关键词: breast breast biopsy marker cost image guided survey

Mesh : Humans Female Australia Breast / pathology Thorax Image-Guided Biopsy Radiologists Breast Neoplasms / pathology Biopsy

来  源:   DOI:10.1111/1754-9485.13451

Abstract:
BACKGROUND: Breast Screen Australia and Breast Screen Aotearoa guidelines recommend breast biopsy marker (BBM) use in indicated patients. This study aims to evaluate breast biopsy practice and BBM utilisation by modality.
METHODS: An online survey was disseminated to radiologists who identified \'breast imaging\' as their area of practice in the Royal Australian and New Zealand College of Radiologists (RANZCR) customer relationship management system. Survey questions addressed participant demographics and factors relating to BBM use.
RESULTS: Most respondents (72%) place between 1 and 4 BBMs per week. Almost all (99%) respondents perform ultrasound-guided biopsy of the breast or axillary nodes, with 85% performing stereotactic or tomosynthesis-guided breast biopsy and 27% performing MRI-guided breast biopsy. BBM utilisation differs by modality, with 97% respondents always placing a BBM post-MRI-guided breast biopsy, 50% always placing a BBM post-stereotactic-guided biopsy and 3% always placing a BBM post-ultrasound-guided breast biopsy.
CONCLUSIONS: Almost all radiologists perform breast biopsy using ultrasound, stereotactic/tomosynthesis or MRI guidance. BBM utilisation varies by modality, with 72% of respondents placing between 1 and 4 clips per week. Reasons for placing or not placing BBM aligned with prior studies. This is the first study to evaluate the number of breast biopsies performed by radiologists on a weekly or monthly basis, providing a useful platform for comparison in the local setting.
摘要:
背景:澳大利亚乳腺筛查和Aotearoa乳腺筛查指南建议在指定患者中使用乳腺活检标志物(BBM)。本研究旨在通过模态评估乳腺活检实践和BBM利用。
方法:向放射科医师发布了一项在线调查,他们在澳大利亚皇家和新西兰放射科医师学院(RANZCR)客户关系管理系统中将“乳房成像”确定为其实践领域。调查问题涉及参与者的人口统计学和与BBM使用相关的因素。
结果:大多数受访者(72%)每周放置1至4个BBM。几乎所有(99%)的受访者都对乳腺或腋窝淋巴结进行超声引导活检,85%进行立体定向或断层合成引导的乳腺活检,27%进行MRI引导的乳腺活检。BBM利用率因模态而异,97%的受访者总是在MRI引导的乳腺活检后放置BBM,50%的人总是在立体定向引导的活检后放置BBM,3%的人总是在超声引导的乳腺活检后放置BBM。
结论:几乎所有的放射科医生都使用超声进行乳腺活检,立体定向/断层合成或MRI指导。BBM利用率因模态而异,72%的受访者每周放1到4个剪辑。放置或不放置BBM的原因与先前研究一致。这是第一项评估放射科医生每周或每月进行的乳腺活检数量的研究,为在本地设置中进行比较提供了一个有用的平台。
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