BJR
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Verkooijen, H M
Right arrow Articles by van Vroonhoven, T J M V
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Verkooijen, H M
Right arrow Articles by van Vroonhoven, T J M V
British Journal of Radiology 74 (2001),1007-1012 © 2001 The British Institute of Radiology

Full paper

Risk factors for cancellation of stereotactic large core needle biopsy on a prone biopsy table

H M Verkooijen, MD, PhD 1 P H M Peeters, MD, PhD 2 I H M Borel Rinkes, MD, PhD 1 R M Pijnappel, MD 3 A Kaya 1 W P Th M Mali, MD, PhD 4 and T J M V van Vroonhoven, MD, PhD 1

(on behalf of the COBRA study group)

1Department of Surgery, 2Julius Center for Patient Oriented Research and 4Department of Radiology, University Medical Center Utrecht, PO Box 85500, 3508 GA Utrecht, and 3Department of Radiology, Martini Hospital Groningen, PO Box 30033, 9700 RM Groningen, The Netherlands

Among patients undergoing stereotactic needle biopsy of the breast on a prone biopsy table, a substantial proportion of planned procedures are terminated prematurely. This study was undertaken to identify risk factors for cancellation of these procedures and to derive a clinical rule for predicting cancellation. Risk factors for cancellation were assessed in a group of 476 consecutive patients with non-palpable lesions planned for large core needle biopsy. 64 (13%) of these planned procedures were cancelled. Multivariate regression analysis was applied to identify independent risk factors for cancellation. Validation took place by applying the logistic rule on a validation set, including 5 cancelled and 35 successful biopsy procedures. Mammograms that were difficult to interpret owing to extremely dense breast tissue, axillary location of the non-palpable lesion, body mass index below 20, less than 15 mm distance from the lesion to the chest wall or the presence of more than one non-palpable lesion were identified as independent risk factors. The logistic rule discriminated patients with successful and cancelled biopsy procedures with a receiver operator characteristic (ROC) area of 0.72. In the validation set, the area under the ROC curve was 0.92. The prediction rule, based on mammographic and clinical findings, discriminated patients with successful and cancelled needle biopsy procedures to a certain extent. The risk of cancellation of the stereotacic biopsy procedure is considerable in cases of very dense breast tissue or the presence of multiple risk factors.




This article has been cited by other articles:


Home page
 radtechHome page
A. REYNOLDS
Stereotactic Breast Biopsy: A Review
Radiol. Technol., May 1, 2009; 80(5): 447M - 464M.
[Abstract] [Full Text] [PDF]

Home page
 Am. J. Roentgenol.Home page
R. J. Jackman and F. A. Marzoni Jr.
Stereotactic Histologic Biopsy with Patients Prone: Technical Feasibility in 98% of Mammographically Detected Lesions
Am. J. Roentgenol., March 1, 2003; 180(3): 785 - 794.
[Abstract] [Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
BJR DMFR IMAGING  ALL BIR JOURNALS 
Copyright © 2001 by the British Institute of Radiology.