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The first 25 slides, exactly as they appear. The full deck has 90 content slides.
Radiology
Image-guided Breast Procedures
Built from Fundamentals of Diagnostic Radiology
What’s inside
4 sections · 90 slides
Overview
- What image-guided breast procedures do
- Why image guidance replaced surgery
- Roadmap
Breast Biopsy
Indications, needle types, guidance, markers, complications, and concordance
- Indications for breast biopsy
- Indications for image-guided biopsy
- Two families of biopsy needles
- Fine-needle aspiration versus core needle biopsy
- How core needles work
- Spring-loaded core needle mechanism
- Vacuum-assisted core biopsy
- Choosing the guidance method
- Which guidance fits the finding
- Stereotactic biopsy units
- Dedicated stereotactic biopsy unit
- Add-on stereotactic biopsy unit
- Stereotactic biopsy steps
- Stereotactic biopsy workflow
- Stereotactic biopsy steps
- Stereotactic biopsy steps (continued)
- Specimen radiograph
- Stereotactic biopsy for a mass
- Biopsy marker and postbiopsy mammogram
- Tomosynthesis-guided biopsy
- Tomosynthesis biopsy for architectural distortion
- Ultrasound-guided biopsy
- Ultrasound biopsy technique
- Ultrasound biopsy of a mass
- Ultrasound biopsy of an axillary node
- Fine-needle aspiration under ultrasound
- Aspirating a fluid-filled finding
- Failed aspiration of an indeterminate mass
- Simple cyst aspiration
- MRI-guided biopsy
- MRI biopsy details
- MRI biopsy
- MRI biopsy (continued)
- Why place a biopsy marker
- Confirming the marker is on target
- Malpositioned clip
- Malpositioned clip (continued)
- Why markers help future localization
- Neoadjuvant chemotherapy
- Complications are uncommon
- Complications of image-guided biopsies
- Radiology-pathology concordance
- 85-100%
- Benign discordant biopsy
- Benign discordant biopsy (continued)
- Follow-up after a benign biopsy
Localization
Indications, devices, guidance, and the specimen radiograph
- Indications for localization
- Indications for surgical excision
- Atypical ductal hyperplasia
- Needle-wire localization systems
- Needle-wire types
- Newer non-wire localization
- Non-wire localization devices
- Radioseed localization (RSL)
- Radar localization (SAVI SCOUT)
- SAVI SCOUT
- Radiofrequency identification (RFID)
- Magnetic tracer (Magseed)
- Mammographic localization
- Mammographic-guided needle-wire localization
- Mammographic-guided needle-wire localization (continued)
- Bracketed localization
- Other devices with mammographic guidance
- Radioseed placement
- Ultrasound localization
- Ultrasound-guided needle-wire localization
- Magnetic resonance localization
- Specimen radiograph after excision
Galactography
Suspicious nipple discharge and duct imaging
- Suspicious nipple discharge
- Differential diagnosis for suspicious nipple discharge
- Galactography technique
- Galactography workflow
- Galactogram
- Marker after galactography
- Galactogram with clip
- Galactography limits and MRI
- Galactogram with ultrasound and MRI
- Galactogram with ultrasound and MRI (continued)
- Key takeaways
- Suggested readings
- Suggested readings
- Suggested readings
- Suggested readings
- Suggested readings
- Suggested readings
- Suggested readings
- Brant and Helms' Fundamentals of Diagnostic Radiology