Tomo guided biopsy in prone position
Dr. G. Saguatti. Radiologist, Director of the Breast Care Unit at Bellaria Hospital - Bologna Italy
In the realm of diagnostic imaging for breast cancer screening, two techniques of fundamental importance have been developed over the past fifteen years: stereotactic vacuum-assisted breast biopsy (VABB) and digital breast tomography (DBT).
However, until today this combination regarded solely biopsies performed with the patient sitting up (upright method), where the possibility of defining the biopsy target via tomosynthesis represents a significant help for the radiologist on some occasions, but with the inevitable persistence of patient discomfort (and consequent obstacles in diagnosis) tied precisely to the seated position.
The possibility of taking VABB samples with the patient in a prone position, guided by tomosynthesis imaging, certainly represents a perfect synthesis of the two methods. For the radiologist, this option – provided directly by the Giotto CLASS mammography unit and the complementary biopsy table FLEXITABLE – undoubtedly represents a further significant advance in the field of breast diagnostics.
Even in the hands of an expert operator, these difficulties can sometimes considerably complicate the sample taking procedure, if not preclude it altogether. Studying the target with tomosynthesis thus makes it possible to draw an overall picture, which becomes essential in the cases mentioned.
As always, it will be necessary to evaluate the clinical impact of the new method: indications, applications and limits. But today it is absolutely clear that the technological innovation embodied by Giotto CLASS corresponds to a significant step forward in the realm of diagnostics.