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Interventional Breast Imaging
Ultrasound, Mammography, and MR Guidance Techniques
Fischer, Baum
Editore
Thieme
Anno
2010
Pagine
264
ISBN
9783131467010
135,00 € 65,00 €
I prezzi indicati possono subire variazioni poiché soggetti all'oscillazione dei cambi delle valute e/o agli aggiornamenti effettuati dagli Editori.

A step-by-step guide to performing image-guided breast interventions
 

Praise for this book:

This teaching textbook is highly recommended to any radiologist. --Clinical Imaging May 2011, Antonio F. Govoni, MD

The difference [between this book] with traditional books presenting radiological cases is based on the choice by the authors to present each case as a quiz thereby stimulating the reader to test his/her experience and technical knowledge. --Clinical Imaging May 2011, Aldo Morra, MD

Simulates the experience of having the direct supervision of a more seasoned radiologist colleague...one could find the answer to virtually any question about breast imaging interventional procedures in this book. --Doody's Review

Written by a team of experts, this practical how-to guide provides a systematic overview of the most current image-guided interventional techniques used to diagnose breast abnormalities.

In the first part of the book, the authors discuss how to acquire tissue samples using minimally invasive procedures such as ultrasound-, x-ray-, and MRI-based interventions, and present information on pretherapeutic localization and classification of lesions. The second part of the book covers the essentials of fine-needle aspiration and cytologic assessment, followed by a chapter on histologic evaluation and up-to-date pathology reporting categories for core and vacuum biopsy specimens.

Features:

  • 1,295 high-quality clinical images from the authors' daily practice illustrate radiographic findings and examination approaches
  • More than 50 cases studies for self-assessment
  • Separate chapters on patient preparation, instrumentation, galactography and ductoscopy, and sentinel node biopsy
  • Color-coded text boxes highlight tips, tricks, pitfalls, checklists, and guidelines for rapid review of essential concepts
  • Consistent chapter structure for maximum accessibility

Interventional Breast Imaging is a must-have resource for all radiologists and gynecologists. It will improve the accuracy and confidence of any clinician involved in image-guided breast interventions.

Table of Contents
1 Patient Information, Guidelines,
and Directives . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
U. Fischer
Patient Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Guidelines . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Directives . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
2 Patient Preparation . . . . . . . . . . . . . . . . . . . . . . . . . 3
F. Baum
3 Free-hand Localization Techniques . . . . . . . . . . . 5
F. Baum
Wire Localization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Dye Localization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
Fenestrated Compression Devices . . . . . . . . . . . . . . . . . . . . . . 16
Skin Punch Biopsy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
4 Ultrasound-guided Interventions . . . . . . . . . . . . . 18
S. Luftner-Nagel
Breast Ultrasound . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
Ultrasound-guided Percutaneous Core Needle Biopsy . . . . . . 22
Ultrasound-guided Vacuum-assisted Biopsy . . . . . . . . . . . . . . 30
Ultrasound-guided Fine-needle Aspiration . . . . . . . . . . . . . . . 30
Ultrasound-guided Localization . . . . . . . . . . . . . . . . . . . . . . . . 31
Clinical Cases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
5 Stereotactic Interventions . . . . . . . . . . . . . . . . . . . 43
F. Baum
X-Ray Mammography . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43
Stereotactic Vacuum-assisted Biopsy . . . . . . . . . . . . . . . . . . . . 47
Core Needle Biopsy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60
Stereotactic Localization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 62
Problems and Causes of Error . . . . . . . . . . . . . . . . . . . . . . . . . 66
Stereotactic Cutting Biopsies . . . . . . . . . . . . . . . . . . . . . . . . . . 68
Data in Current Literature . . . . . . . . . . . . . . . . . . . . . . . . . . . . 70
Clinical and Problem Cases . . . . . . . . . . . . . . . . . . . . . . . . . . . 71
6 MRI-guided Interventions . . . . . . . . . . . . . . . . . . . 85
U. Fischer
MR Mammography . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85
Particularities of MRI-guided Interventions . . . . . . . . . . . . . 89
MRI-guided Vacuum-assisted Biopsy:
Diagnostic Procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90
MRI-guided Vacuum-assisted Biopsy:
Clinical and Problem Cases . . . . . . . . . . . . . . . . . . . . . . . . . . 102
MRI-guided Core Needle Biopsy/
Fine Needle Aspiration Biopsy . . . . . . . . . . . . . . . . . . . . . . . . 112
Data in the Current Literature . . . . . . . . . . . . . . . . . . . . . . . . 114
MRI-guided Vacuum-assisted Biopsy:
Therapeutic Objective . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 115
MRI-guided Localization . . . . . . . . . . . . . . . . . . . . . . . . . . . . 117
Clinical Cases (MRI-guided Localization) . . . . . . . . . . . . . . . . 120
7 Instrumentation . . . . . . . . . . . . . . . . . . . . . . . . . . . 126
F. Baum
Fine Needle Aspiration Biopsy . . . . . . . . . . . . . . . . . . . . . . . . 126
Core Needle Biopsy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 128
Vacuum-assisted Biopsy Systems . . . . . . . . . . . . . . . . . . . . . . 132
Large Core Excision Biopsy . . . . . . . . . . . . . . . . . . . . . . . . . . . 134
Coaxial Needles . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 135
Preoperative Localization . . . . . . . . . . . . . . . . . . . . . . . . . . . . 137
Specimen Radiography . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 142
Galactography . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 143
Stereotactic Mammography . . . . . . . . . . . . . . . . . . . . . . . . . . 144
MRI-guided Breast Biopsy . . . . . . . . . . . . . . . . . . . . . . . . . . . 145
Additional Instrumentation . . . . . . . . . . . . . . . . . . . . . . . . . . 148
8 Specimen Processing
for Pathologic Diagnosis . . . . . . . . . . . . . . . . . . . . 149
F. Baum
Cytologic Smears . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 149
Aspiration Cytology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 149
Core Needle Biopsy and Vacuum-assisted
Biopsy Specimens . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 150
VIII
9 Perioperative Specimen Imaging . . . . . . . . . . . . 154
U. Fischer
Specimen Radiography . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 154
Specimen Ultrasound . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 155
Specimen Magnetic Resonance Imaging . . . . . . . . . . . . . . . . 157
10 Galactography, MR Galactography,
Ductoscopy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 158
U. Fischer
Galactography . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 158
MR Galactography . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 167
Ductoscopy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 169
11 Sentinel Lymph Node Mapping
and Dissection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 170
T. Kuehn
Evaluating the Nodal Status . . . . . . . . . . . . . . . . . . . . . . . . . . 170
Clinical Value of Sentinel Lymph Node Dissection . . . . . . . . . 171
Anatomy and Physiology of Lymphatic Drainage
of the Breast . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 171
Sentinel Lymph Node Mapping . . . . . . . . . . . . . . . . . . . . . . . 171
Indications for Sentinel Lymph Node Dissection . . . . . . . . . . 173
Surgical Methods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 173
Pathology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 174
Importance of Local and Systemic Treatment Decisions . . . . 174
Open Questions / New Developments . . . . . . . . . . . . . . . . . . 175
Quality Assurance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 175
12 Cytologic Evaluation . . . . . . . . . . . . . . . . . . . . . . . . 177
T. Decker, W. Boecker
Basics of Cytologic Diagnosis . . . . . . . . . . . . . . . . . . . . . . . . . 177
C Categories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 177
Quality Indicators for Cytologic Diagnosis . . . . . . . . . . . . . . . 178
Possibilities and Limitations of Breast Cytology Diagnosis . . 178
13 Histologic Evaluation
of Core Needle Biopsy Specimens . . . . . . . . . . . 181
T. Decker, W. Boecker
Requirements for Pathologic Diagnosis . . . . . . . . . . . . . . . . . 181
B Categories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 185
Clinical Management after Histologic Diagnosis . . . . . . . . . . 187
Quality Indicators of the Pathologic Diagnosis . . . . . . . . . . . 196
14 Tumor Cell Displacement . . . . . . . . . . . . . . . . . . . 198
U. Fischer
15 Guidelines for the Early Detection
of Breast Cancer:
Interventions and Excision Biopsy . . . . . . . . . . . 199
U. Fischer
Evidence-Based Medicine: Interventional Techniques . . . . . 200
Structural Quality: Interventional Techniques . . . . . . . . . . . 200
Process Quality: Interventional Techniques . . . . . . . . . . . . . . 201
16 Case Studies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 207
S. Luftner-Nagel, F. Baum, U. Fischer
Case Studies Sonography: Cases 1 to 16 . . . . . . . . . . . . . . . . 208
Case Studies Mammography: Cases 17 to 34 . . . . . . . . . . . . . 220
Case Studies MR Mammography: Cases 35 to 42 . . . . . . . . . 238
Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 246

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