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Ultrasound-Guided Interventions

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Breast Imaging

Part of the book series: Medical Radiology ((Med Radiol Diagn Imaging))

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Abstract

With increased numbers of screening examinations and awareness of women regarding suspicious clinical findings, the number of lesions requiring further assessment increases. In addition, the average size of a detected lesion decreases, and reliable imaging modalities for guiding further procedures are required.

After the successful detection of a lesion of concern in various modalities for breast imaging like US, MRI, mammography, tomosynthesis, or contrast-enhanced mammography, a histological proof of the nature of this lesion is necessary.

As open surgical biopsy has been the method of choice in former days, minimally invasive procedures have come into focus and are recommended now for providing histological proof and information for operative or neoadjuvant therapy planning (Wallis et al., Eur Radiol 17(2):581–588, 2007; Perry et al., European guidelines for quality assurance in breast cancer screening and diagnosis, 2006; Helbich et al., Eur Radiol 14(3):383–393, 2004; Bick et al., Insights Imaging 11(1):12, 2020).

Due to different approaches in the treatment of breast cancer, surgery is no longer always the first line of treatment. Preoperative minimally invasive assessment of a carcinoma is requested to get further information about the molecular subtype of a lesion in order to tailor treatment and avoid unnecessary damage and scarring, or further anxiety due to additional general anesthesia (Wallis et al., Eur Radiol 17(2):581–588, 2007; Perry et al., European guidelines for quality assurance in breast cancer screening and diagnosis, 2006).

Additionally, minimally invasive approaches are less expensive and are performed in an outpatient setting (Gruber et al., Eur J Radiol 74(3):519–524, 2010; Abbate et al. Breast 18(2):73–77, 2009).

Ultrasound is a cheap and widely available technique, in addition it is quite comfortable for women and therefore the working horse in the field of breast biopsies. Furthermore, it plays a major role in preoperative localization of non-palpable lesions and is used more and more often to guide vacuum-assisted removal of benign lesions and other tumor ablation techniques.

In this chapter, we explain how to manage ultrasound-guided interventions and provide tips and tricks to successfully plan and perform ultrasound-guided procedures.

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Authors and Affiliations

  1. Klinikum Rechts der Isar of the Technical University, Munich, Germany

    Eva Maria Fallenberg

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  1. Eva Maria Fallenberg
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Correspondence to Eva Maria Fallenberg .

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Editors and Affiliations

  1. Department of Radiology, Medical University of Graz, Graz, Austria

    Michael Fuchsjäger

  2. Department of Radiology, University of California, Davis (UCD) School of Medicine, Sacramento, CA, USA

    Elizabeth Morris

  3. Department of Biomedical Imaging and Image-guided Therapy, Medical University of Vienna, Vienna, Austria

    Thomas Helbich

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Fallenberg, E.M. (2022). Ultrasound-Guided Interventions. In: Fuchsjäger, M., Morris, E., Helbich, T. (eds) Breast Imaging . Medical Radiology(). Springer, Cham. https://doi.org/10.1007/978-3-030-94918-1_8

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  • DOI: https://doi.org/10.1007/978-3-030-94918-1_8

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  • Online ISBN: 978-3-030-94918-1

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