scholarly journals Elite VABB 13G: A New Ultrasound-Guided Wireless Biopsy System for Breast Lesions. Technical Characteristics and Comparison with Respect to Traditional Core-Biopsy 14–16G Systems

Diagnostics ◽  
2020 ◽  
Vol 10 (5) ◽  
pp. 291
Author(s):  
Daniele La Forgia ◽  
Alfonso Fausto ◽  
Gianluca Gatta ◽  
Graziella Di Grezia ◽  
Angela Faggian ◽  
...  
Keyword(s):  
Needle Biopsy ◽  
Diagnostic Performance ◽  
Breast Biopsy ◽  
Breast Lesions ◽  
Ultrasound Guided ◽  
Fine Needle ◽  
Diagnostic Time ◽  
Breast Centers ◽  
Breast Lumps ◽  
Histological Results

The typification of breast lumps with fine-needle biopsies is often affected by inconclusive results that extend diagnostic time. Many breast centers have progressively substituted cytology with micro-histology. The aim of this study is to assess the performance of a 13G-needle biopsy using cable-free vacuum-assisted breast biopsy (VABB) technology. Two of our operators carried out 200 micro-histological biopsies using the Elite 13G-needle VABB and 1314 14–16G-needle core biopsies (CBs) on BI-RADS 3, 4, and 5 lesions. Thirty-one of the procedures were repeated following CB, eighteen following cytological biopsy, and three after undergoing both procedures. The VABB Elite procedure showed high diagnostic performance with an accuracy of 94.00%, a sensitivity of 92.30%, and a specificity of 100%, while the diagnostic underestimation was 11.00%, all significantly comparable to of the CB procedure. The VABB Elite 13G system has been shown to be a simple, rapid, reliable, and well-tolerated biopsy procedure, without any significant complications and with a diagnostic performance comparable to traditional CB procedures. The histological class change in an extremely high number of samples would suggest the use of this procedure as a second-line biopsy for suspect cases or those with indeterminate cyto-histological results.

scholarly journals Diagnostic Performance of Ultrasound-Guided Fine-Needle Aspiration of Nonpalpable Breast Lesions in a Multidisciplinary Setting

2017 ◽  
Vol 147 (6) ◽  
pp. 571-579 ◽  
Author(s):  
Josep A. Farras Roca ◽  
Anne Tardivon ◽  
Fabienne Thibault ◽  
Carl El Khoury ◽  
Séverine Alran ◽  
...  
Keyword(s):  
Fine Needle Aspiration ◽  
Diagnostic Performance ◽  
Needle Aspiration ◽  
Breast Lesions ◽  
Ultrasound Guided ◽  
Fine Needle ◽  
Nonpalpable Breast Lesions

scholarly journals A Comparison of Endoscopic Ultrasound-Guided Fine-Needle Aspiration and Fine-Needle Biopsy in the Diagnosis of Solid Pancreatic Lesions

2018 ◽  
Vol 2018 ◽  
pp. 1-6 ◽  
Author(s):  
Lachlan R. Ayres ◽  
Elizabeth K. Kmiotek ◽  
Eric Lam ◽  
Jennifer J. Telford
Keyword(s):  
Diagnostic Accuracy ◽  
Endoscopic Ultrasound ◽  
Fine Needle Aspiration ◽  
Needle Biopsy ◽  
Diagnostic Performance ◽  
Fine Needle Biopsy ◽  
Needle Aspiration ◽  
True Positive ◽  
Ultrasound Guided ◽  
Fine Needle

Background and Aims. Endoscopic ultrasound (EUS) guided fine-needle aspiration (FNA) is the method of choice for sampling pancreatic lesions. This study compares the diagnostic accuracy and safety of FNB using a novel core needle to FNA in solid pancreatic lesions. Methods. A retrospective review of patients in whom EUS FNA or FNB was performed for solid pancreatic lesions was conducted. Diagnostic performance was calculated based upon a dual classification system: classification 1, only malignant pathology considered a true positive, versus classification 2, atypical, suspicious, and malignant pathology considered a true positive. Results. 43 patients underwent FNB compared with 51 FNA. Using classification 1, sensitivity was 74.0% versus 80.0%, specificity 100% versus 100%, and diagnostic accuracy 77.0% versus 80.0% for FNB versus FNA, respectively (all p>0.05). Using classification 2, sensitivity was 97% versus 94.0%, specificity 100% versus 100%, and diagnostic accuracy 98.0% versus 94.0% for FNB versus FNA, respectively (all p>0.05). FNB required significantly fewer needle passes (median = 2) compared to FNA (median = 3; p<0.001). Adverse events occurred in two (4.5%) FNB patients compared with none in the FNA group (p>0.05). Conclusion. FNA and FNB have comparable sensitivity and diagnostic accuracy. FNB required fewer passes.

scholarly journals Fine needle aspiration cytology versus trucut biopsy in the diagnosis of breast cancer: a comparative study

2017 ◽  
Vol 4 (11) ◽  
pp. 3718
Author(s):  
Shashirekha C. A. ◽  
Rahul Singh R. ◽  
Ravikiran H. R. ◽  
Sreeramulu P. N. ◽  
Krishna Prasad
Keyword(s):  
Fine Needle Aspiration ◽  
Needle Biopsy ◽  
Needle Aspiration ◽  
Breast Lesions ◽  
Aspiration Cytology ◽  
Core Needle ◽  
Fine Needle ◽  
Trucut Biopsy ◽  
Needle Aspiration Cytology ◽  
Breast Lumps

Background: Most diseases of the breast present as a palpable mass. The majority of breast lesions are not malignant, and most benign lesions do not progress to cancer; however, the accuracy of diagnosis can be increased by a combination of preoperative tests like physical examination, mammography, fine-needle aspiration cytology (FNAC), and Trucut needle biopsy (TGNB) or core needle biopsy (CNB). FNAC has grown in popularity and became the first initial used procedure after history taking and clinical examination for diagnosis of solid and cystic breast lumps. This study was designated to investigate the accuracy of FNAC in comparison to TCNB for diagnosis of breast masses, Design: Retrospective Study.Methods: In this study, 62 patients having breast lumps were studied during the period from January 2014 to January 2017 in terms of FNAC and Trucut Biopsy and were compared with tissue diagnosis. Variables like age, marital status, duration, size, menstrual status and site were analyzed using statistical analysis.Results: Out of 62 patients with breast lump, 32 were diagnosed with Benign Breast lesions, and 30 with malignant lesions. Sensitivity of FNAC and TRUCUT biopsy were 84.34% and 97.1% respectively. TRUCUT was more accurate when compared to FNAC.Conclusions: Both FNAC and Core Needle Biopsy are complimentary to each other and are useful in diagnosis of breast lesions.

Su1175 PROSPECTIVE EVALUATION OF THE DIAGNOSTIC PERFORMANCE OF ENDOSCOPIC ULTRASOUND-GUIDED FINE NEEDLE BIOPSY IN ABDOMINAL SOLID LESIONS

2019 ◽  
Vol 89 (6) ◽  
pp. AB300-AB301
Author(s):  
Kunsuda Cheirsilpa ◽  
Phunchai Charatcharoenwitthaya ◽  
Wipapat V. Chalermwai ◽  
Tassanee Sriprayoon ◽  
Uayporn Kaosombatwattana ◽  
...  
Keyword(s):  
Endoscopic Ultrasound ◽  
Needle Biopsy ◽  
Diagnostic Performance ◽  
Fine Needle Biopsy ◽  
Prospective Evaluation ◽  
Ultrasound Guided ◽  
Fine Needle ◽  
Solid Lesions

scholarly journals Diagnostic yield of Franseen and Fork-Tip biopsy needles for endoscopic ultrasound-guided tissue acquisition: a meta-analysis

2019 ◽  
Vol 07 (10) ◽  
pp. E1221-E1230 ◽  
Author(s):  
Antonio Facciorusso ◽  
Valentina Del Prete ◽  
Vincenzo Rosario Buccino ◽  
Purvi Purohit ◽  
Puneet Setia ◽  
...  
Keyword(s):  
Diagnostic Accuracy ◽  
Endoscopic Ultrasound ◽  
Needle Biopsy ◽  
Diagnostic Performance ◽  
Meta Analysis ◽  
Fine Needle Biopsy ◽  
Ultrasound Guided ◽  
Fine Needle ◽  
Tissue Acquisition ◽  
Biopsy Needles

Abstract Background and study aims Although newer needle designs are thought to improve diagnostic outcomes of endoscopic ultrasound-guided fine-needle biopsy, there is limited evidence on their diagnostic performance. The aim of this meta-analysis was to provide a pooled estimate of the diagnostic performance and safety profile of Franseen and Fork-tip fine-needle biopsy needles. Patients and methods Computerized bibliographic search on the main databases was performed through March 2019. The primary endpoint was sample adequacy. Secondary outcomes were diagnostic accuracy, optimal histological core procurement, mean number of needle passes, pooled specificity and sensitivity. Safety data were also analyzed. Results Twenty-four studies with 6641 patients were included and pancreas was the prevalent location of sampled lesions. Overall sample adequacy with the two newer needles was 94.8 % (93.1 % – 96.4 %), with superiority of Franseen needle over Fork-tip (96.1 % versus 92.4 %, P < 0.001). Sample adequacy in targeting pancreatic masses was 95.6% and both needles produced results superior to fine-needle aspiration (FNA) (odds ratio 4.29, 1.49 – 12.35 and 1.79, 1.01 – 3.19 with Franseen and Fork-tip needle, respectively). The rate of histological core procurement was 92.5%, whereas diagnostic accuracy and sensitivity were 95 % and 92.8 %, again with no difference between the two needles. Number of needle passes was significantly lower in comparison to FNA (mean difference: –0.42 with Franseen and –1.60 with Fork-tip needle). No significant adverse events were registered. Conclusion Our meta-analysis speaks in favor of use of newer biopsy needles as a safe and effective tool in endoscopic ultrasound-guided tissue acquisition.

scholarly journals Evaluation of Breast Lumps by Ultrasound and Its Correlation with FNAC Findings in a Teaching Hospital in Telangana

2020 ◽  
Vol 7 (47) ◽  
pp. 2772-2776
Author(s):  
Ravi Kumar Marri ◽  
Palleboina Sushmita
Keyword(s):  
Fine Needle Aspiration ◽  
Fine Needle Aspiration Cytology ◽  
Breast Biopsy ◽  
Needle Aspiration ◽  
Breast Lesions ◽  
Aspiration Cytology ◽  
Fine Needle ◽  
Needle Aspiration Cytology ◽  
Breast Lumps ◽  
Sensitivity Specificity

BACKGROUND Ultrasonography (US) has become popular in the present day practice in the evaluation of breast lesions. The USG findings can be supplemented by fine needle aspiration cytology (FNAC) and correlation between the two diagnostic modalities can help improve the diagnosis. We wanted to study the ultrasonographic features of breast lumps and to correlate the findings with fine needle aspiration cytology. METHODS This was a prospective study done on 55 patients of breast lumps who attended the ultrasound at department of Radiology, Maheshwara Medical College, Patancheru, Hyderabad, Telangana over a period of eight months. RESULTS Majority of the cases were reported as Benign i.e., 81.8 % (45 / 55), 12.7 % (07 / 55) constituted Malignant cases. Suspicious of malignancy in 5.4 % (03 / 55) cases. Most of the benign lesions were noted in the 20 - 50 years age group while malignant lesions were observed between 41 years to more than 60 years of age. The sensitivity, specificity, PPV and NPV of ultrasonography and FNAC in diagnosing breast lesions were 87.5 %, 93.6 %, 70 %, and 97.7 % respectively. CONCLUSIONS Ultrasonography is a primary imaging technique for evaluation of breast lumps and has good sensitivity, specificity, PPV and NPV for diagnosing breast lesions. It is complementary to FNAC and when both modalities are used together they can diagnose majority of the lesions. This can reduce the radiation exposure and the more invasive and expensive breast biopsy procedure. KEYWORDS USG, Breast Lesions, FNAC, BIRADS

Ultrasound-guided vacuum assisted breast biopsy in the assessment of C3 breast lesions by ultrasound-guided fine needle aspiration cytology: Results and costs in comparison with surgery

The Breast ◽  
2009 ◽  
Vol 18 (2) ◽  
pp. 73-77 ◽  
Author(s):  
Francesca Abbate ◽  
Lorenzo Bacigalupo ◽  
Antuono Latronico ◽  
Chiara Trentin ◽  
Silvia Penco ◽  
...  
Keyword(s):  
Fine Needle Aspiration ◽  
Fine Needle Aspiration Cytology ◽  
Breast Biopsy ◽  
Needle Aspiration ◽  
Breast Lesions ◽  
Ultrasound Guided ◽  
Aspiration Cytology ◽  
Fine Needle ◽  
Needle Aspiration Cytology

Florence?Sydney Breast Biopsy Study: sensitivity of ultrasound-guided versus freehand fine needle biopsy of palpable breast cancer

2005 ◽  
Vol 89 (1) ◽  
pp. 55-59 ◽  
Author(s):  
N. Houssami ◽  
S. Ciatto ◽  
D. Ambrogetti ◽  
S. Catarzi ◽  
G. Risso ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Needle Biopsy ◽  
Breast Biopsy ◽  
Fine Needle Biopsy ◽  
Ultrasound Guided ◽  
Fine Needle ◽  
Palpable Breast

scholarly journals Su1418 PROSPECTIVE ASSESSMENT OF THE DIAGNOSTIC PERFORMANCE OF ENDOSCOPIC ULTRASOUND-GUIDED FINE NEEDLE BIOPSY (EUS-FNB) IN INTRA-ABDOMINAL MASS LESIONS; PRELIMINARY Results

2018 ◽  
Vol 87 (6) ◽  
pp. AB348
Author(s):  
Kunsuda Cheirsilpa ◽  
Phunchai Charatcharoenwitthaya ◽  
Wipapat V. Chalermwai ◽  
Tassanee Sriprayoon ◽  
Julajak Limsrivilai ◽  
...  
Keyword(s):  
Endoscopic Ultrasound ◽  
Needle Biopsy ◽  
Diagnostic Performance ◽  
Abdominal Mass ◽  
Fine Needle Biopsy ◽  
Ultrasound Guided ◽  
Fine Needle ◽  
Preliminary Results ◽  
Prospective Assessment ◽  
Mass Lesions
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