Our Summary

This study looked at whether DWI (a type of imaging that measures the diffusion of water molecules within the body) could be used to help target areas for biopsies in the breast, and to position the biopsy device correctly. The researchers reviewed 87 biopsy procedures that had taken place between March 2019 and June 2020. They found that DWI was effective at finding both larger and smaller lesions, and was able to confirm the correct positioning of the biopsy device. The researchers concluded that DWI is a cost-effective and reliable technique for these purposes.

FAQs

  1. What is DWI and how can it be used in breast biopsies?
  2. How effective was DWI in finding both larger and smaller lesions in the breast?
  3. How does DWI confirm the correct positioning of the biopsy device?

Doctor’s Tip

A helpful tip a doctor might tell a patient about breast biopsy is to ask about using DWI imaging during the procedure. DWI imaging can help target areas for biopsies more accurately and ensure the biopsy device is positioned correctly, increasing the chances of obtaining an accurate diagnosis. It is a cost-effective and reliable technique that can improve the overall success of the biopsy procedure.

Suitable For

Patients who may be recommended for a breast biopsy include those who have abnormal findings on a mammogram, ultrasound, or MRI, such as a suspicious lump or mass, changes in the breast tissue, or abnormal calcifications. Other reasons for a breast biopsy may include a family history of breast cancer, a personal history of breast cancer, or symptoms such as breast pain, nipple discharge, or skin changes. Ultimately, the decision to recommend a breast biopsy will depend on the individual patient’s specific circumstances and risk factors.

Timeline

Before the breast biopsy:

  1. Patient receives a referral for a breast biopsy from their healthcare provider.
  2. Patient undergoes imaging tests such as mammograms, ultrasounds, or MRIs to identify the suspicious area in the breast.
  3. Patient may undergo a physical examination by a breast specialist to further assess the area of concern.
  4. Patient discusses the procedure with their healthcare provider and signs informed consent.
  5. Patient may be instructed to avoid blood-thinning medications leading up to the biopsy procedure.

After the breast biopsy:

  1. Patient receives local anesthesia to numb the area before the biopsy procedure.
  2. Biopsy is performed using a needle or surgical method to remove tissue samples from the suspicious area.
  3. Patient may experience mild discomfort or pain during or after the procedure.
  4. Tissue samples are sent to a pathology lab for analysis to determine if the cells are cancerous or benign.
  5. Patient receives follow-up instructions on caring for the biopsy site and when to expect results from the pathology report.
  6. Patient may experience anxiety or stress while waiting for the biopsy results.
  7. Once results are received, patient meets with their healthcare provider to discuss the findings and determine next steps for treatment, if necessary.

What to Ask Your Doctor

  1. Can you explain why a breast biopsy is necessary in my case?
  2. What type of biopsy procedure will be performed?
  3. Are there any risks associated with the biopsy procedure?
  4. How will I receive the results of the biopsy?
  5. How soon will I receive the results?
  6. Are there any alternative options to a biopsy?
  7. Will I need any follow-up appointments or tests after the biopsy?
  8. How long will it take for me to recover from the biopsy procedure?
  9. What are the potential complications or side effects of the biopsy?
  10. Will I need to make any changes to my daily routine or activities after the biopsy?

Reference

Authors: Montemezzi S, Cardano G, Storer S, Cardobi N, Cavedon C, Camera L. Journal: Eur Radiol. 2021 May;31(5):2645-2656. doi: 10.1007/s00330-020-07396-2. Epub 2020 Oct 30. PMID: 33128183