Our Summary

This research paper investigated whether the cost and availability of breast biopsy markers (BBMs) affects their use in Australia and New Zealand. BBMs are used in breast screenings to mark the area where a biopsy has been taken. The researchers conducted an online survey of radiologists who specialize in breast imaging.

The results showed that most radiologists (92%) had consistent access to BBMs at their workplace. However, those working in private practices were less likely to have regular access to BBMs. About 22% of radiologists said the cost of BBMs affected their decision on what type of biopsy to use. This was more common among those in private practices.

Almost half of the radiologists said the cost of BBMs was passed onto the patient. All of these radiologists worked in either a private or a mixed private/public setting. Half of the respondents also said that their decision to use BBMs would be influenced by whether insurance would cover the cost.

The study concluded that the cost and availability of BBMs do affect their usage. Radiologists in private or mixed settings are less likely to have BBMs available and are more likely to pass the cost onto the patient. This could potentially disadvantage patients who go to private radiology providers for breast screenings, as the current national guidelines recommend the use of BBMs.

FAQs

  1. How does the cost and availability of breast biopsy markers (BBMs) influence their usage in Australia and New Zealand?
  2. Are radiologists in private practices more likely to pass on the cost of BBMs to the patient?
  3. How does the coverage of insurance influence the decision to use BBMs in breast screenings?

Doctor’s Tip

A helpful tip a doctor might give a patient about breast biopsy is to discuss the cost and availability of breast biopsy markers with their healthcare provider before scheduling the procedure. Understanding the potential financial implications and ensuring that the necessary markers are available can help ensure a smooth and effective biopsy process.

Suitable For

In general, patients who are recommended for a breast biopsy are those who have abnormal findings on a mammogram, ultrasound, or physical exam. This includes patients with suspicious lumps or masses in the breast, changes in the shape or size of the breast, nipple discharge, or skin changes such as dimpling or puckering. Patients with a personal or family history of breast cancer may also be recommended for a biopsy to further evaluate any concerning findings.

Additionally, patients who have had a previous biopsy that showed atypical or suspicious cells may be recommended for a follow-up biopsy to monitor for any changes or progression. Patients who have undergone genetic testing and have been found to have a mutation in the BRCA1 or BRCA2 genes, which are associated with an increased risk of breast cancer, may also be recommended for regular breast screenings and biopsies.

Overall, the decision to recommend a breast biopsy is based on a combination of factors, including the patient’s personal and family medical history, imaging findings, and any other relevant risk factors. It is important for patients to discuss their individual risk factors and concerns with their healthcare provider to determine the appropriate course of action.

Timeline

Before a breast biopsy, a patient typically undergoes a mammogram or ultrasound to identify a suspicious area in the breast. The patient may also have a physical examination and discuss their medical history with their healthcare provider.

During the breast biopsy procedure, the patient will have local anesthesia administered to numb the area where the biopsy will be taken. A small incision is made, and a sample of tissue is removed using a needle or surgical tool.

After the biopsy, the tissue sample is sent to a lab for analysis. The patient may experience some discomfort, bruising, or swelling at the biopsy site. Results from the biopsy are typically available within a few days to a week, and the patient will meet with their healthcare provider to discuss the results and any further treatment options.

Overall, the process of a breast biopsy can be an emotional and stressful experience for the patient, as they await results and navigate potential treatment decisions.

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. Do I need a breast biopsy marker (BBM) for this procedure?
  3. Will the cost of the BBM be covered by my insurance?
  4. If the cost is not covered, how much will I be responsible for paying?
  5. Are there any potential risks or side effects associated with using a BBM?
  6. How will the BBM be placed and will it cause any discomfort?
  7. Will the presence of a BBM affect my follow-up care or future screenings?
  8. How long will the BBM remain in place and will it need to be removed?
  9. Are there any alternative options to using a BBM for this biopsy procedure?
  10. What are the implications of not using a BBM for this biopsy?

Reference

Authors: Radic R, Taylor DB. Journal: J Med Imaging Radiat Oncol. 2023 Jun;67(4):377-382. doi: 10.1111/1754-9485.13503. Epub 2023 Jan 19. PMID: 36659865