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Targeted ultrasound for detection and biopsy of breast MRI-detected lesions
Breast MRI is being increasingly used in the evaluation of patients with breast cancer. In a significant minority of patients, additional occult malignancy is identified. However, the majority of additional findings on MRI are ultimately benign. Once an additional suspicious lesion has been identified, minimally invasive biopsy for diagnosis is generally appropriate. Previous reports indicated a fairly low likelihood of finding these lesions with targeted ultrasound. We performed a retrospective review of patients at our institution who underwent breast MRI during evaluation for breast cancer. Using targeted breast ultrasound, our radiologists identified 89% of these additional lesions, allowing for minimally invasive biopsy if indicated. As MRI-guided biopsy is presently expensive, time-consuming, and not widely available, targeted ultrasound for detection and biopsy of these MRI-detected lesions is a good alternative. Bibilographical reference:
LeAnn Beran Department of Surgery, Grant Medical Center, Columbus, OH, USA
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