Abstract

Ultrasound is commonly used for pre-operative wire localisation of breast lesions and involves an uncomfortable procedure for patients. Intra-operative localisation has the potential to decrease patient discomfort and avoid wire displacement. This study aimed to assess the efficacy of intra-operative wire placement by a breast radiologist.

Highlights

  • The aim of the study was to assess real life reader performance as a function of volume of mammograms read in a large multicentre cohort

  • This study examined the effect of arbitration of indeterminate mammograms only following consensus decision to recall

  • The data demonstrated that participants were as able to identify abnormalities without the need of using image enhancement manipulations as they were with them (P > 0.5)

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Summary

Introduction

The aim of the study was to assess real life reader performance as a function of volume of mammograms read in a large multicentre cohort. The standard technique for surgical excision of mammographically detected, ultrasound invisible, non-palpable breast lesions is by pre-operative stereotactic guidewire localization (SGL). Methods Between September 2007 and June 2009, 15 patients with mammographically detected, non-palpable, ultrasound invisible breast lesions had VACB followed by HUGL We compared this technique with 15 consecutive patients who underwent SGL. This study was performed to compare the ipsilateral post-operative mammography findings, frequency of ultrasound and image-guided biopsy post-TM with a group of women who had undergone wide local excision (WLE). Methods Between August 2004 and March 2009, 41 cases of ductal carcinoma in situ (DCIS) were retrospectively identified from the screen-detected cases of microcalcifications who underwent stereotactic WBN biopsy with a 14g automated device The histology from these cases was compared with the post-surgery histology

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