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.

breast neoplasms cytological techniques endoscopic ultrasound-guided fine-needle aspiration fine-needle biopsy large-core needle biopsy

Journal

Diagnostics (Basel, Switzerland)
ISSN: 2075-4418
Titre abrégé: Diagnostics (Basel)
Pays: Switzerland
ID NLM: 101658402

Informations de publication

Date de publication:
09 May 2020
Historique:
received: 23 03 2020
revised: 01 05 2020
accepted: 05 05 2020
entrez: 14 5 2020
pubmed: 14 5 2020
medline: 14 5 2020
Statut: epublish

Résumé

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.

Identifiants

pubmed: 32397505
pii: diagnostics10050291
doi: 10.3390/diagnostics10050291
pmc: PMC7277965
pii:
doi:

Types de publication

Journal Article

Langues

eng

Déclaration de conflit d'intérêts

The authors declare no conflict of interest.

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Auteurs

Daniele La Forgia (D)

I.R.C.C.S. Istituto Tumori "Giovanni Paolo II", Radiodiagnostica Senologica, Viale Orazio Flacco 65, 70124 Bari, Italy.

Alfonso Fausto (A)

Azienda Ospedaliera Universitaria Senese, Dipartimento di Diagnostica per Immagini, Viale Bracci 10, 53100 Siena, Italy.

Gianluca Gatta (G)

Università degli Studi della Campania Luigi Vanvitelli, Dipartimento Medicina di Precisione, Piazza L. Miraglia 2, 80138 Napoli, Italy.

Graziella Di Grezia (G)

Ospedale "G. Criscuoli", Dipartimento dei Servizi-Diagnostica per Immagini, Via Quadrivio-83054 Avellino, Italy.

Angela Faggian (A)

Azienda Ospedaliera San Pio, UOC Diagnostica per Immagini, Via dell'Angelo 1, 82100 Benevento, Italy.

Annarita Fanizzi (A)

I.R.C.C.S. Istituto Tumori "Giovanni Paolo II", Oncologia Medica, Viale Orazio Flacco 65, 70124 Bari, Italy.

Daniela Cutrignelli (D)

I.R.C.C.S. Istituto Tumori "Giovanni Paolo II", Chirurgia Plastica, Viale Orazio Flacco 65, 70124 Bari, Italy.

Rosalba Dentamaro (R)

I.R.C.C.S. Istituto Tumori "Giovanni Paolo II", Radiodiagnostica Senologica, Viale Orazio Flacco 65, 70124 Bari, Italy.

Vittorio Didonna (V)

I.R.C.C.S. Istituto Tumori "Giovanni Paolo II", Fisica Medica, Viale Orazio Flacco 65, 70124 Bari, Italy.

Vito Lorusso (V)

I.R.C.C.S. Istituto Tumori "Giovanni Paolo II", Oncologia Medica, Viale Orazio Flacco 65, 70124 Bari, Italy.

Raffaella Massafra (R)

I.R.C.C.S. Istituto Tumori "Giovanni Paolo II", Fisica Medica, Viale Orazio Flacco 65, 70124 Bari, Italy.

Sabina Tangaro (S)

Dipartimento di Scienze del Suolo, della Pianta e degli Alimenti, Università degli Studi di Bari 'Aldo Moro', 70125 Bari, Italy.
Istituto Nazionale di Fisica Nucleare, Sezione di Bari, Via Giovanni Amendola, 165/a, 70126 Bari, Italy.

Maria Antonietta Mazzei (MA)

Azienda Ospedaliera Universitaria Senese, Dipartimento di Diagnostica per Immagini, Viale Bracci 16, 53100 Siena, Italy.

Classifications MeSH