Podcast
Questions and Answers
What is the primary purpose of using MRI guidance in breast biopsies?
What is the primary purpose of using MRI guidance in breast biopsies?
- To visually assist during the excision
- To enhance the imaging quality
- To administer local anesthesia
- To calculate the position of the abnormal tissue (correct)
Which of the following statements about breast biopsies is accurate?
Which of the following statements about breast biopsies is accurate?
- They are only done on patients with breast cancer.
- They can be performed on an outpatient basis. (correct)
- They are always performed in a hospital setting.
- They require general anesthesia.
During the procedure, how is the affected breast positioned?
During the procedure, how is the affected breast positioned?
- It is elevated above the chest.
- It is placed under direct sunlight for visibility.
- It is rotated to 90 degrees.
- It is compressed between compression plates. (correct)
What is injected into the breast to numb it before the biopsy?
What is injected into the breast to numb it before the biopsy?
Which method does NOT involve the withdrawal of the needle during sample collection?
Which method does NOT involve the withdrawal of the needle during sample collection?
How many tissue samples are typically collected using a vacuum-assisted device?
How many tissue samples are typically collected using a vacuum-assisted device?
What is the role of gadolinium in the breast biopsy process?
What is the role of gadolinium in the breast biopsy process?
Which professional is primarily responsible for performing MR-guided breast biopsies?
Which professional is primarily responsible for performing MR-guided breast biopsies?
What is the primary characteristic of a traditional MRI unit?
What is the primary characteristic of a traditional MRI unit?
Which type of MRI system is specifically designed for patients who are fearful of enclosed spaces?
Which type of MRI system is specifically designed for patients who are fearful of enclosed spaces?
How does MRI differ from traditional x-ray examinations?
How does MRI differ from traditional x-ray examinations?
What is a potential disadvantage of older open MRI units?
What is a potential disadvantage of older open MRI units?
What is the role of the computer workstation in an MRI procedure?
What is the role of the computer workstation in an MRI procedure?
Why is MRI often preferred for differentiating abnormal tissues compared to other modalities?
Why is MRI often preferred for differentiating abnormal tissues compared to other modalities?
What technology in MRI units helps to send and receive radio waves?
What technology in MRI units helps to send and receive radio waves?
In a majority of MRI-guided breast biopsies, which type of MRI system is typically used?
In a majority of MRI-guided breast biopsies, which type of MRI system is typically used?
What is the primary purpose of a breast biopsy?
What is the primary purpose of a breast biopsy?
Which type of biopsy is employed when the abnormal area in the breast cannot be felt?
Which type of biopsy is employed when the abnormal area in the breast cannot be felt?
What imaging technique is used to assist in MRI-guided breast biopsies?
What imaging technique is used to assist in MRI-guided breast biopsies?
Which type of biopsy uses a small needle to extract fluid or cells from the abnormal area?
Which type of biopsy uses a small needle to extract fluid or cells from the abnormal area?
What should you inform your doctor about prior to a needle biopsy?
What should you inform your doctor about prior to a needle biopsy?
Which of these biopsy procedures allows for the collection of multiple tissue samples during one insertion?
Which of these biopsy procedures allows for the collection of multiple tissue samples during one insertion?
Which piece of equipment is commonly involved in needle biopsies to assist with tissue collection?
Which piece of equipment is commonly involved in needle biopsies to assist with tissue collection?
What is a precaution recommended for patients before undergoing a biopsy procedure?
What is a precaution recommended for patients before undergoing a biopsy procedure?
What characterizes a lung nodule?
What characterizes a lung nodule?
Which imaging technique is commonly used to guide needle biopsies?
Which imaging technique is commonly used to guide needle biopsies?
What type of needle biopsy involves using a fine gauge needle and a syringe?
What type of needle biopsy involves using a fine gauge needle and a syringe?
What is an advantage of needle biopsies compared to open surgery?
What is an advantage of needle biopsies compared to open surgery?
What is the typical complication rate for needle biopsies?
What is the typical complication rate for needle biopsies?
When performing a needle biopsy, how should the patient be positioned?
When performing a needle biopsy, how should the patient be positioned?
What kind of equipment aids in performing needle biopsies more accurately?
What kind of equipment aids in performing needle biopsies more accurately?
What is the primary purpose of inserting a wire during a surgical biopsy?
What is the primary purpose of inserting a wire during a surgical biopsy?
What sensation is typically reported by women during the biopsy procedure?
What sensation is typically reported by women during the biopsy procedure?
What should be done if a patient experiences swelling and bruising after a biopsy?
What should be done if a patient experiences swelling and bruising after a biopsy?
What should patients avoid for 24 hours following their biopsy procedure?
What should patients avoid for 24 hours following their biopsy procedure?
What is the expected duration of the biopsy procedure?
What is the expected duration of the biopsy procedure?
Why is there usually no need for sutures after the biopsy?
Why is there usually no need for sutures after the biopsy?
What should patients do if they experience excessive swelling or bleeding post-biopsy?
What should patients do if they experience excessive swelling or bleeding post-biopsy?
Which organization suggests that it is safe to continue breastfeeding after receiving intravenous contrast?
Which organization suggests that it is safe to continue breastfeeding after receiving intravenous contrast?
What option can a mother choose if she is concerned about the effects of gadolinium contrast medium on breast-feeding?
What option can a mother choose if she is concerned about the effects of gadolinium contrast medium on breast-feeding?
What is one of the advantages of MRI-guided breast biopsy compared to surgical biopsy?
What is one of the advantages of MRI-guided breast biopsy compared to surgical biopsy?
What is the likelihood of experiencing a significant discomfort during an MRI-guided breast biopsy?
What is the likelihood of experiencing a significant discomfort during an MRI-guided breast biopsy?
What is a potential risk associated with the vacuum-assisted device used in MRI-guided breast biopsy?
What is a potential risk associated with the vacuum-assisted device used in MRI-guided breast biopsy?
Which of the following is a limitation of MRI-guided breast biopsy?
Which of the following is a limitation of MRI-guided breast biopsy?
What advantage does MRI-guided vacuum-assisted breast biopsy have over stereotactic biopsy?
What advantage does MRI-guided vacuum-assisted breast biopsy have over stereotactic biopsy?
Which statement about MRI is accurate?
Which statement about MRI is accurate?
What is the risk of infection after an MRI-guided breast biopsy?
What is the risk of infection after an MRI-guided breast biopsy?
Flashcards
Biopsy
Biopsy
A medical procedure where a small sample of tissue is removed from the body for examination under a microscope.
Needle Biopsy
Needle Biopsy
A type of biopsy where a fine, hollow needle is used to withdraw a small sample of tissue.
Fine Needle Aspiration
Fine Needle Aspiration
A type of needle biopsy where a thin needle is used to collect a sample of fluid or cells.
Core Needle Biopsy
Core Needle Biopsy
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Image-Guided Biopsy
Image-Guided Biopsy
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Stereotactic Biopsy
Stereotactic Biopsy
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Lung Nodule
Lung Nodule
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Patient Positioning
Patient Positioning
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Breast Biopsy
Breast Biopsy
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Image-Guided Breast Biopsy
Image-Guided Breast Biopsy
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Fine Needle Aspiration (FNA)
Fine Needle Aspiration (FNA)
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Core Needle (CN) Biopsy
Core Needle (CN) Biopsy
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Vacuum-Assisted Device (VAD) Biopsy
Vacuum-Assisted Device (VAD) Biopsy
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Surgical Biopsy
Surgical Biopsy
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Non-Palpable Breast Lesion
Non-Palpable Breast Lesion
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Magnetic Resonance Imaging (MRI)
Magnetic Resonance Imaging (MRI)
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Marker placement during breast biopsy
Marker placement during breast biopsy
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Sensations during biopsy
Sensations during biopsy
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Typical side effects after biopsy
Typical side effects after biopsy
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When to call the doctor after a biopsy
When to call the doctor after a biopsy
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Mammogram after biopsy
Mammogram after biopsy
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Activity restrictions after biopsy
Activity restrictions after biopsy
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Breastfeeding and contrast media
Breastfeeding and contrast media
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Safety of contrast media in breast milk
Safety of contrast media in breast milk
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How does MRI work?
How does MRI work?
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What is MRI?
What is MRI?
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What does a traditional MRI unit look like?
What does a traditional MRI unit look like?
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What are open MRI units?
What are open MRI units?
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Why is MRI useful?
Why is MRI useful?
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How are MRI-guided breast biopsies performed?
How are MRI-guided breast biopsies performed?
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What are some important pre-MRI guidelines?
What are some important pre-MRI guidelines?
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Where is the MRI data processed?
Where is the MRI data processed?
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What is MRI-guided breast biopsy?
What is MRI-guided breast biopsy?
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How does MRI-guided breast biopsy work?
How does MRI-guided breast biopsy work?
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What are the benefits of MRI-guided breast biopsy?
What are the benefits of MRI-guided breast biopsy?
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What is the benefit of MRI-guided breast biopsy regarding radiation?
What is the benefit of MRI-guided breast biopsy regarding radiation?
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What are the risks of MRI-guided breast biopsy?
What are the risks of MRI-guided breast biopsy?
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Are there any risks of infection with MRI-guided breast biopsy?
Are there any risks of infection with MRI-guided breast biopsy?
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What is the risk of the needle passing through the chest wall?
What is the risk of the needle passing through the chest wall?
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What are the limitations of MRI-guided breast biopsy?
What are the limitations of MRI-guided breast biopsy?
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MR-guided breast biopsy
MR-guided breast biopsy
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Gadolinium
Gadolinium
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Vacuum-assisted device (VAD)
Vacuum-assisted device (VAD)
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Grid structure
Grid structure
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MRI verification
MRI verification
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MRI-guided surgery
MRI-guided surgery
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Study Notes
Biopsy Overview
- Biopsy procedures aim to gather tissue samples for analysis.
- Different types of biopsies exist, each with distinct purposes.
- Needle biopsies are often image-guided using techniques like fluoroscopy, CT, ultrasound, or MRI, which help physicians pinpoint the exact location of the abnormal tissue.
- These biopsies are usually performed as outpatient procedures with relatively low rates of complications.
Needle Biopsy of Lung Nodules
- Lungs are conical-shaped organs for respiration.
- They extend from the first rib to the diaphragm.
- Lung nodules are round or abnormal tissue areas in the lung.
- These are often detected via chest X-rays without causing pain or other symptoms.
Indications for Lung Biopsies
- Lesions on chest radiographs are a key indicator.
- Multiple nodules in patients without known malignancy, or those in prolonged remission.
- Persistent focal infiltrates of lung tissue where no diagnosis can be arrived at via other methods.
- A hilar mass is another indication to conduct a lung biopsy
Contraindications for Lung Biopsies
- Abnormalities in lung function (e.g., respiratory failure), including mechanical ventilation.
- Arterial and venous pulmonary hypertension.
- Coagulation abnormalities are contraindications.
Types of Needle Biopsies
- Fine needle aspiration uses a small needle and syringe to draw out fluid or cell clusters from the tissue.
- Core needle biopsy involves an automated mechanism to insert the needle, filling receptacles with tissue cores. A sheath then cuts the tissue and keeps samples.
Advantages of Needle Biopsies
- Image guidance allows for avoiding crucial nearby organs and blood vessels.
- Minimizes pain, scarring, and the complications of open surgery.
- Recovery times are often quicker than for open surgery.
Patient Positioning and Instructions
- Patient positioning typically depends on the skin entry point.
Breast Needle Biopsy
- Breast tissue samples are removed using a needle.
- The extracted sample is looked at in a lab for diagnosis.
- Various techniques exist for breast needle biopsies, including fine needle aspiration, ultrasound-directed needle biopsy, stereotactic core needle biopsy, MRI-guided breast biopsy, and vacuum-assisted device biopsy.
Procedure: Fine Needle Aspiration
- The skin around the area is cleaned.
- A small needle is inserted into the breast tissue to remove fluid or tissue.
- The process might be repeated for a better sample.
- Blood pressure is applied around the area before covering it with a bandage aftercare.
Procedure: Ultrasound-Directed Needle Biopsy
- Ultrasound helps locate the area for biopsy.
- Fluid or tissue samples are collected using a small needle.
- Bandaging concludes the process.
Procedure: Stereotactic Core Needle Biopsy
- The patient is positioned lying down on their stomach or by sitting.
- Mammogram or ultrasound images help to locate suspicious areas.
- A small cut is made, and a special probe is inserted to extract multiple core tissue samples.
- A bandage is applied to complete the procedure.
Procedure: MRI-Guided Breast Biopsy
- Patients lie face down on a moveable examination table.
- Contrast medium (gadolinium) is injected intravenously.
- The breast is gently compressed, and the radiologist uses computer software to identify the lesion and needle placement.
- A local anesthetic is injected.
- Tissue samples are collected using a needle.
- A bandage is applied once the samples have been collected
Procedure: Vacuum-Assisted Device Biopsy
- A needle is inserted, and pressure from a vacuum is used to pull tissue from the mass.
- Tissue is placed in a sampling chamber.
- Multiple samples can be collected without needle removal.
Biopsy Tools
- Biopsy needle for soft tissues.
- Local anesthetic.
- Sheet
- Apron
- Ultrasound machine
- Semi-automatic disposable devices, such as the MULTI RAM and SPEEDY RAM.
Benefits of MR Guided Breast Biopsy
- Accurate, quick, minimal scarring, and avoids ionizing radiation.
- Rapid, safe, accurate, and cost-effective compared with other methods.
- Minimally invasive procedure.
- Faster recovery compared to surgical procedures.
Risks of MR Guided Breast Biopsy
- Bleeding and the formation of hematoma (collection of blood) at the biopsy site (low risk).
- Infection (low risk).
- Discomfort (can be relieved).
- Slight risk of the needle passing through the chest wall, potentially collapsing the lung.
Limitations of MR Guided Breast Biopsy
- Image guidance may not be sufficient to achieve accurate sampling for deep or poorly positioned lesions.
- Can miss or underestimate lesions, potentially requiring additional procedures like surgical biopsy.
- High cost and limited availability.
Post-Procedure Expectations
- Minor swelling or bruising is normal.
- Excessive swelling, bleeding, or heat in the breast warrants physician contact.
- Avoiding strenuous activity for 24 hours is generally recommended after the procedure.
Important Considerations Before Biopsy
- Inform the doctor about all medications (prescription/herbal) and allergies, especially to anesthesia.
- Discontinue taking aspirin or blood thinners for a specified duration.
- Report recent illnesses or medical conditions.
- Consider having a companion for transport home, especially if sedated.
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