Our Summary

This research paper investigates how different types of breast clip-markers, used in breast biopsies, can interfere with the results of a breast MRI scan. Using two different types of scanners and a model made of a jelly-like substance, the researchers measured the size of the ‘artifacts’ (unwanted disturbances) caused by these clips.

They found that the size, shape, and appearance of these artifacts can greatly vary depending on the type of clip used and the type of scan performed. These artifacts can be quite large, which could potentially conceal small tumors and make it difficult to accurately assess the state of breast tumors. This underlines the importance of being aware of these artifacts when interpreting MRI scans and planning treatments.

In simpler terms, the study shows that the type of clip used during a breast biopsy can affect the results of an MRI scan, potentially making it harder to spot small tumors. This is important information for doctors to consider when interpreting scans and planning treatments.

FAQs

  1. How can the type of clip used in a breast biopsy interfere with the results of an MRI scan?
  2. Can the size, shape, and appearance of artifacts vary depending on the type of clip used in a biopsy and the type of scan performed?
  3. Why is it important for doctors to consider the type of clip used in a breast biopsy when interpreting MRI scans and planning treatments?

Doctor’s Tip

A helpful tip a doctor might tell a patient about breast biopsy is to ask about the type of clip that will be used during the procedure. It is important for patients to be aware of how the type of clip used could potentially impact the accuracy of future imaging tests, such as MRI scans. By discussing this with their healthcare provider, patients can ensure that the most appropriate clip is used to minimize any potential interference with future diagnostic tests.

Suitable For

Patients who are recommended for a breast biopsy typically include those who have abnormal findings on a mammogram, ultrasound, or physical exam. These abnormal findings may include:

  • A lump or mass in the breast
  • Changes in the shape or size of the breast
  • Nipple discharge
  • Skin changes on the breast
  • Breast pain or discomfort

Additionally, patients with a personal or family history of breast cancer, as well as those with a genetic predisposition to breast cancer (such as carrying the BRCA gene mutation), may also be recommended for a breast biopsy.

It is important for patients to follow their healthcare provider’s recommendations for further testing and procedures, including breast biopsies, in order to accurately diagnose any potential breast abnormalities and determine the appropriate course of treatment.

Timeline

Before a breast biopsy:

  1. Patient discovers a lump or abnormality in their breast during a self-exam or routine screening.
  2. Patient visits their healthcare provider who recommends a breast biopsy to further investigate the abnormality.
  3. Patient undergoes imaging tests such as mammogram or ultrasound to locate the abnormality.
  4. Once the abnormality is located, the patient schedules a breast biopsy procedure.

During and after a breast biopsy:

  1. Patient arrives at the clinic or hospital for the biopsy procedure.
  2. Local anesthesia is administered to numb the area where the biopsy will be performed.
  3. A small incision is made in the breast, and a sample of tissue is removed for analysis.
  4. A breast clip marker may be placed at the biopsy site to help locate it for future reference.
  5. The tissue sample is sent to a lab for analysis to determine if it is cancerous or benign.
  6. After the biopsy, the patient may experience some discomfort or pain at the biopsy site.
  7. Results of the biopsy are communicated to the patient by their healthcare provider, who will discuss further treatment options if necessary.

What to Ask Your Doctor

Questions a patient should ask their doctor about breast biopsy in light of this research include:

  1. What type of clip was used during my breast biopsy?
  2. How might the type of clip used affect the results of my MRI scan?
  3. Could the clip cause any artifacts that may interfere with the accuracy of my MRI scan results?
  4. Are there any alternative methods or techniques that could be used to minimize the impact of clip artifacts on my MRI scan?
  5. How will the presence of a clip from the biopsy affect my treatment plan moving forward?
  6. Are there any specific precautions or considerations I should be aware of due to the type of clip used during my biopsy?
  7. How frequently should I undergo follow-up imaging to monitor for any potential issues related to clip artifacts?
  8. Are there any specific factors or symptoms I should watch for that may indicate a problem related to the clip used during my biopsy?
  9. Can you provide more information or resources for me to learn about the potential impact of clip artifacts on MRI scans and breast cancer diagnosis?
  10. Are there any additional tests or procedures that may be recommended to further evaluate the accuracy of my MRI scan results given the type of clip used during my biopsy?

Reference

Authors: Kremser C, Gruber L, Dietzel M, Amort B, Santner W, Daniaux M. Journal: Eur Radiol Exp. 2024 Nov 15;8(1):128. doi: 10.1186/s41747-024-00525-2. PMID: 39546114