Our Summary

This study aimed to understand what factors could affect how long it takes to do a breast biopsy using MRI guidance, which is a complex and time-consuming procedure. The researchers examined 28 cases where this method was used. They found that the way the needle was guided during the procedure had a significant impact on how long the biopsy took. In particular, they found that using a computer-assisted system with a specific type of breast compression plate could reduce the time taken for the biopsy (on average 62 minutes) compared to manually calculating the needle’s position with a different type of compression plate (which took on average 76 minutes). Thus, using computer-assisted technology could potentially make MRI-guided breast biopsies quicker.

FAQs

  1. What was the aim of the study on breast biopsy?
  2. What factors were found to affect the length of time it takes to perform a breast biopsy using MRI guidance?
  3. How can computer-assisted technology potentially affect the procedure time for MRI-guided breast biopsies?

Doctor’s Tip

One helpful tip a doctor might tell a patient about breast biopsy is to ask about the use of computer-assisted technology during the procedure. This technology can help reduce the time it takes for the biopsy to be completed, making the experience quicker and potentially more comfortable for the patient.

Suitable For

Patients who are recommended breast biopsy typically include those with abnormal findings on a mammogram or ultrasound, such as a suspicious lump, mass, or calcifications. Other factors that may warrant a breast biopsy include a family history of breast cancer, a personal history of breast cancer, or certain genetic mutations that increase the risk of developing breast cancer. Additionally, patients with symptoms such as breast pain, nipple discharge, or skin changes may also be recommended for a breast biopsy to further evaluate their condition.

Timeline

Before the breast biopsy:

  1. Patient receives a referral from a healthcare provider for a breast biopsy.
  2. Patient schedules an appointment for the biopsy and receives instructions on how to prepare, including avoiding blood thinning medications.
  3. On the day of the biopsy, the patient arrives at the imaging center or hospital and checks in.
  4. The patient undergoes a pre-biopsy consultation with the healthcare provider to discuss the procedure and address any concerns.
  5. The patient changes into a gown and lies down on the exam table for the biopsy.

During the breast biopsy:

  1. The healthcare provider administers local anesthesia to numb the breast.
  2. The provider uses imaging technology, such as ultrasound or MRI, to locate the suspicious area in the breast.
  3. A needle is inserted into the breast to extract tissue samples for analysis.
  4. Multiple samples may be taken depending on the size and location of the abnormality.
  5. The samples are sent to a pathology lab for examination.

After the breast biopsy:

  1. The patient is monitored for any immediate complications, such as bleeding or infection.
  2. The patient is given post-biopsy instructions, including how to care for the biopsy site and when to expect results.
  3. The patient may experience mild discomfort or bruising at the biopsy site, which typically resolves within a few days.
  4. Results from the biopsy are typically available within a week, and the healthcare provider discusses the findings with the patient.
  5. Depending on the results, further treatment or follow-up may be recommended.

What to Ask Your Doctor

  1. What type of breast biopsy procedure will be used in my case?
  2. How long will the biopsy procedure take?
  3. What can I expect during the biopsy procedure?
  4. Are there any risks or potential complications associated with the biopsy?
  5. How will I receive the results of the biopsy and how long will it take?
  6. Are there any alternative options to a breast biopsy that I should consider?
  7. Will I experience any pain during or after the biopsy procedure?
  8. How should I prepare for the biopsy procedure?
  9. Will I need to follow any specific post-procedure instructions or restrictions?
  10. Are there any specific factors or conditions that could affect the length of time it takes to perform the biopsy in my case?

Reference

Authors: Shimoda M, Kim SJ, Tokuda Y, Sota Y, Miyake T, Tanei T, Kagara N, Naoi Y, Noguchi S, Shimazu K. Journal: Anticancer Res. 2020 Nov;40(11):6437-6441. doi: 10.21873/anticanres.14665. PMID: 33109582