Breast Biopsy

Needle Breast Biopsy

Imaging techniques play an important role in helping doctors perform breast biopsies, especially of abnormal areas that cannot be felt but can be seen on a mammogram or with ultrasound. A needle breast biopsy is performed to remove suspicious tissue through a hollow needle. Following local anesthesia, the biopsy needle is then inserted into the breast and tissue samples are obtained. These are sent to the pathologist for microscopic examination.

Stereotactic Breast Biopsy  One type of needle biopsy, the stereotactic-guided biopsy, involves the precise location of the abnormal area in three dimensions using digital mammography. “Stereotactic” refers to the use of a computer and scanning devices to create three-dimensional images. This type of biopsy is done at the Fayetteville location only.

Ultrasound-Guided Biopsy  Solid breast masses may undergo biopsy (tissue sampling) using ultrasound guided needle biopsy.  The procedure uses ultrasound as a guide for the radiologist to obtain small samples of suspicious breast tissue. Fluid-filled cysts may also be drained using ultrasound guidance. The area is anesthetized and a small needle is inserted in the cyst to withdraw the fluid.

The Breast Center (Fayetteville location) has been awarded a three-year term of accreditation in stereotactic and ultrasound breast biopsy as the result of a recent review by the American College of Radiology (ACR). The ACR gold seal of accreditation represents the highest level of image quality and patient safety. It is awarded only to facilities meeting ACR Practice Guidelines and Technical Standards after a peer-review evaluation by board-certified physicians and medical physicists who are experts in the field. Image quality, personnel qualifications, adequacy of facility equipment, quality control procedures, and quality assurance programs are assessed.

Breast MRI – Guided Biopsy  Some breast abnormalities are seen only using MRI imaging. The Aurora is a fully integrated MRI machine and is as reliable as open surgery for acquiring tissue samples that offer definitive pathological results. The Aurora MRI at The Breast Center is accredited through Intersocietal Commission for the Accreditation of Magnetic Resonance Laboratories (ICAMRL).

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