Our Summary

This study involved 163 women and looked at the average radiation dose they received during different types of breast biopsies. The three methods compared were contrast-enhanced mammography (CEM), conventional stereotactic breast biopsy (SBB), and digital breast tomosynthesis (DBT). The study also examined how the thickness and density of the breast tissue affected the radiation dose.

The results showed that the average radiation dose was similar for CEM and SBB, with DBT being slightly higher. However, CEM showed higher radiation at lower breast thickness but lower radiation at higher breast thickness. This suggests that with thicker breasts, the radiation dose does not increase as much with CEM. The density of the breast tissue had little overall impact on the radiation dose, but there were some differences in the lowest density category.

When looking at the total radiation dose for each procedure, DBT was the most efficient because it required fewer steps.

In simpler terms, this study suggests that CEM, a method used to guide breast biopsies, provides effective imaging within safe radiation limits. This could make it a good option for a wider range of breast diagnostic procedures.

FAQs

  1. What were the three types of breast biopsy methods compared in the study?
  2. How does the thickness and density of the breast tissue impact the radiation dose during a biopsy?
  3. Which method proved to be the most efficient in terms of total radiation dose?

Doctor’s Tip

A helpful tip a doctor might tell a patient about breast biopsy is to discuss the different methods available and their associated radiation doses. They may recommend CEM as a safe and effective option for guiding the biopsy procedure, especially for women with thicker breast tissue. It’s important to have open communication with your doctor about the risks and benefits of each method to ensure the best possible outcome for your specific situation.

Suitable For

Patients who are recommended breast biopsy typically include those with suspicious breast lumps or masses, abnormal mammogram or ultrasound findings, nipple discharge, breast pain, or other symptoms that may indicate breast cancer or other breast abnormalities. Additionally, patients with a personal or family history of breast cancer, genetic mutations associated with breast cancer, or other risk factors may also be recommended for a breast biopsy. Ultimately, the decision to undergo a breast biopsy should be made in consultation with a healthcare provider based on individual risk factors and symptoms.

Timeline

Before a breast biopsy, a patient typically undergoes a physical examination and imaging tests such as mammograms or ultrasounds to identify a suspicious area in the breast. The patient may also have a discussion with their healthcare provider about the risks and benefits of the biopsy procedure.

During the biopsy, the patient will be given local anesthesia to numb the area, and then a small incision will be made to remove a sample of the suspicious tissue. The patient may feel pressure or discomfort during the procedure, but it is generally well-tolerated.

After the biopsy, the patient may experience some soreness or bruising at the biopsy site. It is important for the patient to follow any post-procedure care instructions provided by their healthcare provider, such as avoiding strenuous activity or taking pain medication as needed.

The biopsy sample will be sent to a laboratory for analysis, and the patient will typically receive the results within a few days to a week. Depending on the results, further treatment or follow-up may be recommended.

Overall, a breast biopsy can be a stressful and anxiety-provoking experience for patients, but it is an important step in diagnosing and treating breast cancer or other breast conditions. With advancements in imaging techniques and biopsy procedures, healthcare providers are able to provide more accurate and efficient care for patients undergoing breast biopsies.

What to Ask Your Doctor

Some questions a patient should ask their doctor about breast biopsy based on this study may include:

  1. What type of breast biopsy method do you recommend for me, and why?
  2. How does the radiation dose compare between contrast-enhanced mammography (CEM), conventional stereotactic breast biopsy (SBB), and digital breast tomosynthesis (DBT) in my case?
  3. How does the thickness and density of my breast tissue affect the radiation dose during the biopsy procedure?
  4. Are there any specific risks or considerations I should be aware of regarding radiation exposure during the biopsy?
  5. How does the efficiency of each procedure, particularly in terms of steps required, impact my overall experience and recovery?
  6. Are there any alternative biopsy methods that could be considered based on the findings of this study?
  7. Can you provide more information on the safety and effectiveness of contrast-enhanced mammography for guiding breast biopsies?
  8. How will the results of the biopsy be communicated to me, and what follow-up care or monitoring will be recommended?
  9. Are there any specific recommendations for managing potential discomfort or side effects after the biopsy procedure?
  10. Are there any additional tests or procedures that may be necessary based on the results of the biopsy and the findings of this study?

Reference

Authors: Alcantara R, Azcona J, Pitarch M, Arenas N, Castells X, Milioni P, Iotti V, Besutti G. Journal: Eur Radiol. 2025 Apr;35(4):2119-2129. doi: 10.1007/s00330-024-10920-3. Epub 2024 Aug 14. PMID: 39143245