grid image change the length of time I will spend on the biopsy table?
  5. Are there any potential risks or drawbacks to using a grid image during the biopsy?
  6. How will the use of a grid image impact the overall procedure and recovery process?
  7. Are there alternative methods or technologies that could be used instead of a grid image?
  8. How experienced is the medical team in using a grid image for breast biopsies?
  9. Can I discuss any concerns or preferences I have about using a grid image during the biopsy?
  10. What are the potential benefits of using a grid image for this specific biopsy case?

Reference

Authors: Mango VL, D’Alessio D, Morris EA, Ha R, Bernard-Davila B, Jochelson MS. Journal: Clin Imaging. 2019 Jan-Feb;53:108-111. doi: 10.1016/j.clinimag.2018.10.007. Epub 2018 Oct 6. PMID: 30321753